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Terrence J. O’Toole, Jr.View Bio as PDF

Terry O'Toole is an experienced trial lawyer with proven results. He has tried over 30 cases to verdict in state and federal courts and in 2017 was awarded the Lon O. Hocker award by the Missouri Bar Foundation for excellence in trial advocacy.  A former police detective and criminal prosecutor, Terry utilizes his unique skill set to serve his clients in all aspects of risk management, investigation, case preparation, and trial. 

Terry concentrates in the areas of medical malpractice and general liability defense, including personal injury, security, insurance, and transportation law.  He works regularly with clients ranging from healthcare providers, claims managers, and in-house counsel to provide counsel and advocacy tailored to each client’s unique needs.

Representative Experience:

  • Jury verdict for healthcare clients in alleged wrongful death medical malpractice action (2017)
  • Jury verdict for healthcare client against allegations of premises liability, demand of $350,000 (2016)


  • Missouri
  • Illinois
  • USDC, Eastern District of Missouri
  • USDC, Western District of Missouri
  • USDC, Southern District of Illinois


  • Saint Louis University School of Law, J.D., 2008
  • University of Missouri-Columbia, B.A., 2001

Memberships & Activities

  • Bar Association of Metropolitan St. Louis
  • Federation of Defense and Corporate Counsel
  • Illinois State Bar Association
  • Missouri Bar Association
  • Missouri Organization of Defense Lawyers
  • St. Louis Association of Healthcare Risk Managers


  • Presenter: "Neutral Evaluation Basics" section of "ADR Workshop", Missouri Bar CLE (October 2019)
  • Presenter: “Legal Panel – Punitive Damages in Medical Malpractice Cases; Responding to Medical Records Requests”, Washington University / BJC HealthCare Defense Counsel Seminar (September 2019)
  • Presenter: "Trial Masters – Jury Instructions: Ten Common Pitfalls of Jury Instructions", Bar Association of Metropolitan St. Louis Bench and Bar Conference (May 2019)
  • Moderator: “2018 Technology: A Firm's Best Friend”, Missouri Bar CLE (November 2018)
  • Presenter: "Using Technology in the Courtroom" section of "Port Tech Conference", Missouri Bar CLE (October 2018)
  • Presenter: "Using Technology in the Courtroom" section of "The Trial Experience", Missouri Bar CLE (June 2018)

Awards & Recognition

  • Best Lawyers® in America, St. Louis Metropolitan Area
    • Personal Injury Litigation - Defendants (2021)
  • Missouri & Kansas Super Lawyers®, 2019-present
  • Lon O. Hocker Trial Lawyer Award, 2017
  • Missouri Lawyers Media Up & Coming Award, 2015
  • Louis A. Lombardo Prosecuting Attorney of the Year Award, 2013
  • KCMBA Bar Leadership Academy Graduate, 2011-2012
  • Jackson County Prosecutor’s Office Award for most cases tried to verdict in the Sex Crimes Unit, 2011
  • Circuit Attorney's Office Justice Award for outstanding trial results, 2009
  • University City Police Officer of the Year Award, 2003

News & Events

Missouri & Kansas Super Lawyers Recognizes Nineteen Baker Sterchi Attorneys

11.16.20 | Nineteen Baker Sterchi Cowden & Rice attorneys are recognized in the 2020 Missouri & Kansas Super Lawyers and Rising Stars publication. The recognized attorneys include...

Twenty Baker Sterchi Lawyers Recognized by The Best Lawyers in America 2021

08.20.20 | Twenty Baker Sterchi Cowden & Rice lawyers are recognized in The Best Lawyers in America© 2021 across numerous practice areas.

Missouri & Kansas Super Lawyers Recognizes Nineteen Baker Sterchi Attorneys

11.15.19 | Nineteen Baker Sterchi Cowden & Rice attorneys have been named to the 2019 Missouri & Kansas Super Lawyers and Rising Stars lists. The named attorneys include...

Baker Sterchi Member Terry O'Toole Approved for Membership in the Federation of Defense & Corporate Counsel

05.22.19 | Baker Sterchi Member Terry O'Toole has been unanimously approved by the Board of Directors for membership in the Federation of Defense & Corporate Counsel (FDCC).

Team Baker Sterchi Cowden & Rice Puts Up Impressive Numbers at 2018 Biz Dash 5K

10.02.18 | Congratulations to Team Baker Sterchi Cowden & Rice members Nate Leming, Terry O'Toole, Megan Sterchi Lammert, and Adam Olszeski, as well as their BJC HealthCare running partners, for putting up some impressive numbers at the recent 2018 Biz Dash 5K held in


Defense Verdict Secured at Trial of Wrongful Death Medical Malpractice Case

In a wrongful death medical malpractice case, a St. Louis County jury returned a verdict for our clients, an emergency medicine physician and hospital nursing staff, after a five-day trial. At trial, Plaintiff claimed that the emergency medicine physician and hospital facility nursing staff wrongfully administered...

Trial Team Receives Defense Verdict for Health Care Client in City of St. Louis

In the trial of a premises liability case arising from alleged serious injuries sustained from a fall in an underground parking garage, a City of St. Louis jury returned a verdict in favor of our health care client.

Blog Posts

COVID-19 Healthcare Heroics May Ironically Lead to Future Confrontations - State Executive Orders (Part 3)

05.05.20 | As the U.S. deals with COVID-19, there are already signs of concern for our healthcare providers being attacked in the future. In part three of our series of blog articles delving into potential dangers for healthcare providers related to the COVID-19 global pandemic, we consider the American Medical Association's push for states to pursue liability protections for healthcare professionals.

HHS Relaxes Enforcement of HIPAA Noncompliance in Telehealth and Mobile Testing

04.22.20 | The U.S. Department of Health and Human Services ("HHS") has announced a plan of enforcement discretion regarding telehealth communications and testing sites during the COVID-19 Nationwide Public Health Emergency. As a result, HHS will not impose penalties for covered healthcare providers' noncompliance with HIPAA in connection with the good faith provision of telehealth during the emergency.

Timing is Everything: Missouri Appellate Court Reminds Us Evidence Cannot be Excluded as "Subsequent Remedial Measures", Where the Remedies Preceded the Accident

04.15.20 | The Missouri Court of Appeals ruled a trial court abused its discretion in applying the general rule against admissibility of subsequent remedial measures, where the record showed the defendant was aware of a problem and had proposed remedial measures before the accident occurred.

Illinois Court of Appeals Draws Careful Distinctions for Access to Mental Health Records

11.26.19 | The Illinois Court of Appeals recently weighed in on the distinction between neurological injury and psychological damage as applied to the Illinois Mental Health and Developmental Disabilities Confidentiality Act in Sparger v. Yamini.

What a Long, Strange Trip It's Been: Illinois Supreme Court Upholds Decision That Res Judicata Does Not Apply to Involuntary Dismissal of Multiple Prior Complaints Spanning Ten Years

07.23.19 | Plaintiff Gerald Ward originally sued Decatur Memorial Hospital in 2009 alleging medical malpractice in the treatment of his brother who developed a post-surgery bed sore that became infected. Plaintiff alleged that...

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