Children Injured in Car Crashes: A Personal Injury Lawyer’s Approach

Parents remember the sound. Metal collapsing, glass peppering the seats, a scream that tells you your child is hurt and you cannot rewind even a second. As a personal injury lawyer, I meet families in the weeks that follow, when the adrenaline has drained and the logistics begin to pile up. I have sat with mothers in pediatric ICUs at midnight, fielded calls from worried fathers who just left a radiology appointment, and negotiated with insurance adjusters before sunrise. Each case is unique, but the patterns are painfully familiar: confusion over what to do next, fear of missing something critical, and an avalanche of paperwork that feels out of step with the urgency of your child’s recovery.

Working with children changes the way a case unfolds. Kids are resilient yet vulnerable, fast to bounce back in some ways and slow in others. Their injuries can look mild on day one and reveal deeper complications later. Courts and insurers recognize these differences, but they don’t always make it easy. An experienced car accident attorney builds a case that honors the facts of the crash and the nuances of pediatric medicine, while giving parents room to take care of their child. What follows is how the process really works, where the traps are, and how your legal team can help you steer clear of them.

The first 72 hours matter more than they seem

Parents often tell me they felt guilty for not noticing a concussion right away. The child seemed quiet, then irritable, then nauseated, and the ER discharge note said to watch for symptoms. Pediatric head injuries evolve, sometimes over days. A toddler who hit a car seat harness may initially appear fine but later develops sleep disruptions or attention changes that only emerge at daycare. Soft tissue injuries, spinal strains, and abdominal trauma can also hide behind a brave face.

Documentation in the early window becomes the spine of the case. EMT notes, triage assessments, imaging studies, and the full medication list are not just medical artifacts, they are evidence. Save the car seat if it was in use. I keep a storage closet for damaged seats, harness clips, and chest plates because I have seen engineers extract meaningful data from stress marks and broken buckles. If the seat was installed correctly and still failed, we may be looking at a product defect claim alongside the crash claim. If it was installed incorrectly, that matters too, though it rarely becomes the deciding factor 1Georgia Augusta Injury Lawyers car accident lawyer in a fault analysis. In either scenario, photographs help: the child’s seat in the car, the base and tether anchor points, and the seat’s labels with model and manufacture dates.

In those first days, the pressure to “be reasonable” with insurance can lead to unforced errors. The at‑fault insurer may ask for a recorded statement. You are not required to give one, and you should decline politely until you have counsel. Even your own insurer’s statement can be limited to the facts needed for coverage. Keep a private journal of symptoms, appointments, and out‑of‑pocket expenses. These notes often make the difference when reconstructing the scope of pain and the toll on family life.

How fault works when a child is involved

Fault still turns on the same pillars: traffic laws, witness accounts, crash reconstruction, and the physics of the collision. A distracted driver who blew a light carries the same legal liability regardless of who sat in the back seat. The presence of a child does not increase fault, but it does sharpen the court’s attention to damages and the reasonableness of parental decisions.

One recurring worry is comparative negligence. Parents sometimes fear they will be blamed if the child’s car seat was forward‑facing earlier than recommended, or if the harness clip was too low. In most jurisdictions, improper restraint can come into evidence, but it does not excuse the negligent driver’s conduct. At most, it may factor into damages if the defense can prove it materially increased the injury. That proof is harder than some adjusters imply. Pediatric biomechanical experts, not opinions over the phone, decide those questions. As a car accident lawyer, I push back on blanket assertions that a restraint issue “caused” the injury. The question is always, by how much, and can you prove it with credible science.

Another nuance is the child’s own “fault,” which usually has no place in a car crash case. Children below a certain age cannot be negligent in the eyes of the law. Even older minors are judged by a different standard than adults. I once handled a case where a teenager unbuckled to pick up a dropped phone seconds before a side impact. The defense tried to hang the whole injury on that moment. The jury never bought it, in part because we framed the behavior realistically, supported by adolescent development literature and a pediatrician’s testimony. The driver who ran the stop sign remained the primary cause, and damages reflected that.

The medical arc: what’s typical, what’s tricky

Pediatric injuries present in clusters. I see a lot of concussions, clavicle fractures, growth plate injuries around the wrist or ankle, small bowel trauma from lap belts, and spinal soft tissue strains. Broken noses show up, sometimes coupled with dental trauma where baby teeth and adult teeth collide against a seat back. Most of these heal well with proper care. The cases that require special vigilance are those with potential long‑term effects that aren’t obvious right away.

Head injuries deserve a long runway. The immediate CT may be clean, but that does not rule out post‑concussion syndrome, vestibular problems, or school challenges that manifest weeks later. Pediatric neuropsychology evaluations are critical for baseline and follow‑up. If your child was an accelerated reader before and now struggles with comprehension, put that in the medical chart, not just in parent emails. Schools can be partners when given the right paperwork. A 504 plan or IEP can document accommodations and, indirectly, the functional impact, which strengthens both care and the claim.

Growth plate injuries call for orthopedic follow‑up to ensure proper alignment and long‑term growth symmetry. A slight deformity at age eight can translate into gait issues at fifteen. Insurers like to settle quickly before these trajectories are known. A responsible car accident attorney will resist early closure or negotiate structured medical reopeners when possible. I’ve worked out agreements that keep the case open for orthopedic reevaluation at twelve months, protecting the child without forcing the family into trial.

Mental health care often goes underdocumented. Children process trauma idiosyncratically. A talkative eight‑year‑old can go quiet, or a calm teenager can develop panic on highways. Nightmares, avoidance of car rides, and irritability are not mere phases after a crash, they are treatable symptoms. When we connect families with child psychologists who understand trauma, recovery improves, and the medical narrative becomes fuller and more credible. I remind parents: therapy notes help your child first, the case second. That order matters.

Building the damages model for a child

Adults have pay stubs, job titles, and a long paper trail. Children do not. Damages for a child lean on medical costs, caretaking time, pain and suffering, disfigurement, disability, and in serious cases, diminished earning capacity. The last category is delicate. Courts hesitate to speculate about the career of a seven‑year‑old. But some cases justify expert testimony, especially when cognitive testing or physical limitations point to measurable constraints.

I break damages into time phases. There is the acute phase: ER, imaging, specialist consults, and parental wages lost due to hospital time. Then the subacute phase: therapy, school adjustments, follow‑ups, and equipment like braces or special seating. Finally, the long‑term phase: surgeries down the line, orthodontic implications from dental trauma, scar revision, or neurologic care for persistent symptoms. We quantify each phase, cross‑check provider rates, and build a medical cost projection. For a moderate concussion with vestibular therapy and school supports, that can range from a few thousand to well over twenty thousand dollars in the first year. A complex orthopedic injury with growth monitoring can run higher, especially with imaging and cast changes.

Pain and suffering for children often depends on the storytelling that medical records cannot do alone. I ask parents to keep a timeline of missed birthdays, canceled sports seasons, or summer plans that vanished after surgery. Judges are more receptive when you connect specific losses to specific days. We avoid exaggeration. A brace is cumbersome, not a life sentence. But a missed championship meet for a teenager who trained for years counts. These specific, honest threads strengthen credibility.

Settlements for minors: safeguards and practicalities

Most jurisdictions require court approval of settlements for minors. These hearings are not adversarial in the usual sense. The judge’s job is to ensure the settlement is fair and, critically, that the funds will be safeguarded for the child. Expect the court to scrutinize attorney fees, medical liens, and how money will be held. I often recommend a combination of a blocked account for short‑term needs and a structured settlement that pays out at set ages. Structures can reduce tax exposure and protect against impulsive spending when the child turns eighteen. They can also be tailored to expected milestones like college or vocational training.

Parents sometimes worry court involvement will feel invasive. In practice, it is administrative and focused on the child’s interests. Bring updated medical records and a clear plan for funds. If the injury has unresolved elements, we can preserve rights to future medical consideration through careful wording, though insurers may require closure with a lump sum structured for projected care. A seasoned personal injury lawyer will walk you through these trade‑offs so you are not trading away tomorrow’s needs for today’s certainty.

How a lawyer helps without taking the wheel away from you

You are the parent. You make the medical decisions. A good lawyer knows when to step in and when to stay out of your lane. My job is to assemble the medical narrative, secure evidence, handle insurers, and frame damages persuasively. I also make sure you do not miss deadlines that could quietly destroy your case, like statutes of limitations or early notice requirements if a government vehicle is involved.

On day two after a crash involving a six‑year‑old with a suspected concussion, I might be doing four things at once: preserving the vehicle for inspection, coordinating with your pediatrician to get referrals for vestibular therapy, sending a spoliation letter to the at‑fault driver’s insurer, and reviewing the car seat’s compliance history. The parents are free to sit with their child and monitor symptoms. Later, when the insurer calls with a “we’d like to wrap this up” pitch at three weeks, we will have enough ground under our feet to know whether that is premature. Most early offers are.

The legal craft here is part diplomacy, part persistence. Adjusters often have marching orders to minimize “soft injuries.” I translate the child’s experience into terms they cannot ignore: clinical findings, measurable occupational or physical therapy progress, standardized test score changes, therapist notes with dates and duration. Data points anchor the story. When necessary, we take depositions of treating providers. Good pediatric clinicians are clear and compelling. They can explain why a normal CT does not end the inquiry, why a growth plate matters, and how a seemingly small wrist fracture can limit a child’s handwriting for months.

Dealing with liens and the maze of payers

Children’s care is often paid, at least initially, through a patchwork: health insurance, Medicaid or CHIP, medical payments coverage under your auto policy, and occasionally hospital charity programs. Each payer may assert a lien on the settlement. Untangling those liens is part of the job. Some programs have statutory rights and formulas for reduction. Others are negotiable based on hardship and attorney effort. I have cut six‑figure hospital liens by more than half through persistence and documentation of the family’s circumstances. Every dollar reduced is a dollar that stays with the child.

Parents should keep an eye on explanation of benefits statements. Errors happen. A radiology bill might be miscoded as out‑of‑network when the hospital was in‑network. Or a duplicate bill shows up months later. Forward these to your lawyer’s team. We audit them against the medical record. Insurers respond faster when they know a car accident attorney is documenting the paper trail for potential litigation.

When litigation is the right choice

Most pediatric injury cases settle, but not all. I file suit when liability is disputed in bad faith, when an insurer ignores objective medical evidence, or when early settlement would shortchange a child’s long‑term needs. Litigation does not mean trial tomorrow. It means we gain leverage to subpoena records, depose witnesses, and bring experts into the conversation under court timelines.

In one case, a child’s abdominal injury from a lap belt was minimized by the insurer as “stomach pain.” The surgical record told a different story: a small bowel perforation repaired laparoscopically, followed by a week on clear liquids and months of careful refeeding. We filed. Discovery uncovered prior complaints about the at‑fault driver’s texting while driving, supported by phone records. Settlement arrived soon after expert disclosures, at a figure that funded long‑term nutritional follow‑up and protected the child’s college savings plan. Filing suit was not about being combative. It was about making sure the full truth was impossible to ignore.

Special considerations for car seats and child restraints

The role of restraints deserves its own spotlight. Proper use is both a safety imperative and a legal factor. Keep the seat’s manual, registration card, and any receipts. Check the model’s recall history. If the crash was moderate to severe, most manufacturers recommend replacement even if no damage is visible. Some insurers reimburse replacement costs, but they do not volunteer that. We request it specifically. If an infant was in a rear‑facing seat and sustained facial injuries despite correct installation, we may ask a biomechanical engineer to evaluate whether the seat’s angle or base contributed. Few cases turn into product claims, but when they do, the timeline is short and the evidence is perishable.

Bigger kids using only lap belts in older vehicles are a red flag. A lap belt without a shoulder strap can contribute to spinal and abdominal injuries known as seat belt syndrome. If your vehicle lacks a shoulder belt in the center position, it may still be legal, but it changes the risk profile. This is not about blame, it is about clarity. In negotiations, we explain the restraint setup and have experts connect the dots carefully so fault remains where it belongs: with the negligent driver.

Practical guidance for parents in the aftermath

Here is a short, focused checklist I share in the first meeting, meant to lighten the load and prevent missteps:

    Photograph everything within 48 hours: vehicle damage, the car seat in place, visible injuries, and the intersection if safe to do so. Save the car seat and any broken parts. Do not throw it away until your lawyer clears it. Keep a daily symptom and activity log for your child, including school absences and sleep changes. Route all insurer calls to your lawyer. Provide only necessary claim information to your own insurer, no recorded statements to the at‑fault carrier. Ask your pediatrician for referrals early: concussion clinic, physical therapy, or mental health support. Put every referral and visit in writing.

This list is not a substitute for case strategy, but it captures the moves that preserve options while you focus on healing.

Transparency about fees and timelines

Families ask about cost on the first call, as they should. Most car accident attorneys work on contingency, with fees as a percentage of the recovery. Courts often review fees in minor settlements and may adjust them downward from standard agreements. I build that expectation into the engagement so there are no surprises. Timelines vary. Simple cases can resolve in a few months once the child reaches medical stability. Cases with surgical care, neuropsychological evaluation, or growth plate monitoring take longer. The rule of thumb I use with parents is: let medicine set the pace. Closing before key milestones are known can feel like relief, then turn into regret if new needs emerge.

The human side: what recovery actually looks like

Law is the framework, but the core is a child making their way back to normal. Recovery is uneven. A nine‑year‑old can sprint through physical therapy and still dread getting in the car. A teenager can lose a season of soccer and find joy in coaching younger kids while they heal. These shifts are part of the damages story, but more importantly, they are part of the family’s story. I recommend structured routines that nudge life forward: short drives on quiet streets to rebuild tolerance, brief returns to school with rest breaks, and predictable therapy appointments that do not swallow the week.

Parents carry their own injuries, often unseen. Complicated grief, anger at the driver, or strain between partners over medical decisions can surface months later. Support helps. Some of the best outcomes I have seen came when parents accepted help from friends with meals and rides, leaned on school counselors, and gave themselves permission to let the laundry wait. Your legal team should make the administrative parts lighter, not heavier.

Choosing the right advocate

Not every personal injury lawyer is the right fit for a child’s case. Ask how many pediatric cases the attorney has handled, whether they have worked with pediatric specialists, and how they approach minor settlements. Listen for specifics. A good car accident lawyer will talk about growth plates and 504 plans as comfortably as they discuss policy limits and lien reductions. They should explain, not intimidate. They should respect your instincts about your child and be willing to chase details that do not fit the simple narrative. If the lawyer dismisses your concern about subtle memory changes or anxiety, keep looking.

The attorney’s temperament matters. You want someone who can negotiate firmly without grandstanding, who is patient with medical timelines, and who will pick up the phone when you call at odd hours because the CT scan just got moved. You want a car accident attorney who treats your child as a person, not a number, and who knows your child’s favorite sport by week two of the case.

What justice looks like for a child

Money does not erase a crash. It pays for therapy, tutors, braces, scar care, and a measure of security. Justice in a child’s case also looks like accountability. Sometimes that is a written apology. Sometimes it is a driver learning the cost of a text sent at the wrong time. On rare occasions, it is a product change a manufacturer makes after being forced to reckon with a failure.

I keep a small box in my office with mementos from families: a thank‑you note drawn in crayon, a photo from a return to the soccer field, a graduation announcement years after a concussion case that made middle school harder than it should have been. These reminders help me remember why the details matter. When a case closes, the child’s story keeps going. Our job is to clear the path as much as the law allows, to keep options open, and to make sure short‑term pressures do not eclipse long‑term needs.

If you are in the aftermath of a crash and your child is hurt, the decisions you make this week matter. Get the right medical eyes on your child. Document without obsessing. Let a seasoned personal injury lawyer handle the insurance choreography so you can attend to the small, vital moments of care that only a parent can give. With the right support, children regain their footing. The law, at its best, helps them do it.