In this video, you’ll follow a patient (me) who develops chest pain then makes the decision to come to the ER. After calling an ambulance, the patient is triaged (sorted) and then the doctor (you) assesses the primary survey and initial actions.
Just a little education on medicine and the law
There are two kinds of legal action within the law. Criminal action is when the government sues an individual for going against public interest – such as murder, rape, robbery. Physicians usually are not subject to these sorts of cases, unless they wilfully hurt their patients. Malpractice insurance won’t cover you against criminal action.
Civil action is when one individual sues another. When wrongdoing (such as negligence under which malpractice falls) is involved, this is called tort. In order to be prosecuted for medical malpractice, the plaintiff needs to prove four things:
- The physician owed the patient a duty of care. This happens whenever anyone comes into an Emergency Department. We are obliged to see this patient.
- The physician falls below the standard of care. This means the physician didn’t do what an average physician would do in the same circumstances. This is what the jury decides. If there’s a recognizeable standard of care, this is what the doctor will be held up against. If there isn’t, then they may call in expert witnesses.
- The patient sustained harm. This can be morbidity or mortality suffered by the patient, but also loss of wages, pain and suffering, etc.
- The harm is a result of not meeting standard of care, that is the negligence of the physician caused the injury. Not all bad outcomes are the result of the physician.
What do you think the cost of defensive medicine is? How can it be reduced? Given these four aspects necessary to win a verdict against a physician, pick a diagnosis and list everything that must be met in that particular case in order for damages to be awarded to the plaintiff.