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Public Health Law Map - Beta 5 - Medical and Public Health Law Site

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on relinquishing care <strong>and</strong> follow-up should be followed as if the physician were<br />

licensed. Most state licensing laws explicitly allow for emergency care by<br />

nonlicensed personnel, <strong>and</strong> no state would prosecute a physician for volunteering<br />

emergency medical care.<br />

5. Good Samaritan <strong>Law</strong>s<br />

There is a widespread myth that physicians will be sued for a poor outcome if they<br />

stop to help a stranger in need. Despite the reality that no physician has ever lost a<br />

suit over a Good Samaritan act, it is hard for most physicians <strong>and</strong> nurses to believe<br />

that physicians do not get sued for volunteering medical care. Millions of people<br />

watched Dr. Kildare lose a suit for helping at the scene of an accident. Every<br />

physician has heard a story over coffee about some other physician who got sued. It<br />

may have happened to Dr. Kildare, but it has not happened to any real doctors. There<br />

have been many cases filed in which poor care was rendered in an emergency, but<br />

they were cases where the physician had a duty to treat that patient, not cases of<br />

volunteer care. Even before the enactment of Good Samaritan laws, there was a<br />

common law protection <strong>and</strong> a social policy against such suits. Unfortunately, the<br />

myth persists because it is an excuse for some physicians who refuse to<br />

inconvenience themselves by helping others in emergencies.<br />

Because of the pervasive myth of liability in the medical professions, most states<br />

have enacted some form of Good Samaritan law prohibiting a patient from suing a<br />

physician or other medical care professional for injuries from a Good Samaritan act.<br />

To trigger the protection of such an act, two conditions must be satisfied: it must be a<br />

volunteer act, <strong>and</strong> the actions must be a good-faith effort to help. Displacing a neck<br />

fracture in an effort to do rescue breathing might be malpractice in the emergency<br />

room, but it is not bad faith on the roadside. Trying an unnecessary tracheostomy just<br />

for the practice would be bad faith.<br />

The legal problem with Good Samaritan laws is that they were unnecessary. If the<br />

common law was a perfect protection against a Good Samaritan lawsuit, then<br />

specific Good Samaritan legislation cannot improve the situation. Conversely, by<br />

passing statutes, legislatures encourage attorneys to look for loopholes. An attorney<br />

who can find a way to convince a jury that a physician was not covered by the Good<br />

Samaritan law may be tempted to sue.<br />

In the medical sense, a Good Samaritan is a medical care professional who<br />

volunteers to help someone in need of emergency medical care. The act must be done<br />

without there being any duty to care for the patient <strong>and</strong> without any expectation of<br />

compensation. The classic case is the physician who comes upon the scene of a car<br />

accident. A physician who stops <strong>and</strong> renders aid to the victims of the accident has<br />

acted as a Good Samaritan. If the physician later sends a bill for the emergency<br />

services, this is no longer a Good Samaritan action. If the victims spontaneously send<br />

the physician a dozen roses as a thank-you gift, this does not affect the voluntary<br />

nature of the act.<br />

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