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Emergency medicine is hard, and most ER teams get it right under real pressure. But when an emergency department misses a stroke, sends a heart attack home as indigestion, or leaves a deteriorating patient waiting for hours, the consequences arrive quickly and are often permanent. If that happened to you or someone in your family, you deserve to know exactly what occurred and whether it was preventable.
Vahdat Weisman Law represents Michigan patients and families harmed by emergency room negligence. We reconstruct these cases hour by hour, from triage notes and timestamps to the results that came back after discharge. Call (734) 469-4994 for a free, confidential consultation, any hour of the day. You pay no attorney fee unless we recover compensation for you.
A federal review by the Agency for Healthcare Research and Quality estimated that roughly 1 in 18 emergency department patients receives an incorrect diagnosis, which would translate to about 7.4 million diagnostic errors and 370,000 serious harms across the United States each year. Those figures are extrapolated estimates, and emergency physician groups have challenged the report’s methodology, so the exact numbers are debated. What is not debated is that ER misdiagnosis happens, and that its worst cases are devastating.
The same review identified the conditions tied to the most serious harm when missed: stroke, heart attack, aortic aneurysm and dissection, spinal cord compression, blood clots, meningitis, and sepsis. The report estimated stroke was missed roughly 17 percent of the time, with the risk of a miss higher in younger patients and in patients whose main complaint was dizziness or vertigo.
Not lower, but contextual. Emergency providers are judged by the standard of care for their specialty applied under emergency conditions: incomplete information, no prior relationship with the patient, and competing demands. Michigan law takes those circumstances into account, and so do we.
What the circumstances do not excuse is abandoning the basics. When a patient presents with chest pain, sudden severe headache, or one-sided weakness, emergency medicine has well-established pathways for evaluating the dangerous causes: risk stratification, serial testing, imaging, observation, consultation. Whether a particular workup met the standard of care is ultimately a question for qualified emergency medicine experts, and that is exactly who we put these records in front of.
A federal law, the Emergency Medical Treatment and Labor Act (42 U.S.C. § 1395dd), requires Medicare-participating hospitals with emergency departments to provide an appropriate medical screening exam, within the hospital’s capability, to anyone who comes in seeking emergency care, regardless of insurance or ability to pay. If the hospital determines an emergency condition exists, it must stabilize the patient or carry out an appropriate transfer.
A hospital that turns a patient away without screening, or transfers them unstabilized, may face an EMTALA claim, which is brought against the hospital and carries its own two-year deadline. EMTALA is not a substitute for a malpractice claim, and not every negligent diagnosis violates it. Part of our job is identifying every legal avenue your facts actually support and preserving all of them before any deadline runs.
Liability in the ER is genuinely complicated. Many emergency physicians are not hospital employees; they work for independent staffing companies. Hospitals often argue on that basis that the doctor’s mistake is not their problem.
Michigan law does not always accept that answer. A hospital is responsible for its actual employees, such as nurses and technicians, and for its own failures in staffing and safety systems. And when a patient comes to the emergency room looking to the hospital for care, rather than selecting an independent physician, Michigan’s agency doctrine can make the hospital answer for that physician’s negligence too. Each potential defendant may be held to a different standard of care and require a different matching expert, so we analyze the case provider by provider: triage nurse, emergency physician, physician assistant, radiologist, consultant, admitting team, hospital.
Michigan generally allows two years from the negligent act or omission to file suit, with an alternative window of six months from when you discovered or reasonably should have discovered the claim, whichever is later, under MCL 600.5838a, and a six-year outer limit with narrow exceptions. Before filing, Michigan requires a notice of intent, generally 182 days ahead, under MCL 600.2912b; serving it pauses the limitations clock. The complaint must be supported by an affidavit of merit from an expert who matches each defendant’s specialty, which in ER cases can mean several experts.
ER cases also have an evidence clock. Electronic records audit trails, telemetry data, EMS run sheets, radiology communications, and staffing schedules may be kept for limited periods. The time printed on a signed note does not always reflect when an exam happened or when a result was first seen; the metadata does. We send preservation requests early so that the record survives.
In cases of delayed stroke, sepsis, or heart attack care, Michigan’s rules on causation, including its lost-opportunity statute, can be decisive because the patient often arrived already at risk. That analysis is exactly where experienced counsel earns its keep. Our medical malpractice attorneys have the knowledge and resources to navigate these complex legal and medical issues on behalf of injured patients and their families.
Get follow-up care immediately and give the new provider a complete, accurate history. Request your full ER chart: triage notes, nursing notes, lab results with timestamps, imaging, and discharge instructions. Keep the paperwork you were handed and write down your timeline while it is fresh: when you arrived, what you reported, how long you waited, who you saw.
Before giving a recorded statement to the hospital’s insurer or signing any release, talk to a lawyer. Ordinary communication about your treatment and bills is fine; discussions about fault and settlement are where early missteps happen.
ER cases are defended aggressively, so we build them to be tried, not just filed. That means the complete record plus its metadata, a minute-by-minute chronology, the right expert for each defendant, and a candid early assessment. Some troubling ER outcomes do not support a lawsuit once experts weigh in, and we will tell you that plainly rather than waste a year of your life.
Founding partners Kara E. Weisman and Jordan S. Vahdat have each been honored as Super Lawyers Rising Stars, and our attorneys are members of the State Bar of Michigan and active in the Michigan Association for Justice. We advance every case cost, serve all of Michigan from our Livonia office, have Spanish-speaking staff, and answer our phones 24/7.
If an emergency room failed you or someone you love, find out what really happened. Call Vahdat Weisman Law at (734) 469-4994 or contact us online for a free, confidential consultation. Available 24/7, serving all of Michigan.
Dedicated to Justice. Devoted to You. Winning for Your Future.
This information is for educational purposes only and does not constitute legal advice. Every case is unique, and prior results do not guarantee future success.