The Crucial Role of Expert Testimony in Medical Lawsuits: A Case Study in Nebraska

Birth injury lawsuits are emotionally charged and legally intricate cases, requiring the presentation of compelling evidence to seek justice for the families affected. In a recent case before the Nebraska Supreme Court, the absence of qualified expert testimony proved detrimental to the plaintiffs’ claims, resulting in a directed verdict in favor of the defendant doctors. This article delves into the details of the case and underscores the vital role played by expert witnesses in medical malpractice litigation.

The lawsuit in question revolved around a tragic incident that took place at St. Francis Medical Center in Grand Island, Nebraska, in 2015. Jamie Carson, the plaintiff, was admitted to the hospital while in labor, and Rebecca Steinke, M.D., was called in when complications arose with the baby’s heart rate. Steinke made a critical decision to place an internal monitor on the baby’s head to obtain a more consistent reading of his heart rate, and in doing so, inadvertently punctured the amniotic sac. The situation escalated, leading to an emergency cesarean section, and the baby, Boston Carson, was born not breathing and motionless.

The Allegations and Expert Testimony

The plaintiff, Jamie Carson, and her husband, Brad Carson, filed a medical malpractice lawsuit against Dr. Steinke and Douglas Boon, M.D., alleging that the birth injuries suffered by their son, Boston, were a result of medical negligence during childbirth.

During the trial, the Carsons presented three expert witnesses to support their claims. Dr. Scott Nau, a pediatrician with experience in neonatal intensive care, was the first expert. However, the defendant objected to his testimony, arguing that Nau lacked familiarity with the locality-specific standard of care, as required by Nebraska law. The trial court agreed and excluded Nau’s testimony.

The second expert, Dr. David Demarest, was meant to testify about Boston’s mental deficits. However, during his deposition, Demarest stated that he couldn’t offer opinions on causation and the link between Boston’s condition and the birth injuries. As a result, his testimony was also excluded during the trial.

The third and only remaining expert witness for the plaintiffs was Dr. Kelly Elmore. She testified about Steinke’s care and treatment, claiming that Steinke failed to meet the standard of care. However, her conclusions were deemed speculative and not scientifically supported.

The Ruling of the Nebraska Supreme Court

With Nau and Demarest’s testimony excluded, the Nebraska Supreme Court upheld the directed verdict in favor of the defendant doctors. The court found that the plaintiffs failed to present sufficient evidence to establish the departure from the standard of care or prove causation between the medical negligence and Boston’s injuries.

Importance of Qualified Expert Testimony

The outcome of the birth injury lawsuit in Nebraska underscores the critical importance of qualified expert testimony in medical malpractice cases. Expert witnesses provide specialized knowledge and insights, helping the court to understand complex medical issues and the standard of care applicable in specific locales. In this case, the lack of adequately qualified experts weakened the plaintiffs’ claims significantly, leading to a verdict in favor of the defendants.

This case serves as a poignant reminder of the pivotal role that qualified experts play in these complex matters. To increase the likelihood of a successful outcome, families and their legal representatives must diligently select experts who possess both the expertise and the necessary familiarity with the local standard of care. By doing so, they can build a robust case that is compelling and persuasive in the eyes of the court.

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