After reviewing more than 800 medical malpractice cases, one case is most memorable. This case involves a 36-year-old patient who presented to the emergency department (ED) with a chief complaint of a neck injury after a fall from a boat. The RN defendant cared for the patient for a brief period of time in the ED just prior to transfer to a medical nursing unit. The patient was deemed stable by the ED physician prior to transfer. Early the next morning the patient was diagnosed with an acute vertebral artery dissection, locked in syndrome and quadriplegia. The RN who cared for the patient briefly in the ED was alleged to have failed to diagnose her neurological condition.