The applicant was severely injured when pinned between two vehicles, sustaining massive abdominal trauma including a subtotal colectomy and partial kidney infarction.
He applied for a catastrophic impairment determination under Criterion 7 of the SABS.
The Tribunal conducted a detailed analysis of his Whole Person Impairment (WPI) ratings under the AMA Guides, assigning 15% for musculoskeletal, 9% for scarring, 25% for gastrointestinal (Class 3), 2% for medication, and 20% for mental and behavioural impairments.
The combined WPI of 54.5% rounded to 55%, meeting the catastrophic threshold.
The Tribunal denied attendant care benefits because the applicant failed to prove the expenses were incurred, but approved several medical treatment plans including psychological services and nutrition counselling.
Costs of $250 were awarded against the respondent for late production of adjuster log notes.
