No one researches catastrophic injury attorneys for fun. Something serious happened. The injury is permanent, the medical situation is complex, and someone needs to answer for it.
This page explains how catastrophic injury cases work under Texas law, what the damages picture looks like, and how to evaluate any attorney you are considering. Morris and Dewett has handled catastrophic injury cases for over 25 years. Take your time. Do your research. Reach out when you are ready.
What Is a Catastrophic Injury Under Texas Law?
Not every serious injury qualifies as catastrophic. Texas courts define catastrophic injury as one that permanently limits your ability to work, requires lifelong medical care, or directly threatens life. The distinction matters because the damages calculation is fundamentally different from a routine personal injury claim.
A standard injury claim covers medical bills, lost wages, and pain and suffering. A catastrophic injury claim adds a life care plan, vocational expert testimony, and present-value economic analysis. These are separate disciplines that require separate experts.
Texas does not cap personal injury damages in most catastrophic cases. Medical malpractice carries a $250,000 noneconomic cap per provider under CPRC Section 74.301. Negligence cases (car accidents, trucking crashes, premises liability, industrial accidents) carry no noneconomic cap. Full economic damages are recoverable without limit.
The statute of limitations for catastrophic injury claims in Texas is two years from the date of injury under CPRC Section 16.003(a). For injured minors, the clock is tolled until age 18 and then runs for two more years under CPRC Section 16.001. Missing this deadline eliminates the claim regardless of how severe the injury is. Ask any attorney you consult: when does the deadline run in your specific case?
Child pages for the specific injury types this hub covers: brain trauma, spinal trauma, severe burns.
Types of Catastrophic Injuries Morris and Dewett Handles
Traumatic Brain Injury (TBI)
TBI ranges from concussion to severe diffuse axonal injury. Catastrophic cases generally involve moderate-to-severe classification with lasting cognitive, behavioral, or physical deficits.
Common long-term effects include memory impairment, personality changes, motor deficits, chronic headaches, and seizure disorders. Not every TBI shows up clearly on a CT scan or MRI. Neuropsychological testing often captures deficits that imaging misses. Insurance companies exploit imaging gaps to argue the injury is minor. Your attorney needs a neurologist and neuropsychologist ready to explain the gap.
Ask any attorney you consider: who are the TBI experts they use and have they testified in cases involving negative imaging with positive neuropsychological findings? Morris and Dewett has worked with neurologists and life care planners on TBI cases involving exactly this dispute.
See the brain trauma page for detailed coverage of TBI claims.
Spinal Cord Injury (SCI)
SCI determines how damages are structured.
Complete injuries carry higher care costs than incomplete injuries. Cervical injuries (C1 through C7) affect arm function, hand dexterity, and in high cervical cases, breathing. Thoracic injuries (T1 through T12) typically preserve arm function but affect trunk stability and leg use. The injury level determines the equipment list, home modification scope, and attendant care hours in the life care plan.
Economic damages in SCI cases include powered wheelchairs and their replacement cycles, home modifications (ramps, widened doorways, roll-in showers), and attendant care over the injured person's full life expectancy. Future medical procedures are projected separately. A vocational expert calculates lost earning capacity. An economist converts those figures to present value. Ask any attorney: do they routinely retain both a vocational expert and a forensic economist, and can they name the ones they use?
See the spinal trauma page for detailed SCI claim coverage.
Severe Burns and Amputations
Third-degree burns destroy all layers of skin and underlying tissue. They require debridement, skin grafting, and multiple reconstructive surgeries. Infection risk is high during recovery. Visible scarring, particularly facial scarring, carries psychological damages separate from the physical damage.
Amputations occur as traumatic (immediate loss at the accident scene) or surgical (delayed amputation following crush injury or vascular damage). Both routes involve phantom limb pain, prosthetics, adaptive equipment, and vocational retraining. A prosthetic limb has a replacement cycle, typically every three to five years. That cycle, multiplied over a life expectancy, is a concrete economic damages figure.
Ask any attorney: have they handled a burn or amputation case with a prosthetics specialist and life care planner, and how did they document the replacement cycle for damages purposes?
See the severe burns page for detailed coverage of burn and amputation claims.
Where Are Catastrophic Injury Patients Taken in Marshall and Harrison County?
CHRISTUS Good Shepherd Medical Center-Marshall at 811 S Washington Ave is Harrison County's primary acute care hospital and the first stop for most trauma patients in Marshall. It is a community hospital without Level I or Level II trauma designation.
Patients with severe TBI, spinal cord injuries, or major burns presenting to CHRISTUS Marshall are typically stabilized and transferred. UT Health Tyler at 1000 S Beckham Ave, Tyler TX 75701 is a Level II trauma center approximately 60 miles west on US-80. CHRISTUS Mother Frances Hospital Tyler at 800 E Dawson St, Tyler TX 75701 also receives major trauma transfers from East Texas.
For major burn injuries, the nearest verified burn centers are Parkland Memorial Hospital in Dallas (approximately 150 miles southwest) and Baylor University Medical Center in Dallas. Both hold American Burn Association verification.
The transfer chain matters for your case. Transport records, transfer documentation, and the gap in treatment between the scene and the receiving facility are all part of the damages record. Each treating facility has its own medical records system. A preservation demand goes to all of them.
Life Care Planning and Economic Damages in Texas
A life care plan is not an estimate. It is a professionally prepared document that projects every identifiable future cost resulting from the injury. That includes medical procedures, equipment and replacement cycles, home health aide hours, residential care facility costs, medication, and transportation. It is prepared by a certified life care planner and serves as the damages foundation for the economic expert.
MMI determines when the life care plan can be completed. Filing a catastrophic injury lawsuit before MMI risks locking in a damages estimate that understates the full picture. Your attorney needs to know when MMI is expected and plan litigation timing around it.
proportionate responsibility applies to every Texas personal injury case. Defense attorneys in catastrophic injury cases attempt to assign partial fault to the injured person to reduce or eliminate the recovery. Ask any attorney: how do they document and argue against fault apportionment in cases where the defense will dispute liability?
Texas does not cap economic damages in non-medical-malpractice catastrophic injury cases. Lost earning capacity, life care costs, and future medical expenses are fully recoverable. Noneconomic damages (pain and suffering, mental anguish, disfigurement, impairment) are also uncapped in these cases.
Exemplary Damages for Gross Negligence in Texas
Texas allows exemplary damages -- what most states call punitive damages -- when the defendant acted with fraud, malice, or gross negligence.
The standard is clear and convincing evidence, a higher bar than the preponderance standard used for liability. The cap under CPRC Section 41.008 is the greater of: two times economic damages plus noneconomic damages up to $750,000, or $200,000. There is no cap for claims arising from certain felonies including murder, aggravated assault, and sexual assault.
Catastrophic injury cases most commonly support exemplary damages in three scenarios. First, a commercial driver was intoxicated and the carrier knew of prior DUI history. Second, an employer deliberately bypassed required safety equipment. Third, a property owner was warned repeatedly about a dangerous condition and took no corrective action.
Ask any attorney you consult: have they pursued exemplary damages in a catastrophic injury case, what theory of gross negligence did they use, and did they obtain them? A firm without this experience will miss the exemplary damages angle when it applies.
The Claims Process After a Catastrophic Injury in Harrison County
Personal injury cases arising in Marshall are filed in Harrison County District Court at 200 W Houston St, Marshall TX 75670. Venue may also lie in the defendant's county of residence or the county where a corporate defendant's principal office is located.
The Stowers doctrine creates leverage in cases where the defendant has insufficient coverage. When liability is clear and the injuries exceed the policy, a properly structured demand forces the insurer to choose between paying the limits or risking an excess judgment. This requires precise timing and documentation. Ask any attorney: have they used the Stowers doctrine to force a policy-limits settlement, and can they walk you through how they structured the demand?
Texas does not allow direct action against insurers. Suit goes against the at-fault party. CPRC Section 42.004 creates strategic settlement incentives: a plaintiff who rejects a reasonable offer and then recovers less than 80% of that offer at trial pays the defendant's litigation costs. A defendant who rejects a demand and the plaintiff recovers more than 120% of that demand pays the plaintiff's litigation costs.
Prejudgment interest accrues from 180 days after the insurer receives written notice of the claim, or from the date suit is filed, whichever is earlier, under Texas Finance Code Section 304.104. Catastrophic injury cases typically take two to four years to resolve given the complexity of damages proof.
How Do You Preserve Evidence After a Catastrophic Injury?
Evidence disappears fast. Surveillance video is overwritten in 30 to 72 hours. ECM data can be overwritten within 30 days without a preservation demand.
A formal preservation letter should go out within days of the injury. In commercial vehicle cases it targets the carrier, shipper, and any maintenance contractor. In premises liability cases it targets the property owner and any third-party management company.
Medical records from CHRISTUS Marshall, the transfer facility, and any subsequent treating providers must be subpoenaed. Each hospital has its own records custodian. Records requests take time. Start the process immediately. Morris and Dewett sends preservation letters and initiates records requests in the first week of representation.
Accident reconstruction and private investigation may be needed in Harrison County for complex liability questions. If surveillance footage or dashcam video exists, an attorney with access to these resources needs to move before the footage is gone.
Frequently Asked Questions
- Does Texas cap damages in catastrophic injury cases?
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Texas does not cap damages in personal injury catastrophic injury cases arising from negligence. Economic damages including life care costs, lost earning capacity, and future medical expenses have no ceiling. Noneconomic damages including pain and suffering, mental anguish, and disfigurement are also uncapped in negligence cases. The medical malpractice noneconomic cap of $250,000 per provider under CPRC Section 74.301 applies only to health care liability claims, not to vehicle accidents, premises liability, or industrial injury cases.
- How long do I have to file a catastrophic injury claim in Texas?
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The statute of limitations for personal injury in Texas is two years from the date of injury under CPRC Section 16.003(a). For a child injured before age 18, the deadline is tolled until the child turns 18 and then runs for two additional years. Missing the deadline bars the claim permanently regardless of how serious the injury is. If the injured person was incapacitated and could not act, consult an attorney immediately to determine whether any tolling exception applies.
- What is the difference between a life care plan and a settlement demand?
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A life care plan is a detailed, expert-prepared document projecting every future medical, rehabilitative, and personal care cost over the injured person's life expectancy. It is prepared by a certified life care planner, not the attorney. A settlement demand is the legal document the attorney sends to the insurer asserting the claim and the amount sought. The life care plan is evidence that supports the demand. In catastrophic injury cases the life care plan is not complete until the injured person reaches Maximum Medical Improvement, which is the point at which future needs can be accurately projected. Filing before MMI can result in a demand that understates the actual damages.
- What does gross negligence mean in a Texas catastrophic injury case?
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Texas defines gross negligence under CPRC Section 41.001 as conduct involving an objective extreme degree of risk, given the probability and magnitude of potential harm, combined with the defendant's subjective awareness of that risk and conscious indifference to the safety of others. Proving gross negligence opens the door to exemplary damages under CPRC Section 41.008. The standard of proof is clear and convincing evidence, which is higher than the preponderance standard used to prove liability itself. Examples in catastrophic injury cases include commercial vehicle operators with known DUI history, employers who bypassed required safety equipment with awareness of the risk, and property owners with documented prior notice of a dangerous condition who took no corrective action.
- Where will my case be filed if the injury occurred in Marshall Texas?
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Personal injury cases arising in Marshall or Harrison County are filed in Harrison County District Court at 200 W Houston St, Marshall TX 75670. If the defendant lives in a different county or a corporate defendant's principal office is in a different county, venue may also be proper there. For cases involving out-of-state defendants doing business in Texas, federal court in the Eastern District of Texas (Marshall Division) may also be an option. The choice of venue can affect the case timeline, available jurors, and litigation strategy.
- Can I recover if I was partly at fault for the accident?
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Yes, unless your share of fault is 51% or more. Texas uses proportionate responsibility under CPRC Chapter 33. If you are found 50% at fault, you recover your full damages minus 50%. If you are found 51% at fault, you recover nothing. Defense attorneys in catastrophic injury cases often focus heavily on pushing the plaintiff's fault percentage to or above 51% because it eliminates the entire recovery. Accident reconstruction, witness statements, and evidence preservation are essential to document the defendant's share of responsibility before the defense builds their narrative.
- What happens if the at-fault driver's insurance is not enough to cover my losses?
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Texas requires minimum auto liability coverage of $30,000 per person, $60,000 per accident, and $25,000 for property damage (30/60/25) under Texas Transportation Code Section 601.072. In catastrophic injury cases, minimum limits are rarely sufficient. If the at-fault driver carries only minimum coverage and has no assets, the primary recovery source is your own uninsured/underinsured motorist (UM/UIM) coverage under your auto policy. Texas insurers must offer UM/UIM with every policy. If you rejected it in writing, it does not apply. Other potential sources include the Stowers doctrine if the insurer failed to accept a valid policy-limits demand, employer liability if the at-fault driver was working at the time, and premises liability if a property condition contributed to the accident.
These answers reflect Louisiana law as of . For case specific advice, consult with a Louisiana personal injury attorney who can evaluate your particular circumstances.