METRO AMBULANCE SERVICES, INC. v. JORAY ANTHONY WRIGHT

CourtCourt of Appeals of Georgia
DecidedOctober 30, 2025
DocketA25A1174
StatusPublished

This text of METRO AMBULANCE SERVICES, INC. v. JORAY ANTHONY WRIGHT (METRO AMBULANCE SERVICES, INC. v. JORAY ANTHONY WRIGHT) is published on Counsel Stack Legal Research, covering Court of Appeals of Georgia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
METRO AMBULANCE SERVICES, INC. v. JORAY ANTHONY WRIGHT, (Ga. Ct. App. 2025).

Opinion

THIRD DIVISION DOYLE, P. J., MARKLE and PADGETT, JJ.

NOTICE: Motions for reconsideration must be physically received in our clerk’s office within ten days of the date of decision to be deemed timely filed. https://www.gaappeals.us/rules

October 30, 2025

In the Court of Appeals of Georgia A25A1173, A25A1174. WRIGHT et al v. METRO AMBULANCE SERVICES, INC. and vice versa.

DOYLE, Presiding Judge.

Following a jury verdict in favor of defendant Metro Ambulance Services, Inc.

(“Metro”), plaintiffs Dr. Joray Wright, as survivor and administrator of the Estate of

Vanessa Banks, and Torrie Wright (collectively “Wright”) appeal in Case No.

A25A1173, arguing that the trial court abused its discretion by excluding testimony of

an expert witness and erred by giving or omitting certain jury instructions. Metro

cross-appeals in Case No. A25A1174, arguing that the trial court erred by denying its

motion for apportionment under OCGA § 51-12-33(b). For the reasons that follow, we

affirm in Case No. A25A1173 and dismiss as moot Case No. A25A1174. “[T]his Court reviews the judgment entered by the trial court after approval of

a jury verdict upon the any evidence test, absent any material error of law.

Additionally, when a question of law is at issue, we owe no deference to the trial

court’s ruling and apply a de novo standard of review.” Howland v. Wadsworth, 324

Ga. App. 175, 176-77 (749 SE2d 762) (2013) (citations and punctuation omitted).

So viewed, the evidence showed that after the death of his mother, 63-year-old

Vanessa Banks, Wright filed the instant wrongful death action against Metro on a

theory of vicarious liability based on the negligence of its paramedic, Michael Kern.

Testimony at trial showed that in the early morning hours of April 15, 2019, Banks was

pushed from a second story window onto vegetation below. She survived the fall, and

Metro’s ambulance arrived at 12:33 a.m. Banks was alert and oriented at the time of

transport but complained of ten out of ten pain in her left side and abdomen.

Kern and technician Chayce Burton placed Banks on a backboard and collar to

protect her spine. Kern testified that he took a baseline blood oxygen level with a

handheld pulse oximeter prior to leaving the scene with Banks, and based on his

observations of her, he did not consider her unstable. The ambulance left the scene

around 12:45 a.m., and Kern treated Banks therein, attaching a four-line cardiac

2 monitor and establishing an IV. Kern did not place a pulse oximeter to measure blood

oxygen saturation during the trip.

About 20 minutes away from the destination hospital, Kern sought approval

from a doctor to give Banks morphine. Kern reported that Banks had a history of

diabetes; was conscious, alert, and oriented with a Glasgow Coma Score (“GCS”) of

15; had pain in her lower lumbar and upper back; was tender on palpation; had a pulse

rate of 88, normal sinus heart rhythm on the monitor, blood pressure of 150/90, and

oxygen saturation of 99 percent on room air; and her breath was fast and shallow,

which he scored at a 30 respiration rate. Instead of morphine, the doctor instructed

Kern to administer 50 micrograms of fentanyl, which Kern gave Banks intravenously

at 12:48 a.m. Kern testified the fentanyl did not reduce Banks’s pain, and she was alert

and speaking after he administered it. The monitor recorded Banks’s heart rate

approximately six times (12:42, 12:46, 12:51, 12:52, 12:56, and 1:02), and it recorded

her blood pressure and mean arterial pressure three times (12:42, 12:52, and 1:02).

Kern noted Banks’s respiratory rate, depth, and effort over the course of the ride.

Around 1:06 a.m., Kern testified that they were about two minutes away from

the hospital when Banks gasped, turned her head to the side, and became flushed and

3 purple. Her breathing was agonal, she had no palpable pulse, and the heart monitor

indicated that she was in ventricular fibrillation (“VFIB”). Kern started

cardiopulmonary resuscitation (“CPR”), and after parking the ambulance (about two

minutes after CPR began), Burton came back to assist in order for Kern to attempt to

defibrillate Banks. Hospital personal from the ambulance bay joined the effort to

resuscitate Banks, performing bag-assisted ventilation while Kern administered

intravenous amiodarone, an antiarrhythmic medication, at 1:10 a.m. Metro’s crew

turned care of Banks over to the hospital by 1:15 a.m. At 1:19 a.m., Banks was

pronounced dead from what the medical examiner later determined to be “acute

cardiac dysrhythmia complicating fall from height.”

Dr. Brian Swirsky, a cardiologist, testified via video deposition that Kern was

negligent for failing to continuously monitor Banks’s blood oxygen saturation level,

which should have been done (1) because she was a trauma patient in respiratory

distress, i.e., a 30 respiratory rate; and (2) because Kern had administered fentanyl,

a narcotic that Swirsky opined caused respiratory depression leading to a fatal cardiac

arrhythmia (VFIB) and Banks’s death. Swirsky opined that oxygen saturation is a vital

sign that must be taken by a pulse oximeter, and there was no such reading recorded

4 as having been taken by Kern in Banks’s patient care record. See Se. Pain Specialists,

P. C. v. Brown, 303 Ga. 265, 266 (1) (a), n.4 (811 SE2d 360) (2018) (“A pulse oximeter

is a device that clips onto a patient’s finger or toe and measures the patient’s blood

oxygen saturation level.”). He testified that Kern could have fabricated the 99 oxygen

saturation level he reported to the hospital when requesting to administer a narcotic.

In anticipation of testimony otherwise, Swirsky testified that it was not possible to

determine oxygen saturation simply by observing a patient breathing or based on the

patient’s ability to speak or interact — it must be monitored with a pulse oximeter.

In addition to the failure to monitor oxygen saturation, Dr. Swirsky opined that

Kern was negligent for failing to place a 12-lead cardiac monitor rather than a 4-lead,

for failing to provide supplemental oxygen given Banks’s trauma-patient status, for

failing to administer epinephrine before administering amiodarone, and for failing to

immediately defibrillate rather than beginning CPR.

Nurse Kathleen Quick testified that Kern was negligent in several respects,

including (1) failing to give oxygen to Banks because she was immobilized on a

backboard and had a high respiratory rate; and (2) failing to monitor her oxygen

saturation level with a pulse oximeter. Quick also opined that Kern fabricated the

5 oxygen saturation level that he reported to the physician. Given Banks’s respiratory

distress and Kern’s administration of fentanyl, Quick testified that his failure to

continuously monitor her blood oxygen saturation resulted in his missing any signs of

deterioration that may have warranted other treatments prior to the onset of VFIB.

She also testified that the blood pressure reading he provided to the hospital was

inconsistent with any listed in the patient care report or on the heart monitor strips.

She interpreted the cardiac monitor strips to show that Banks was not monitored

between 1:02 a.m. and 1:08 a.m., and the onset of VFIB could have been anytime

during that span.

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METRO AMBULANCE SERVICES, INC. v. JORAY ANTHONY WRIGHT, Counsel Stack Legal Research, https://law.counselstack.com/opinion/metro-ambulance-services-inc-v-joray-anthony-wright-gactapp-2025.