Ybarra v. Spangard

1944

Venue: CA SC

Facts: Ybarra gots to have an appendectomy. When he wakes up, he's got pain in his shoulder, and it gets worse, and he loses the use of his arm. Experts say it is a paralysis of traumatic origin. Ybarra doesn't know how this happened, so he names as a defendant anyone who was ever directly involved in his treatment.

Posture: Dismissed at trial, appeal by plaintiff.

Issue: Is the plaintiff's case a proper candidate for a res ipsa loquitur instruction, so that that the inference of negligence would make dismissal improper?

Holding: Yes. Reversed.

Rule: Where a plaintiff receives unusual injuries while unconscious and in the course of medical treatment, all those who had control of instrumentalities which might have caused the injuries may be called upon to rebut the inference of negligence.

Reasoning: People in hospitals get treated by all kinds of folks. Just because they're unconscious doesn't mean they should be barred from recovering for injuries. Res ipsa requires only that
  • The injury not be due to the patient's actions
  • The injury be of a kind not normally occurring in the absence of negligence
  • The injury be caused by an instrumentality in the control of the defendant
Each of those conditions is met here. The fact that the plaintiff can't identify a specific defendant is not a disqualifier: in fact it's the exact reason that res ipsa is appropriate-- the defendants are the ones who have the ability to rebut the presumption, and it's appropriate to ask them to do so.

Dicta: If we did otherwise, we'd render nugatory the maxim that for every wrong there is a remedy.