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Catastrophic Injury Lawyer in New York
When a brain injury, spinal cord injury, amputation or severe burn changes your family's future, our New York catastrophic injury lawyers step in. We work with medical experts, life care planners and economists to document decades of care and lost earnings, so your claim covers the years ahead, not just today's bills.


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When a catastrophic injury leaves someone needing help to bathe, dress or get around, or unable to return to work, hospital bills show only part of what has changed. At Raphaelson & Levine, our New York catastrophic injury lawyers look past the treatment record to what the injury changes at home and at work.
A clear picture starts with the person’s life before the injury: the job they held and the family they cared for. We record the help a spouse, parent or aide now gives each day and work with physicians, life-care planners and economists to document future medical care, home adaptations and lost earning capacity. Together, those details show an insurer or a jury who this person was and what changed.
In one free conversation with a catastrophic injury lawyer at our firm, you'll learn where the case stands, what to protect now and what we'll need next. If the injured person can't call yet, a spouse, parent or adult child can start that conversation.
Quick Answers About Catastrophic Injury Cases in New York
These are the questions we hear most often from injured New Yorkers and their families, with the answers we give them.
New York law has no legal definition of "catastrophic injury." The term describes an injury that causes permanent disability or long-term effects on movement, thinking, work or daily care. Examples include brain injury, spinal cord injury and paralysis, amputation, severe burns, permanent vision or hearing loss, and multiple traumatic injuries; the full list is in the next section.
For vehicle cases, the closest legal yardstick is New York's "serious injury" list, which we cover with the other New York rules for these cases.
We can tell you after reviewing three things: how you were hurt, who controlled what caused it, and what the records show.
A serious diagnosis alone doesn't tell us who may be legally responsible. We also look at how the injury has changed your work and daily life, since those effects are part of what a case has to document.
Your case's value rests on three things: the care you'll need in the years ahead, the earnings the injury takes, and the evidence on who is responsible.
A diagnosis names the injury. It doesn't show how much help you need each day, whether you can return to your job, or who caused the harm. We look at the details behind it:
- The daily help you need and who provides it
- Care, medical equipment and home adaptations, such as a ramp or a widened doorway
- Your job duties before the injury and how the injury affects your earning ability
- The facts about who caused the harm and what insurance coverage is available
Medical records, work records and our investigation into how you were hurt supply these details. Our section on how we calculate future damages shows how we document and cost those needs.
Yes. New York has no general cap on pain and suffering damages, so the award is based on the evidence of how the injury has affected you, not a preset limit. Judges can review an award and reduce one that deviates materially from reasonable compensation (CPLR § 5501(c)).
In New York, pain and suffering covers physical pain, emotional and psychological harm, and the loss of enjoyment of life. We document each one through your medical records, your doctors and the people who see how your days have changed.
After a car, truck or bus crash, recovering for pain and suffering also requires a "serious injury" under New York's no-fault law. Many catastrophic injuries, such as dismemberment, a fracture or significant disfigurement, are on that list, and we compare your records with it early.
After a car, truck or bus crash in New York, no-fault insurance generally pays necessary medical expenses and lost earnings, up to its limits, without anyone having to prove who caused the crash; people riding motorcycles aren't covered by it (Insurance Law § 5103).
We keep that early coverage separate from the question of legal responsibility. Those benefits can help with treatment while we investigate who may answer for the harm.
Depending on how you were hurt, responsibility can fall on drivers and vehicle owners, property owners and contractors, product makers, hospitals, or other public or private parties, under rules that differ with the cause.
There's nothing to pay upfront or while your case is open. We work on a contingency fee, so you pay no attorney fee unless we recover compensation for you through a settlement or a verdict.
We advance the case costs, such as expert, records and court filing fees, as is standard practice among New York City injury firms. If we recover, our fee and those costs are paid out of the recovery; if we don't, you owe us nothing, no fee and no case costs. The fee terms are set out in a written agreement you sign before we start.
If a health plan, Medicaid or Medicare paid for injury-related care, it may have a right to be repaid from the recovery. Before you decide on any offer, we'll show you how the money would be divided.
Choose a lawyer who can show three things: experience with injuries like yours, the resources to document a lifetime of needs, and a file prepared for trial.
Ask who will lead your case and who supports that attorney, which experts they use to value future care and lost earning capacity, and what results they've obtained in similar cases. The sections on our attorneys, how we calculate future damages and the results we've obtained answer those questions for our firm.
Be cautious of anyone who guarantees a result, pushes you to settle before your doctors know your long-term needs, or can't tell you who will handle your case. At our firm, you'll know your lead attorney from the start.
We Handle All Types of Catastrophic Cases Throughout New York
Our New York catastrophic injury attorneys handle claims involving brain damage, paralysis, limb loss, severe burns and other injuries that profoundly affect a person's independence, ability to work or long-term care needs. A diagnosis alone doesn't make an injury catastrophic; lasting harm to independence, work or care does.
- Brain injury: Traumatic brain injury from a blow to the head, or anoxic and hypoxic brain injury from a loss of oxygen, that changes memory, thinking, behavior or independence.
- Spinal cord injury and paralysis: Paraplegia, quadriplegia (also called tetraplegia) and partial paralysis, and the mobility equipment, personal care and home changes they require.
- Severe burns: Thermal, electrical and chemical burns that leave scarring, lost function and ongoing care needs.
- Amputation and limb loss: Limb loss at the moment of injury or later, when an injured limb can't be saved, and the prosthetics and rehabilitation that follow.
- Multiple traumatic injuries: Overlapping injuries slow rehabilitation and limit recovery from each other, so we document them together rather than one at a time.
- Permanent vision or hearing loss: Lasting effects on communication, work, getting around safely and the daily help you need.
- Crush and degloving injuries: Reconstruction, lasting damage to the limb and, in some cases, later amputation.
- Severe orthopedic injuries: Complex fractures or joint damage that lead to repeated surgery, lasting disability or an inability to return to work.
- Permanent nerve damage: Loss of movement, sensation or function that makes everyday tasks harder.
- Severe internal organ injuries: Lasting loss of function and ongoing treatment needs.
- Severe scarring and disfigurement: Reconstructive treatment and effects that last well beyond the initial wound.
How Catastrophic Injuries Happen and What We Investigate
How the injury happened decides who may be responsible and which evidence proves it, so our investigation starts with the cause. Each linked page covers that type of case in depth.
Vehicle collisions
Car, truck, motorcycle, pedestrian and bicycle crashes can cause brain, spinal and severe orthopedic injuries. We secure the police report, the vehicles and their event data recorders, traffic and dashcam video, and the insurance policies of every driver and owner involved.
Learn more about car, truck, motorcycle, pedestrian and bicycle accident cases.
Construction falls, falling objects and machinery
Falls from scaffolds and ladders, objects dropped from above, and industrial machinery can cause catastrophic injuries on job sites. We identify every owner, contractor and equipment supplier involved, and we collect safety records, inspection logs and witness accounts before the site changes.
Learn more about construction accident, scaffold accident and workplace injury cases.
Unsafe property, fires and explosions
Dangerous property conditions and building fires or explosions can cause severe burns, brain injury and multiple trauma. We examine maintenance and inspection records, fire department reports, building code issues and who controlled the property.
Learn more about premises liability and fire and explosion cases.
Defective vehicles, equipment and products
When a vehicle, machine or consumer product fails, we preserve the product itself, gather its recall and complaint history and its design and manufacturing records, and bring in engineers who can explain the defect.
Learn more about product liability cases.
Medical negligence
A delayed diagnosis, a surgical error or a missed warning sign can turn treatment into catastrophic harm, such as a brain injury from oxygen loss. We obtain the complete medical record, including monitoring data and nursing notes, and retain physicians in the same specialty to review the care.
Learn more about medical malpractice cases.
Representing Injured New Yorkers Since 1992
For 34 years, we've brought injured New Yorkers and their families the medical, engineering and financial experts a catastrophic injury case demands. Prior results do not guarantee a similar outcome.
Why Families Work With Us After a Catastrophic Injury
Families choose our catastrophic injury law firm for evidence on how the injury happened, experts who can explain it, and a file prepared for trial. We also learn who the person was before the injury, so the case shows what changed.
We never hand a file to a paralegal with a settlement quota. We never pressure a client to take a lowball offer.
How We've Built These Cases
Each case started with finding out what went wrong, and each one needed different proof.
A roadway design defect caused a crash that left our client with a traumatic brain injury and fractures. We retained highway design engineers, who found flaws in the road's signage and curve geometry, and we brought claims against the municipality responsible for the road.
An infant suffered an anoxic brain injury in a hospital. We retained pediatric neurology and respiratory care experts, who reviewed the hospital's records and identified delayed responses to ventilator alarms.
A pedestrian struck in the head by a vehicle suffered a traumatic brain injury with lasting cognitive effects. We asked Kings County Supreme Court to decide legal responsibility for the collision without a trial, a request called summary judgment on liability, and the court granted it. The case then settled.
The results below also include paralysis and burn cases we've handled for New Yorkers.
Prior results do not guarantee a similar outcome.
“During the most difficult time in my life Howard and Andrew took care of me like I was a member of their own family.” — Colin H.
Results vary depending on the facts and circumstances of each case.

Meet Our New York Catastrophic Injury Lawyers
You can call before you have every answer. Tell us what happened and what care has started, and we'll tell you what to protect first.
What to Do After a Catastrophic Injury in New York
After a catastrophic accident, get medical care first. Then protect the evidence and the deadlines, so your family can focus on recovery. These steps keep your options open, even before you call us.
- Get emergency care and follow your treatment plan. If this is a medical emergency, call 911.
- Keep photos and video of the scene, the equipment involved and your injuries.
- Hold on to the vehicle, ladder, scaffold or equipment involved, or write down where it is.
- Write down the names and numbers of witnesses.
- Save every record: medical bills, worksite or maintenance reports, and letters from insurers.
- Talk with us before giving a recorded statement to any insurance company, including your own.
- Call quickly if a city agency, public hospital or other public entity may be involved. A Notice of Claim is often due within 90 days.
What Happens After You Call Us
After you call and decide to hire us, we request your medical records, follow up on evidence that may still exist and take over communication with the insurers. Here is what happens, step by step.
We start with an ordinary day. Who helps with bathing and dressing, who drives you to therapy, and what work has stopped?
Each task someone now does for you points to a need a doctor can confirm and a planner can list.
We ask how the injury happened, what doctors have diagnosed and what treatment has started. Those answers set the order of our record requests.
We request hospital, trauma, rehabilitation and work records, and we follow up on photos, video, equipment and witnesses before they're lost.
From the day you hire us, the insurance companies call us. An adjuster may want a recorded statement, forms arrive to sign, and bills show up before anyone has explained the diagnosis. We answer the insurers, manage the paperwork and tell you what they've asked for and why, so your energy can go to treatment.
As records and expert reports arrive, we tie each bill, treatment note and projection to the part of the injury it relates to. That file becomes the demand, a written presentation of responsibility, medical care, future needs and work effects, supported document by document. If an insurer's response doesn't match what the records support, the same file becomes the foundation for trial preparation.
What Compensation Can You Recover After a Catastrophic Injury?
Our New York catastrophic injury lawyers pursue every loss the evidence supports: the cost of care, the income the injury takes and the harm to your daily life. New York doesn't cap pain and suffering, so those losses are measured by the evidence, not a set limit.
Loss | What it covers | How we prove it |
|---|---|---|
Medical care, past and future | Hospital and surgical care, rehabilitation, physical and occupational therapy, medication | Medical records, bills and your doctors' treatment plans |
Life-care needs | Home health aides, attendant care, equipment, and home or vehicle changes | A life-care plan built on your doctors' recommendations |
Lost wages and earning capacity | Pay you've already missed and the income the injury takes over your working life | Work records, the limits your doctors set and an economist's projection |
Pain and suffering | Physical pain, emotional and psychological harm, and loss of enjoyment of life | Your records, your doctors, and testimony from you and your family |
A spouse's loss of consortium | The loss of companionship and support in the marriage | The spouse's own account, alongside the injured spouse's case |
Loss
Medical care, past and future
What it covers
Hospital and surgical care, rehabilitation, physical and occupational therapy, medication
How we prove it
Medical records, bills and your doctors' treatment plans
Loss
Life-care needs
What it covers
Home health aides, attendant care, equipment, and home or vehicle changes
How we prove it
A life-care plan built on your doctors' recommendations
Loss
Lost wages and earning capacity
What it covers
Pay you've already missed and the income the injury takes over your working life
How we prove it
Work records, the limits your doctors set and an economist's projection
Loss
Pain and suffering
What it covers
Physical pain, emotional and psychological harm, and loss of enjoyment of life
How we prove it
Your records, your doctors, and testimony from you and your family
Loss
A spouse's loss of consortium
What it covers
The loss of companionship and support in the marriage
How we prove it
The spouse's own account, alongside the injured spouse's case
When a catastrophic injury is fatal, the family's claim becomes a wrongful death case. The section below explains how we put a number on future needs.
How We Calculate Future Damages
We calculate future damages in three steps: your doctors define the care you'll need, a life care planner itemizes it, and an economist projects its cost over time along with your lost earning capacity.
Your treating physicians and the medical experts we retain record the future treatment they recommend, the functional limits they observe and their outlook. Everything after builds on those findings.
The plan lists supported medical and rehabilitation care, including physical and occupational therapy, attendant or household help, assistive technology and equipment with replacement schedules, and home modifications. Where the records support it, each item shows how often it's needed, when it starts and how long it lasts.
The economist applies documented costs to those items over the period the medical evidence supports, up to a lifetime. The same analysis assesses lost earning capacity, meaning the injury's effect on your ability to earn, using your work history and the limits your doctors have documented.
For work, we compare the job you held before the injury, including the duties you performed each day, with the limits your doctors have recorded. Where they can't yet say what you'll be able to do, we note that as an open question and revisit it as treatment continues.
For example, if a treating doctor recommends a power wheelchair, the planner lists the chair and its replacement schedule, and adds a ramp or bathroom changes only if an assessment of the home documents them. The economist then costs each item over the period the medical evidence supports.
Documenting these needs means an offer can be measured against future care and lost earning capacity along with the bills already paid. We aim to have them in the file before we evaluate any offer with you.
Medical prognosis belongs to your doctors. Our job is to check the plan for gaps, test the recommendations and assumptions against each other, and update the file as treatment develops.
Call (212) 268-3222 for a free consultation. We'll ask what care your doctors have recommended so far, what help you need each day and how the injury has affected your work.
“Andrew Levine guided my husband through a severe injury and was invaluable to every facet of our suit.”
Rachel S.
Severe injury
New York Rules for Catastrophic Injury Cases
New York has no separate set of rules for catastrophic injuries; the cause of the injury decides the deadlines, notice requirements and proof your case needs.
A crash, a construction fall, an unsafe property, a defective product and a medical error each bring their own rules, and on your first call we'll tell you which of the rules below apply to you.
When a person covered by New York's no-fault law sues another covered person over the negligent use or operation of a motor vehicle in New York, recovering for pain and suffering requires a "serious injury" (Insurance Law § 5104), and the list in § 5102(d) includes dismemberment, significant disfigurement, a fracture, and permanent loss of use or significant limitation of use of a body function or system.
We compare your medical records with that list early. The answer shapes which experts we bring in and how we present the injury.
Labor Law § 240(1), known as the Scaffold Law, can make owners and contractors liable when a failure to provide proper scaffolds, ladders, hoists or other safety devices causes an elevation-related injury, such as a fall or being struck by a falling object, during work like building, demolition, repair or painting of a building or structure; owners of one- and two-family homes who contract for but don't direct or control the work are excluded.
We look at who owned the property, who ran the job and which safety devices the work called for.
If a New York public entity, such as a city, county, town, village or public authority, may be responsible and the law requires a Notice of Claim, it generally must be served within 90 days after the claim arises (GML § 50-e); a court may allow a late notice on a formal request, but that isn't guaranteed and can't go past the deadline to sue.
When a New York City agency is responsible, the claim is filed with the NYC Comptroller's Office; claims against separate authorities, such as NYCHA, the MTA and NYC Health + Hospitals, must be served on that authority instead.
In our first conversation, we ask whether a road, vehicle or building controlled by a public entity played a part. That way, any required Notice of Claim (a formal written notice to that entity) can be prepared early.
Most personal injury lawsuits in New York must be filed within three years of the date the injury occurred (CPLR § 214). Medical malpractice lawsuits generally must be filed within two years and six months (CPLR § 214-a), and claims against public entities have shorter deadlines.
These are New York's statutes of limitations, and when a doctor, hospital or public entity may be involved, we check the shorter deadline first.
When the injured person is under 18, the deadline for most personal injury lawsuits generally doesn't run out until the child turns 21 (CPLR § 208), but that doesn't automatically extend the 90-day Notice of Claim for claims against government entities.
Specific deadlines can vary; we'll confirm what applies after we review the details.
Being partly at fault doesn't automatically end a New York injury case; recovery is generally reduced by your share of the fault, but a stricter rule applies to injury cases under New York's no-fault law (Insurance Law article 51) (CPLR § 1411).
We'll confirm what applies to yours. When the other side points to something you did, we test that account against the photographs, reports and witness statements.
Claim | Deadline | Law |
|---|---|---|
Most personal injury lawsuits | 3 years from the injury | CPLR § 214 |
Medical malpractice | 2 years and 6 months from the malpractice, with exceptions | CPLR § 214-a |
Notice of Claim against a city, county, public hospital or authority | Generally 90 days from the injury | GML § 50-e |
An injured child | Most deadlines are paused until age 18; the medical malpractice extension can't go past 10 years, and the 90-day Notice of Claim isn't automatically extended | CPLR § 208 |
Claim
Most personal injury lawsuits
Deadline
3 years from the injury
Law
CPLR § 214
Claim
Medical malpractice
Deadline
2 years and 6 months from the malpractice, with exceptions
Law
CPLR § 214-a
Claim
Notice of Claim against a city, county, public hospital or authority
Deadline
Generally 90 days from the injury
Law
GML § 50-e
Claim
An injured child
Deadline
Most deadlines are paused until age 18; the medical malpractice extension can't go past 10 years, and the 90-day Notice of Claim isn't automatically extended
Law
CPLR § 208
These are general rules. We'll confirm the deadline that applies to your case on your first call.
Questions Families Ask
Legal work can start while treatment continues, and a child's settlement and a spouse's related case follow New York rules of their own.
When a child's injury case settles in New York, a guardian of the child's property or a guardian ad litem, or a parent with legal custody if there is no such guardian, asks a judge to approve the settlement; the papers include the child's medical or hospital reports, and the judge's order also approves the lawyer's fee, if any (CPLR § 1207 and Rule 1208).
We prepare the papers with the representative identified for your child's case and review the medical reports submitted to the judge.
Yes, a family member can call to tell us what happened and what needs protecting. Start with what you know: how the injury happened, where your husband, wife or parent is being treated, and what care has begun.
When we take the case, the injured person is our client. Before we act for them, we'll explain whose authorization is needed.
No, legal work can begin while doctors are still evaluating the injury. We start with the facts available now, including how the injury happened and who may be responsible. Video and other evidence can disappear quickly, and a Notice of Claim against a public entity is often due within 90 days.
We can start documenting supported needs now and revisit open questions as your doctors' assessments develop. We keep you updated on what remains open, and we don't push toward a settlement while those medical questions are unanswered.
Then your case has to account for lost earning capacity: the income the injury takes over the rest of your working life, not only the wages you've already missed. We document it through the steps in How We Calculate Future Damages, starting with your job duties and the limits your doctors record.
Your case may settle or go to trial, and we prepare every case as if a jury will hear it. Which path it takes depends on the evidence and the insurer's position.
That preparation keeps the records, witnesses and expert support ready for either path, and we negotiate from that file. When an offer comes in, we explain what it would resolve and what questions remain. The decision is yours.
Possibly. When one spouse is seriously hurt, the other spouse can have a related claim of their own, called loss of consortium, and New York's highest court treats that claim as derivative, meaning it depends on the injured spouse's case (Biaca-Neto v Boston Road II Housing Development Fund Corp.).
We review your claim together with your spouse's case and explain whether it should be brought alongside theirs.
Talk With a Catastrophic Injury Lawyer in New York
A free consultation covers how you were hurt, what care has started and what to protect now, and you'll leave knowing what the facts show so far and what we'd still need to learn. You don't need a complete file to call, and what happens after the consultation is your decision.
We represent injured people throughout New York, including the five boroughs, Long Island and the Hudson Valley.
Ranked Tier 1 in New York City by Best Law Firms®
Raphaelson & Levine holds a Tier 1 ranking for Personal Injury Litigation – Plaintiffs in New York City (2025–2027). Our firm and attorneys have earned 17 awards and professional recognitions, including honors from Best Lawyers® and Super Lawyers®.
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