Navigation

se habla español

Suffolk (631) 621-6183

Nassau (516) 240-9904

400+ Five Star Reviews
Over $75 Million Recovered

Long Island Catastrophic Injury Lawyer

click here to requestyour free consultation

When an Injury Changes Everything, the Case Requires More

  • $3.2M Brain Injury Settlement
  • 25+ Years Combined Experience
  • 400+ Five-Star Google Reviews
  • 9 Locations Across Long Island

A catastrophic injury is not just another accident. It is a life-altering event that reshapes how a person lives, works, and cares for their family, often permanently. The medical bills pile up fast. The income stops. The future looks nothing like it did before.

At Palermo Law, our Long Island personal injury lawyers represent individuals and families all over Long Island who are dealing with the most serious injuries imaginable. These are not routine claims. They involve permanent disabilities, years of medical care, and financial consequences that can follow a family for the rest of their lives.

For more than 25 years, our firm has focused exclusively on representing injured people, not insurance companies. We have recovered over $75 million in verdicts and settlements, and we prepare every case from day one as if it will go to trial. In catastrophic injury litigation, preparation is not optional. It is what drives results.

If you or a loved one has suffered a catastrophic injury in Nassau County or Suffolk County, your rights and your timeline matter. Contact us today for a free consultation.

Case Result

$3.2 Million Recovery for Catastrophic Injuries to a Child Pedestrian

A commercial delivery truck struck a young child in a residential neighborhood on Long Island, causing severe injuries. The driver appeared to have done nothing wrong — until Palermo Law’s accident reconstruction expert proved a Vehicle and Traffic Law violation that changed the entire case. The result was a $3.2 million pre-trial settlement.

Read the Full Case Study

What Is a Catastrophic Injury?

A catastrophic injury is one that results in permanent impairment or long-term disability. These injuries often prevent a person from returning to work, performing daily activities, or living independently. Under New York law, injuries arising from motor vehicle accidents must meet the “serious injury” threshold defined in Insurance Law § 5102(d) to pursue compensation beyond no-fault benefits. Catastrophic injuries almost always satisfy that threshold, often by a wide margin.

Unlike less serious injuries, catastrophic injuries typically require:

  • Ongoing and often lifelong medical treatment
  • Extensive rehabilitation and physical therapy
  • Assistive devices, home modifications, or round-the-clock care
  • Careful life care planning to project and fund future needs

The consequences extend well beyond the physical. They affect independence, financial stability, family relationships, and overall quality of life in ways that no settlement formula can fully capture. That is exactly why these cases demand a lawyer who understands how to fight for every dollar n injured person is entitled to.

Common Types of Catastrophic Injuries

Catastrophic injuries can happen from many types of accidents, but their consequences share a common fact: they are permanent, and they change everything.

  • Traumatic Brain Injuries (TBI)

    Brain injuries can disrupt memory, cognition, personality, and motor function. Even a single traumatic event can produce lifelong impairment. TBI cases require careful neurological documentation and expert testimony to convey the true scope of the injury to a jury.

  • Spinal Cord Injuries

    Damage to the spinal cord can produce partial or complete paralysis, including paraplegia or quadriplegia. These cases typically involve lifelong care requirements and some of the highest medical cost projections in personal injury law.

  • Paralysis

    Loss of mobility touches every part of daily life. Clients dealing with paralysis face not only physical limitations but also the need for special equipment, home modifications, and ongoing medical help that can run into the millions of dollars over a lifetime.

  • Amputations

    The loss of a limb creates immediate and permanent physical challenges, along with the emotional weight of a changed body image and identity. Prosthetics, rehabilitation, and vocational retraining are just the beginning of what must be accounted for.

  • Severe Burn Injuries

    Serious burn injuries can produce permanent scarring, nerve damage, and the need for repeated surgeries. The psychological toll is often significant and long-lasting, requiring mental health care as part of a complete recovery plan.

  • Organ Damage and Internal Injuries

    Severe internal injuries may require multiple surgeries and can permanently impair organ function, leading to ongoing medical dependency and a dramatically reduced quality of life.

How Catastrophic Injuries Happen on Long Island

These injuries do not happen in a vacuum. They usually occur in specific, preventable accidents where someone else’s negligence sets the chain of events in motion. On Long Island, we see catastrophic outcomes most often in:

In many of these cases, there are multiple responsible parties, including drivers, property owners, contractors, employers, and product manufacturers. Identifying all of them, and understanding how liability is shared under New York law, is critical to maximizing a person’s financial recovery.

What Makes Catastrophic Injury Cases Different

Not every personal injury case is the same. Catastrophic injury cases are fundamentally and uniquely different because of what is at stake and what it takes to prove it.

Lifetime Consequences

These cases are not about getting someone back to where they were in three to six months. They are about accounting for a permanent change in someone’s life: their ability to work, to care for their children, to live without pain, and to plan for a future that looks nothing like what they had before.

Complex Damages

Calculating damages in a catastrophic case goes well beyond adding up medical bills. It requires life care planners who can project the cost of future care, medical experts who can speak to long-term prognosis, and economists who can translate lost earning capacity into a number a jury can understand. We bring in all of them in these cases.

Insurance Company Resistance

Because these cases involve large financial compensation, insurers like to fight harder. They dispute the severity of injuries, challenge future care plans, and deploy their own experts to minimize what they owe a person. We know their playbook, and we are prepared to counter it at every step.

Trial-Ready Preparation

Large settlement results in catastrophic cases come from one place: being genuinely prepared to try the case. When a defendant knows we are ready to walk into a courtroom, the settlement conversations change. We build every catastrophic injury case as if a jury is going to decide it.

How Palermo Law Builds Catastrophic Injury Cases

Preparation in a catastrophic injury case must begin right away. Before evidence disappears, before memories fade, and before the other side gets a head start.

1

Immediate Investigation

We move quickly to gather everything that matters: accident scene photographs and video, witness statements, police and incident reports, surveillance footage, and any physical evidence that can establish how and why the injury occurred.

2

Expert Team Assembly

We retain the specialists each case requires: treating physicians, independent medical examiners, neuropsychologists, life care planners, vocational experts, and accident reconstruction professionals. Our goal is to document the full picture, past, present, and future.

3

Full Liability Analysis

We investigate all potentially responsible parties and build a clear, well-documented liability theory from the start. In complex cases involving multiple defendants, this groundwork makes the difference between a partial recovery and a complete one.

According to the Centers for Disease Control and Prevention, traumatic brain injuries alone contribute to roughly 30 percent of all injury-related deaths in the United States. The long-term economic burden of TBI and other catastrophic injuries, including direct medical costs and lost productivity, runs into the billions annually. These are not just numbers. They are families. We treat them that way.

Compensation in Catastrophic Injury Cases

Because of the severity of these injuries, compensation must account for both current and future losses. Undervaluing future damages is one of the biggest mistakes an injured person can make, and it is one we work hard to determine accurately.

Economic Damages Non-Economic Damages
Medical expenses, past and future Pain and suffering
Rehabilitation, therapy, and ongoing care costs Loss of enjoyment of life
Lost wages and reduced or eliminated earning capacity Emotional distress and psychological harm
Cost of home modifications, adaptive equipment, and assistive technology Loss of independence and consortium
Future life care expenses projected over the client’s expected lifespan

In catastrophic cases, future damages are often the largest single component of a settlement recovery. They must be thoroughly calculated, well-documented, and effectively presented by using experts. This is where preparation pays.

New York’s Serious Injury Threshold

Under New York Insurance Law § 5102(d), injury claims arising from motor vehicle accidents must meet the “serious injury” threshold before a plaintiff can pursue compensation beyond no-fault benefits. The categories most applicable in catastrophic cases include:

  • Permanent loss of use of a body organ, member, function, or system
  • Significant limitation of use of a body function or system
  • Permanent consequential limitation of a body organ or member

Catastrophic injuries almost always satisfy one or more of these categories. Understanding how the threshold applies, and how to prove it, is foundational to protecting your right to full compensation.

Why Choose Palermo Law for a Catastrophic Injury Case

Maximize Your Compensation

We have recovered more than $75 million in verdicts and settlements for injured New Yorkers. In catastrophic cases, we bring in every expert the case requires, build an airtight damages presentation, and fight the insurance company’s attempts to minimize what our clients deserve. We do not leave value on the table.

Reduce Your Stress

When someone is dealing with a catastrophic injury, the last thing they need is to navigate the legal process alone. We handle everything: the investigation, the insurance company, the paperwork, the expert coordination, and the litigation, so our clients can focus on their health and their family.

Resolve Your Case as Efficiently as the Facts Allow

Catastrophic cases are complicated, and they take time to handle the right way. But thorough preparation often speeds up resolution. When an insurance company knows a case is airtight and trial-ready, they negotiate. We have more than 25 years of experience and 400+ five-star Google reviews because we deliver results our clients can feel.

Why Families Trust Us

A firm built on results, not promises

Palermo Law has been recognized as a Best Law Firm on Long Island. We have 75+ years of combined experience. We never represent insurance companies. We never take a fee unless we recover compensation for you.

Get Started

Palermo Law office

Our Long Island Offices

Palermo Law represents catastrophic injury victims throughout Nassau and Suffolk Counties from 9 convenient locations:

  • Babylon, serving Babylon and the South Shore
  • Carle Place, serving central Nassau County
  • East Hampton, serving the East End and the Hamptons
  • Elmont, serving Elmont and the western Nassau border
  • Hauppauge, serving central Suffolk County
  • Huntington, serving Huntington and northern Suffolk County
  • Mineola, serving Mineola and Nassau County
  • Patchogue, serving southern Suffolk County
  • Riverhead, serving Riverhead and the East End

Steven Palermo, Founder of Palermo Law
Reviewed by

Steven Palermo Esq.

Senior Partner, Palermo Law, P.L.L.C.

Steven Palermo is a Long Island personal injury attorney with more than 25 years of experience representing injured victims in Nassau and Suffolk Counties. He is admitted to the New York State Bar and the United States District Court for the Eastern District of New York.

 

Results We've Recovered From Catastrophic Events

click here to View All
Take the next step

Contact a Long Island Catastrophic Injury Lawyer

If you or a loved one has suffered a catastrophic injury, you do not have to face what comes next alone. Palermo Law handles these cases on a contingency fee basis, meaning there is no fee unless we recover compensation for you.

Call us today for a free consultation, or contact us online to get started. We are here to help you understand your options and take the first step toward recovery

Helping the Injured Throughout Long Island

“...cannot be happier with our decision!”

5 star review

Steven Palermo was referred to us from a friend and I cannot be happier with our decision. He worked hard to obtain a settlement to compensate for pain I had to undergo as a result of an accident. I will continue to refer anyone in need of a car accident attorney to this office! Thanks Palermo for everything!

James Mcwilliams

google review

...He heard everything that I had to say...

5 star review

Steven was an amazing attorney. He heard everything that I had to say about my injury and he was very reassuring. The staff at Palermo Law were also very helpful. If I had any questions they were always there to answer my questions. I felt that my case was handled professionally and there was a great outcome that I was looking for. I really appreciate the work that they did for my case.

Mabel Martinez

Google Review

...I wouldn’t think twice to recommend them to anyone in need of an attorney.

5 star review

Steven and his team - Danielle, Ana, and Paula are the right people to have in your corner fighting for you. I selected this firm based on the reviews and their website and I have been nothing but thankful for the efficiency and professionalism I have experienced. I just settled my case and throughout the entire process I consistently felt reassured that I had made the right choice. All the feelings of anxiety and stress related to dealing with a lawsuit with this team were kept in check with their immediate responsiveness and determination to help me get what I needed to assist with my injury. Any question or concern was answered no matter what time or day of the week. Everything was explained and I wouldn’t think twice to recommend them to anyone in need of an attorney.

E Z

Google Review

...Steve immediately got me on track to see the right kind of doctor...

5 star review

I was unhappy with my previous attorney & decided to switch to Palermo Law. Steve immediately got me on track to see the right kind of doctor, who ultimately discovered the root of my injury. I believe that the medical treatment I received together with Steve’s hard work resulted in a successful outcome of my case.

Joseph Fonti

Google Review

Steve came to the Rehab center...

5 star review

Steve came to the Rehab center, where I was placed following my admission to the hospital, to introduce himself & explain the steps he would take to help me. He also came to visit me at my home, when I couldn't drive, to give me updates on my case. Everyone at his office was very friendly and answered my questions. Steve always took time to explain each step of my case to me so I understood completely. He displayed empathy towards not only my physical pain but emotional, as well.

Cinzia Manzella

Google Review

click here to Read more reviews

Frequently Asked Questions

An injury is generally considered catastrophic when it results in permanent disability, significant long-term impairment, or loss of a body function or system. Spinal cord injuries, severe traumatic brain injuries, amputations, and paralysis all typically qualify.

Case value depends on the severity of the injury, its long-term impact on work and daily life, and the available insurance coverage. Because these cases involve lifetime damages, they often result in substantially higher recovery than standard injury claims.

Yes. Future medical care, rehabilitation, long-term assistance, and life care costs can all be included in a claim when properly documented. A life care planner and economic expert help project and substantiate these numbers.

Loss of earning capacity is one of the most significant components of a catastrophic injury claim. We work with vocational experts and economists to calculate and document what you would have earned over your working life, and we fight to recover it.

Catastrophic injury cases typically take one to three years to resolve, depending on the complexity of the injuries, the number of defendants, and whether the case settles or goes to trial. Thorough preparation often accelerates settlement by eliminating any realistic defense narrative.

In our experience most cases settle before trial, but being genuinely prepared to try the case is often what produces a fair settlement. When insurers know we are ready for a courtroom, the negotiation dynamic changes significantly.

In New York car accident cases, your no-fault insurance covers initial medical expenses regardless of fault, up to the policy limit. Beyond that, health insurance, Medicare, or Medicaid may apply. Our firm works with medical providers who understand the process, and we coordinate billing so our clients can focus on recovery, not paperwork.

In most cases, you have three years from the date of injury to file a personal injury lawsuit in New York. Exceptions apply. Claims against government entities require a notice of claim within 90 days. Missing the deadline forfeits your right to recover, which is why acting early is critical.

Palermo Law handles catastrophic injury cases on a contingency fee basis. That means no upfront costs, no hourly fees, and no payment of any kind unless we recover compensation for you. Our fee comes as a percentage of the settlement or verdict, so our interests are fully aligned with yours.

A life care plan is a detailed, expert-prepared document that projects the full cost of your future medical and personal care needs over your lifetime. In catastrophic injury cases, it is essential. It gives the jury and insurance company a concrete, defensible number for future damages, which is often the largest part of the recovery.

click here to view allFREQUENTLY ASKED QUESTIONS