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The eggshell skull rule (or thin skull rule or you take your victim as you find him rule of the common law) is a well established legal doctrine used in some tort law systems, with a similar doctrine applicable to criminal law. It increases the liability of a person who may commit a tort against another, from results arising out of those tortious acts.
This rule holds that a tortfeasor is liable for all consequences resulting from his or her tortious (usually negligent) activities leading to an injury to another person, even if the victim suffers an unusually high level of damage (e.g. due to a pre-existing vulnerability or medical condition). The term implies that if a person had a skull as delicate as that of the shell of an egg, and a tortfeasor who was unaware of the condition injured that person's head, causing the skull unexpectedly to break, the defendant would be held liable for all damages resulting from the wrongful contact, even if the tortfeasor did not intend to cause such a severe injury.
In criminal law, the general maxim is that the defendant must "take their victims as they find them", a quotation from the judgment of Lord Justice Lawton in R v. Blaue (1975), in which the defendant was held responsible for killing his victim, despite his contention that her refusal of a blood transfusion constituted novus actus interveniens.
The doctrine is applied in all areas of torts - intentional torts, negligence, and strict liability cases - as well as in criminal law. There is no requirement of physical contact with the victim - if a trespasser's wrongful presence on the victim's property so terrifies the victim that he has a fatal heart attack, the trespasser will be liable for the damages stemming from his original tort. The foundation for this rule is based primarily on policy grounds. The courts do not want the defendant or accused to rely on the victim's own vulnerability to avoid liability.
The thin skull rule is not to be confused with the related crumbling skull rule in which the plaintiff suffers from a detrimental position (from a prior injury, for instance) pre-existent to the occurrence of the present tort. In the "crumbling skull" rule, the prior condition is only to be considered with respect to distinguishing it from any new injury arising from the present tort - as a means of apportioning damages in such a way that the defendant would not be liable for placing the plaintiff in a better position than they were in prior to the present tort.
(UK) In the case of Smith v. Leech Brain & Co., an employee in a factory was splashed with molten metal. The metal burned him on his lip, which happened to be premalignant tissue. He died three years later from cancer triggered by the injury. The judge held that as long as the initial injury was foreseeable, the defendant was liable for all the harm.
(US) In 1891, the Wisconsin Supreme Court came to a similar result in Vosburg v. Putney. In that case, a boy threw a small kick at another from across the aisle in the classroom. It turned out that the victim had an unknown microbial condition that was irritated, and resulted in him entirely losing the use of his leg. No one could have predicted the level of injury. Nevertheless, the court found that the kicking was unlawful because it violated the "order and decorum of the classroom", and the perpetrator was therefore fully liable for the injury.
(US) In Benn v. Thomas, the appellate court determined that the eggshell rule should have been applied to a case in which a man had a heart attack and died after being bruised in the chest during a rear-end car accident.
(Aus) In the case of Kavanagh v Akhtar, the court held the tortfeasor should take into account the plaintiff's family and cultural setting.Equality before the law puts a heavy onus on the person who would argue that the "unusual" reaction of an injured plaintiff should be disregarded because a minority religious or cultural situation may not have been foreseeable.
Intervening cause is typically an exception to the eggshell skull rule. If an injury is not immediate, but a separate situation agitates the injury (such as the injured party being involved in a vehicular collision while being taken to a hospital), the tortfeasor is not liable. [In what jurisdiction?]
- 708 F.2d 1217, citing Prosser, Handbook of the Law of Torts 261 (4th ed. 1971)
- Athey v. Leonati,  3 S.C.R. 458, (1996), 140 D.L.R. (4th) 235 (S.C.C.), online at: http://www.canlii.org/en/ca/scc/doc/1996/1996canlii183/1996canlii183.html
-  2 QB 405.
- 80 Wis. 523, 50 N.W. 403 (Wis., 1891) (reversed and remanded for a new trial on other grounds).
- (1998) 45 NSWLR 588.