Attorney Michael Rehm — (800) 978-0754
Catastrophic Injury Cases in Stockton and San Joaquin County
Attorney Michael Rehm represents victims of catastrophic injuries — including traumatic brain injuries, spinal cord injuries, and severe burn injuries — throughout Stockton and San Joaquin County. Catastrophic injuries are not simply severe injuries. They are injuries that permanently alter the trajectory of a person's life — eliminating or drastically reducing the ability to work, to perform the activities of daily living independently, or to participate in the relationships and experiences that defined the person before the injury. The legal and damages framework for these cases is fundamentally different from a standard personal injury case, and the difference matters from the first day of representation.
Traumatic Brain Injury
Traumatic brain injury ranges from mild concussion to severe diffuse axonal injury. The injury is often invisible — no fracture visible on imaging, a normal-appearing CT scan — but functionally devastating. Cognitive deficits, memory impairment, personality changes, difficulty with executive function, seizure disorders, chronic headaches, and depression are documented sequelae of even mild TBI that can permanently impair the ability to work and to maintain relationships.
Every driver, property owner, and commercial carrier has a legal obligation under California Civil Code § 1714(a) to use ordinary care. When that obligation is breached and a TBI results, the full scope of the injury — including its cognitive, psychological, and economic effects — is compensable.
California applies the eggshell plaintiff rule: a defendant takes the plaintiff as they find them. A victim with a prior concussion history or a pre-existing migraine disorder who suffers a TBI in a crash does not receive reduced damages because they were more vulnerable than an average person. The defendant caused the aggravation and is responsible for its full extent.
TBI cases require neuropsychological testing, neuroimaging, and expert testimony to establish the nature and extent of the injury, its causal relationship to the crash or incident, and its projected long-term effects on function and earning capacity. The defense will retain its own experts. The contest between those expert opinions is where TBI cases are frequently won or lost, and the quality of the plaintiff's expert support matters from the beginning.
Spinal Cord Injury
Spinal cord injuries range from incomplete injuries with partial preservation of motor and sensory function to complete injuries producing total loss below the level of the lesion. The ASIA (American Spinal Injury Association) classification system provides the framework for establishing injury severity. High cervical injuries producing tetraplegia and thoracic injuries producing paraplegia represent different functional profiles, different lifetime care requirements, and different damages calculations — but both are permanent and require comprehensive damages analysis from the outset.
There is no full recovery from a complete spinal cord injury. Lifetime care costs for persons with high-level cervical SCI include attendant care, home modification, adaptive equipment, power wheelchairs, repeated hospitalizations for secondary complications including pressure ulcers, urinary tract infections, and respiratory issues, and ongoing specialist care. Life care planners quantify these costs over the victim's statistical life expectancy. The resulting projections are substantial and must be established through qualified expert testimony to be presented to a jury.
California law permits recovery of future damages certain to result. Civ. Code § 3283. In SCI cases, the future damages component — lifetime care, lost earning capacity, diminished enjoyment of life — typically dwarfs the past medical expenses component. Establishing those future damages requires a life care planner, a vocational rehabilitation expert, and an economist working in coordination from early in the case.
San Joaquin County's high-speed freeway corridors — Interstate 5, Highway 99, and Interstate 205 — produce the mechanism for the most severe SCI cases: high-speed vehicle-to-vehicle crashes, truck underride crashes, and motorcycle crashes. All three crash types are well-represented in the county's crash data.
Burn Injuries
Burn injuries are classified by depth — first degree (superficial), second degree (partial thickness), third degree (full thickness), and fourth degree (extending to underlying bone or muscle) — and by total body surface area affected. The Rule of Nines provides a rapid assessment framework: 9% each for the head, each arm, and the perineum; 18% each for the trunk front, trunk back, and each leg. Large total body surface area burns exceeding 30% carry high mortality risk and require extended ICU care.
Inhalation injury — damage to the airway and lungs from inhaling hot gases, steam, or combustion products — is frequently more dangerous than the surface burn itself. Inhalation injury can cause acute respiratory failure, airway obstruction, and long-term pulmonary impairment independent of the extent of surface burning.
Burn care involves debridement, skin grafting, management of infection risk, and serial reconstructive surgery over months and years. Contracture formation — the tightening of scar tissue across joints — requires repeated surgical release procedures. Burn injury damages include not only the immediate and acute care costs but the lifetime costs of reconstructive surgery, scar management, physical therapy, and psychological treatment for disfigurement-related distress and PTSD.
Burn injury cases in the Stockton area frequently arise from commercial truck crashes involving fuel tank rupture and fire, industrial and agricultural equipment fires, and vehicle fires. Where a vehicle fire resulted from a defective fuel system, inadequate fire suppression design, or flammable material that should not have been in proximity to an ignition source, product liability claims against the vehicle or component manufacturer may exist alongside the negligence claim against the driver.
What Catastrophic Injury Cases Require
Life care planning. A certified life care planner projects the full cost of future medical care, adaptive equipment, home modifications, attendant care, and support services over the victim's statistical life expectancy. This document becomes the economic foundation of the future damages case and must withstand rigorous cross-examination by the defense.
Vocational rehabilitation expert. Establishes the reduction in earning capacity resulting from the injury, distinguishing between what the plaintiff could earn before the injury and what they can earn now given their functional limitations. In total disability cases, the analysis establishes a lifetime of lost income. In partial disability cases, the analysis identifies what occupations remain accessible and what earnings differential results.
Economist. Reduces future losses to present value using actuarially sound methodology. Future medical expenses and lost earnings thirty or forty years from now are worth less than those same amounts paid today. An economist translates the life care plan and vocational analysis into a present-value number the jury can evaluate and award.
Treating physician testimony. The treating physicians who cared for the victim from the day of injury are the most credible witnesses on the nature and permanence of the injury. Their records and testimony must be coordinated from the first day of treatment, not assembled after the fact.
Damages
California law entitles an injured person to compensation for all detriment proximately caused by another's negligence, whether or not that detriment could have been anticipated. Civ. Code § 3333. The categories of compensable loss include impairment of earning capacity, medical care and other expenses, physical pain and mental suffering, aggravation of any prior condition, susceptibility to subsequent disease or injury, and loss of consortium. Civ. Code §§ 3281, 3282, 3283.
Where the defendant's conduct was malicious, oppressive, or fraudulent, or constituted willful misconduct with knowledge that serious injury was probable, punitive damages are available under Civil Code § 3294. In commercial truck cases where the carrier falsified hours-of-service records or knowingly placed an unqualified driver on the road, and in DUI cases where the driver was aware of their impairment and drove anyway, punitive damages are a live issue from the start of the case. They are not capped in California personal injury cases.
Where a plaintiff makes a settlement offer pursuant to Code of Civil Procedure § 998 and the defendant obtains a judgment less favorable than that offer, the plaintiff is entitled to prejudgment interest at 10% per annum from the date of the offer. Civ. Code § 3291. In large catastrophic injury cases that proceed to trial, this mechanism can add substantial interest to the judgment.
Statute of Limitations
A personal injury claim arising from a catastrophic injury must be filed within two years of the date of injury. Code of Civil Procedure § 335.1. Where a minor sustained the catastrophic injury, the limitations period is tolled until the minor's 18th birthday. Where a government entity is a potential defendant, a government tort claim must be presented within six months under Government Code § 911.2 regardless of the victim's age. Tolling doctrines may apply depending on the facts — contact Attorney Michael Rehm to assess the specific timeline in your case.
San Joaquin County Superior Court
Catastrophic injury cases in San Joaquin County are litigated at the San Joaquin County Superior Court, 180 E. Weber Ave., Stockton, CA 95202. Civil departments 10A, 10B, 10C, 10D, and 11B. Catastrophic injury cases almost always exceed the $50,000 judicial arbitration threshold under Local Rule 3-122 and proceed as unlimited civil matters. Settlement conferences require itemized special damages, a general damages amount, and a written settlement offer served on all parties at least 10 days before the conference, with an insurance representative holding settlement authority present or immediately available by phone. Local Rule 3-104. Court reporters are not provided — parties must retain their own. Local Rule 3-102(J). Branch courts in Lodi (315 W. Elm St.) and Manteca (315 E. Center St.).
Related Pages
- Stockton Personal Injury Attorney
- Stockton Car Accident Attorney
- Stockton Truck Accident Attorney
- Stockton Wrongful Death Attorney
Attorney Michael Rehm handles catastrophic injury cases throughout Stockton and San Joaquin County on a contingency fee basis. No fee without a recovery. Call (800) 978-0754 for a free consultation.
The information on this page is general legal information, not legal advice, and does not create an attorney-client relationship. Every case turns on its own facts. The law can change — statutes are amended, cases are decided, and regulations are revised; nothing on this page should be relied upon as a statement of current law without verification. Deadlines and legal bars discussed on this page are general guides — whether a particular deadline applies, has run, or is subject to tolling, and whether a particular doctrine bars or limits recovery in your case, requires individual analysis. Contact Attorney Michael Rehm to discuss the specific facts of your situation.
