“iv) In making an assessment of whether to accept an expert's opinion the court should take account of a variety of factors including (but not limited to): whether the evidence is tendered in good faith; whether the expert is “responsible”, “competent” and/or “respectable”; and whether the opinion is reasonable and logical….. vi)…. A “responsible” expert is one who does not adopt an extreme position, who will make the necessary concessions and who adheres to the spirit as well as the words of his professional declaration (seeCPR 35 and the PD and Protocol). vii) Logic/reasonableness: By far and away the most important consideration is the logic of the expert opinion tendered. A Judge should not simply accept an expert opinion; it should be tested both against the other evidence tendered during the course of a trial, and, against its internal consistency.”
“149. The other classical pattern of brain injury is diffuse axonal injury. This occurs because the brain is relatively mobile within the cranial cavity. If the head is struck a tangential blow then the brain will rotate relative to the skull. The brainstem and deep basal nuclei are relatively fixed both because they are in the central axis of the rotation and because of the attachment of the cranial nerves. In contrast, the hemispheres of the brain and cerebellum are relatively mobile relative to these fixed structures. This leads to shearing at the site between the two.”
“it is therefore unlikely that he jumped onto the front of the Mercedes, and more likely that he stepped backwards into its path ending up in front of but very close to it”. ii) However, paragraph 9.12, in her Discussion section, says this: “How he came to be on the vehicle cannot be determined from the CCTV; it is likely that either he was standing in front of the Mercedes when it moved off, causing his feet to be swept out from under him, or that he deliberately jumped onto it.”
“In my opinion there is not enough evidence to confirm whether [the claimant] jumped from the bonnet or was thrown by sudden braking; both appear to me to be equally likely.”
“[The claimant] either jumped from the Mercedes or was thrown from it under heavy braking. ….His body position, in my view, suggests a deliberate attempt to jump clear. I therefore consider both scenarios equally likely.”
“After [the claimant] falls to the ground, the Mercedes steers around him….[The claimant] falls to his back and rotates towards his left side with arms outstretched. It cannot be clearly made out but it is possible the front nearside wheel drives over his legs.”
“He may have been briefly pushed forwards on the road surface by the Mercedes, before it steered clear of him. It is possible the front nearside wheel of the Mercedes drove over his legs, which caused him to rotate further.”
“It is likely that the claimant suffered a degree of diffuse brain injury or diffuse axonal injury as a result of being thrown from the bonnet of the Mercedes vehicle and striking the road surface with significant force to the right side of his head and with some degree of angular acceleration given that the momentum of the blow causing (sic) him to roll onto his left hand side.”
“In paragraphs 4.3 - 4.8 of his supplemental report Mr Hague agrees with Dr Horsfall that the impact forces suffered during the impact in [Phase 3] couldnot cause diffuse axonal injury. In my original report… paragraph 40 I originally ascribed that the rotation during the injury had occurred on impact. However, at the time of the joint report on31 July 2019 , having been provided with the additional expert witness reports of Mr Hague and Dr Horsfall, Irevised my opinion and provided additional scientific evidence (Gennarelli et al 1980) demonstrating that rotational injury could occur, even in the absenceof impact.”
“The rapid rotation of the head in phase 3 of the injury does not occur when the head contacts the ground.”
“The rapid rotation of the head in phase 3 of the injury does not just occur when the head contacts the ground.”
“(a) Between frame 3549 and 3550 the back of the head can be seen in frame 3549 however by frame 3550 the head cannot be seen in front of the left front headlight. This suggests rapid flexion of the head (i.e. the chin is coming towards the chest) and, given that the claimant is also moving to his right side, there is also likely to be sagittal rotation to the right accompanying this. After rapid forward flexion of the head, the neck limits further forward movement and the head snaps back in the opposite direction i.e. a 180 degree rotation in the sagittal plane. It is at the specific instant of change in direction at which the rotational forces are highest and DAI occurs. (b) Between frames 3551 and 3552 the head is not originally visible and the bare back of the claimant is visible. However, in the subsequent frame the head can be seen above the right shoulder facing the floor. This suggests extension at the neck in the sagittal plane as well as axial rotation towards the floor accompanied by coronal rotation in addition. (c) Between frame 3553 and 3554 it can be seen that the left arm of the claimant comes over and rotates behind him and it appears that the head is subsequently obscured by his arm and body as it snaps forward once more in the axial and coronal planes. At the instant in which the right shoulder contacts the tarmac (frame 3554), the head will be rotated in the coronal plane first towards the ground (right ear will move towards the right shoulder) and once the limit of neck movement is reached the head will snap back, i.e. a rotation of 180 degrees in the coronal plane. It is at this instant that rotational forces are highest and DAI occurs. (d) Between frame 3554 and 3555 the head is not visible in the initial frame but, as the body turns and the shoulders come out of the way, the head can be seen rotating. Finally, in frame 3556 it can be seen pointing upwards with the face now visible.”
“a few of us ran onto the road to check if Idris was okay. Idris was lying in the road. We asked if he was in any pain, whether he had any broken bones and whether an ambulance was needed. Idris was responsive and conscious. He said he did not feel any broken bones but was in some pain.”
“He was intoxicated and I think this contributed to him not being able to get himself up. He was also probably in shock from the collision with the Mercedes.”
“I do not drink at the moment due to a recent event in my life”
“A. But when I went over and I was asking him, ‘How are you? Are you okay? Do you feel, do you have any bones that are hurting in any part of your body which is?’ As I was asking him and bent over trying to help him and we are trying to lay him flat somehow just to get him out of the road then we don’t know what injuries he’s got even if he had injuries at that time. Q. Do you remember seeing any blood under him at that stage? A. No. There was no blood that I could see on his face internally or under his clothes I don’t know. Q. Was he complaining of any pain anywhere? A. He was just saying, ‘Ouch’ like normal, someone who got hit with a car. Hewas just complaining of aches and that but there was nothing wrong at thetime, I think.”
“Yes, I was asking him at that time, ‘Are you injured? Can you move? Can you get up for yourself?’ He wasn’t replying; he was mumbling.”
“It is a truism, often used in accident cases, that with every day that passes the memory becomes fainter and the imagination becomes more active. For that reason a witness, however honest, rarely persuades a Judge that his present recollection is preferable to that which was taken down in writing immediately after the accident occurred. Therefore, contemporary documents are always of the utmost importance.”
“The continuous CCTV footage shows that the claimant is initially motionless on the ground after coming to a rest. It then shows people coming to the claimant’s aid and attempting to lift him from the road. Although the quality is poor, it appears that the claimant may be initially unresponsive but subsequently, within approx. 30 seconds, he appears able to support his ownweight with his left outstretched arm as he is being assisted towards a sittingposition.”
“Pedestrians in RTAs were all hit by a car, and all had [DAI]. Their [DAI] grades were overall very high, as illustrated by the high median [DAI] grades. This is not surprising, as pedestrians are often hit by vehicles with a relatively high speed. The impact will accelerate the body and often throw the pedestrian several metres, leading to an instant deceleration when the head hits the ground.”. ii) Second, the paper notes that: “the lowest percentage of [DAI] and the lowest [DAI] grades in the RTA category were found among bicyclists. Still, as many as 60% of these patients had [DAI]. Bicycle accidents typically involve the patient flying over the handlebars and hitting the ground at a relatively high speed.”. iii) Third, under the heading “[DAI and Falls” the authors said: “It is important to note, however, that most patients who suffer such low-energy injuries do not sustain moderate to severe, but rather mild DAI. In fact, such falls were a rare cause (only 1% from < own height and 6% from own height) of moderate or severe DAI in our cohort”
“Lesions in central and deep parts of the brain would indicate high-energy trauma, and bilateral [DAIs] in the brainstem and/or thalamus are suggested to possibly be a separate and worst grade of DAI in a new DAI classification”
“In practice it appears that injury to the human brain is almost always the result of an impact to the head, or to a protective helmet, rather than an impulse transmitted through the neck (Tarriere, 1981; McLean 1995). It is worth noting that the magnitudes of linear and angular acceleration of the head that can be produced from direct contact far exceed that possible from indirect impulse loading transmitted through the neck (Meaney et al 1994)“; “Meany et al (1994), at the University of Pennsylvania, used a mathematical model of the human body to investigate the likelihood of brain injury occurring to a car occupant subjected to severe lateral impact without head contact. They concluded that the acceleration of the head is unlikely to reach a level that would be injurious to the brain. This is consistent with McLean’s finding, referred to earlier, that there were no cases of brain injury without head impact in a series of more than 400 fatally injured road users…”
“But where a claimant proves both that a defendant was negligent and that loss ensued which was of a kind likely to have resulted from such negligence, this will ordinarily be enough to enable a court to infer that it was probably so caused, even if the claimant is unable to prove positively the precise mechanism. That is not a principle of law nor does it involve an alteration of the burden of proof; rather, it is a matter of applying common sense. The court must consider any alternative theories of causation advanced by the defendant before reaching its conclusion about where the probability lies. If it concludes that the only alternative suggestions put forward by the defendant are on balance improbable, that is likely to fortify the court’s conclusion that it is legitimate to infer that the loss was caused by the proven negligence.”
“we agree that the CCTV footage shows that [the claimant] was struck from behind while on the road, and rotated underneath the car”
“In Mr Helmy’s opinion, the head was not rotated rapidly as a result of the initial impact of the fourth event”
“67 These authorities suggest that, once liability is established, any question of the remoteness of damage is to be approached along the following lines which may, of course, be open to refinement and development. (1) The starting point is that a defender is not liable for a consequence of a kind which is not reasonably foreseeable: McKew v Holland & Hannen & Cubitts (Scotland)Ltd1970 SC (HL) 20, 25 per Lord Reid; Bourhill v Young[1943] AC 92 , 101 per Lord Russell of Killowen; Allan v Barclay2 M 873, 874 per Lord Kinloch. (2) While a defender is not liable for damage that was not reasonably foreseeable, it does not follow that he is liable for all damage that was reasonably foreseeable: depending on the circumstances, the defender may not be liable for damage caused by a novus actus interveniens or unreasonable conduct on the part of the pursuer, even if it was reasonably foreseeable: McKew v Holland & Hannen & Cubitts (Scotland) Ltd1970 SC(HL) 20, 25 per Lord Reid; Lamb v Camden London Borough Council[1981]QB 625; but see Ward v Cannock Chase District Council[1986] Ch 546 . (3) Subject to the qualification in (2), if the pursuer's injury is of a kind that was foreseeable, the defender is liable, even if the damage is greater in extent than was foreseeable or it was caused in a way that could not have been foreseen: Hughes v Lord Advocate[1963] AC 837 ,847 per Lord Reid. (4) The defender must take his victim as he finds him: Bourhill v Young[1943] AC 92 , 109– 110 per Lord Wright; McKillen v Barclay Curle & Co Ltd1967SLT 41, 42, per Lord President Clyde. (5) Subject again to the qualification in (2), where personal injury to the pursuer was reasonably foreseeable, the defender is liable for any personal injury, whether physical or psychiatric, which the pursuer suffers as a result of his wrongdoing: Page v Smith[1996] AC 155 , 197 f–h per Lord Lloyd.”
“15 The rationale of the principle that a novus actus interveniens breaks the chain of causation is fairness. It is not fair to hold a tortfeasor liable, however gross his breach of duty may be, for damage caused to the claimant not by the tortfeasor's breach of duty but by some independent, supervening cause (which may or may not be tortious) for which the tortfeasor is not responsible.”
“69. How, then does one identify a plaintiff's “true loss” in cases of tort? This question has generated a vast amount of legal literature. I take as my starting point the commonly accepted approach that the extent of a defendant's liability for the plaintiff's loss calls for a twofold inquiry: whether the wrongful conduct causally contributed to the loss and, if it did, what is the extent of the loss for which the defendant ought to be held liable. The first of these inquiries, widely undertaken as a simple “but for” test, is predominately a factual inquiry. The application of this test in cases of conversion is the matter now under consideration. I shall return to this in a moment. 70. The second inquiry, although this is not always openly acknowledged by the courts, involves a value judgment (“ought to be held liable”). Written large the second inquiry concerns the extent of the loss for which the defendant ought fairly or reasonably or justly to be held liable (the epithets are unchangeable). To adapt the language of Jane Stapleton in her article “Unpacking 'Causation'” in Relating to Responsibility, ed Cane and Gardner (2001), p 168, the inquiry is whether the plaintiff's harm or loss should be within the scope of the defendant's liability, given the reasons why the law has recognised the cause of action in question. The law has to set a limit to the causally connected losses for which a defendant is to be held responsible. In the ordinary language of lawyers, losses outside the limit may bear one of several labels. They may be described as too remote because the wrongful conduct was not a substantial or proximate cause or because the loss was the product of an intervening cause. The defendants' responsibility may be excluded because the plaintiff failed to mitigate his loss. Familiar principles, such as foreseeability, assist in promoting some consistency of general approach. These are guidelines, some more helpful than others, but they are never more than this.”
“I agree with Sedley LJ that, as Lord Nicholls recognised frankly in KuwaitAirways Corpn v Iraqi Airways Co (Nos 4 and 5)[2002] 2 AC 883 at [70], the courts have to make a value judgment when dealing with the issue of “remoteness of damage”. “Causation” and “remoteness” are two epithets which describe the same process of legal decision making: how to apply responsibility for things that happen. The question is always: having established the facts, what is the extent of the loss for which a defendant ought fairly, or reasonably, or justly to be held liable?”
“[27] Determining whether there has been a novus actus interveniens requires a judgment to be made as to whether, on the particular facts, the sole effectivecause of the loss, damage or injury suffered is the novus actus interveniens rather than the prior wrongdoing, and that the wrongdoing, whilst it might still be a 'but for' cause and therefore a cause in fact, has been eclipsed so thatit is not an effective or contributory cause in law.”
“(ii) To break the chain of causation, the intervening conduct of the claimant must be of such impact that it obliterates the wrongdoing of the claimant in the sense that the claimant's conduct must be the true cause of the loss rather than the conduct of the defendant. That is because, where the defendant's conduct remains an effective cause of the loss, at least ordinarily the chain of causation will not be broken.”
“…. The question of the effect of a novus actus “can only be answered on a consideration of all the circumstances and, in particular, the quality of that later act or event”
“The first factor – whether the intervening conduct of the third party was such as to render the original wrongdoing merely a part of the history of events – involves a value judgment and requires the court to take account of the other three issues listed by Clerk & Lindsell.”
“[28] As Aikens LJ observed in Spencer v Wincanton[2009] EWCA Civ 1404 at [45], where the line is to be drawn is not capable of precise definition. Various considerations may, however, commonly be relevant. In a case involving intervening conduct, these may include: (1) The extent to which the conduct was reasonably foreseeable—in general, the more foreseeable it is, the less likely it is to be a novus actus interveniens. (2) The degree of unreasonableness of the conduct—in general, the more unreasonable the conduct, the more likely it is to be a novus actus interveniens and a number of cases have stressed the need for a high degree of unreasonableness. (3) The extent to which it was voluntary and independent conduct—in general, the more deliberate the act, the more informed it is and the greater the free choice involved, the more likely it is to be a novus actus interveniens.”
“If a driver so negligently manages his vehicle as to cause it to obstruct the highway and constitute a danger to other road users, including those who are driving too fast or not keeping a proper lookout, but not those whodeliberately or recklessly drive into the obstruction, then the first driver's negligence may be held to have contributed to the causation of an accident of which the immediate cause was the negligent driving of the vehicle which because of the presence of the obstruction collides with it or with some other vehicle or some other person.”
“Liability in such torts extends to all the consequences which can be linked to the tortious conduct, provided those consequences are properly attributable as a matter of causation to the defendant’s conduct and not to some novus actus interveniens.”