In July 2011, Pasquale Vaglio was a passenger on the Explorer of the Seas, a cruise ship owned and operated by Royal Caribbean Cruises, Ltd. On July 23, after the ship docked in Bermuda, Vaglio fell while boarding a trolley at or near the dock and suffered a severe blow to the head. He was taken in a wheelchair to the ship's infirmary around 10:00 a.m.
There, nurse Racquel Y. Garcia, allegedly employed full-time by Royal Caribbean, examined him and observed a lump and an abrasion on his head but did not administer any diagnostic scans. Vaglio was advised he was fine to return to his cabin and might have a concussion, and he returned around 10:45 a.m. with no further care.
About ninety minutes later, at 12:15 p.m., Vaglio's condition deteriorated, leading his daughter-in-law to call 911. After delays in obtaining a wheelchair and credit card information, Dr. Rogelio Gonzales, also allegedly an employee of Royal Caribbean, examined Vaglio at about 1:45 p.m., started a Mannitol drip, and ordered transfer to King Edward Memorial Hospital in Bermuda, where Vaglio arrived at approximately 4:22 p.m.
Vaglio was airlifted to Winthrop-University Hospital in Mineola, New York, the next day and remained in intensive care until he died one week later. On January 10, 2013, Patricia Franza, Vaglio's daughter and personal representative of his estate, filed a three-count complaint against Royal Caribbean in the United States District Court for the Southern District of Florida under 28 U.S.C. § 1333 and the general maritime laws, alleging negligence by the onboard medical staff under actual and apparent agency theories. The district court dismissed the complaint on May 30, 2013, and Franza appealed to the United States Court of Appeals for the Eleventh Circuit.
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