Medico-Legal Considerations
                            ===========================

þ EMTALA
  <EMTALA.TXT>

þ Employee physicians
  <Employee.TXT>

þ Minors and Consent
  <Minors.TXT>
  
þ 30 minute rule for response of consultants to ED.
  - NJ has a state regulation that requires consultants to respond within 30
    minutes.

þ Doctrine of Non-Delegatable Duty
  <Non-Del.TXT>

þ Prudent Layperson Statutes
 - PA Prudent Layperson Statute (Act 112 of 1997)
   <Act112.TXT>
 - see also Legislation:
   <Legislat.TXT>

þ Restrictive Covenants
 - How To Scrutinize Restrictive Covenants, By Brian Wyatt, Esq.
   [copyrighted article from Physician's News Digest (WP), June 1977, scanned
   for personal use only.]
   <Restrict.TXT>
 - Restrictive Covenants Ruled Unlawful in Alabama
   <Alabama.TXT>

þ Violence in ED
 - many states now make it a felony to attack someone in the ED.
 - S.B. 1313 passed both houses in PA and signed into law by governor in PA in
   1996. Title 18, PA Consolidated Statutes, Section 2702

þ Peer Review Documents are Protected?
  <Peer.TXT>

þ AMA (Against Medical Advice)
  <AMA.TXT>

þ Good Samaritan Laws:
  <GoodSam.TXT>

þ Third-Party Safety Concerns:
  <Third.TXT>

þ Ypsilanti Hospital, Michigan:  staff rules say it is unethical to
  ask about insurance when calling in to the ED as consultant.

þ Managed Care:
 - Shed Smith case, DC:  alleged denied care by managed care organization
   (wife called, denied care, called back, told to call ambulance service (not
   911). Went into v. fib en route and died.  Estate won.

 - Lillian Smith case:  denied bone marrow transplant

 - Wickline case:  discharged home because ran out of money, had leg amputated
   as a result.  Named managed care organization as well as doctor; but found
   immune based on ERISSA rules. [source:  Greg Henry, M.D.]

þ Malpractice:
  <Malpract.TXT>

þ "Additional" vs. "Named" insured:
 - much less protection if not "named"
 - Webb v. Witt, No. A-3815-03T1 (N.J. Super Ct. App. Div. July 8 2005)
 
þ Discharge Instructions:
 - Jolly BT, Scott JL, Feied CF, Sanford SM: Functional illiteracy among
   emergency department patients: A preliminary study. Ann Emerg Med
   1993;22(3):573-578. Computer analysis of instruction sheets given to
   patients in the emergency department showed that many were written in a
   manner inappropriate for the educational level of the general ED patient
   population.

þ Deposition advice
  <Depose.TXT>