Ontario Court of Appeal orders new trial in medical malpractice case due to improper jury dismissal

The lawsuit involved severe brain injury at birth

Ontario Court of Appeal orders new trial in medical malpractice case due to improper jury dismissal

The Ontario Court of Appeal has granted a new trial in a medical malpractice lawsuit involving severe brain injury at birth, highlighting the imperative for trial judges to provide clear reasons for dismissing a jury.

In Penate v. Martoglio, 2024 ONCA 166, the Penates sued St. Michael's Hospital and its medical staff, asserting that medical negligence during Norman Penate's birth in 1996 led to his condition. However, the trial judge removed their right to a jury trial and then ruled against them without sufficiently explaining her decision.

The appellate court, emphasizing the importance of litigants' understanding of judicial decisions, criticized the lack of adequate reasoning for the jury's dismissal. It underscored that the trial judge's failure to specify which comments were improper and why corrective instructions could not address prejudice thwarted meaningful appellate review and breached the Penates' entitlement to a jury trial.

The case's background reveals that Norman's birth involved critical decisions by the medical team, including the choice to induce labour by rupturing the amniotic sac, leading to an umbilical cord prolapse and emergency cesarean delivery. Norman suffered significant brain damage, evident soon after birth and profoundly impacting his development.

The lawsuit, initiated in 2014, argued that the medical team's actions, particularly the decision to rupture the amniotic sac without ensuring the fetus's head was properly positioned, constituted a breach of care standards. Throughout the trial, evidence from various witnesses and experts was presented to determine the breach and causation of Norman's injury.

At the trial's conclusion, the respondents objected to the Penates' counsel's closing remarks, alleging they improperly swayed the jury's emotions. The trial judge's response to these objections and subsequent decision to discharge the jury, citing the inability to correct the purported prejudice through instructions, formed the crux of the appeal.

The Ontario Court of Appeal held that the trial judge's reasons for removing the jury were insufficiently detailed, rendering the appellate court unable to assess the correctness of her decision. It pointed out that the trial judge failed to adequately engage with the Penates' arguments and did not justify why a corrective instruction was not viable.

Ultimately, the appellate court concluded that the trial judge’s lack of justification and detailed reasoning necessitated a new trial to uphold the integrity of the judicial process and the Penates' rights.

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