| March 2001 |
Volume 15, Number 3
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| was able to bring the
vehicle to a stop. He tried to rouse McCoy with no success. Lowe left the
car and flagged down a passing police car. He told the officer what had
occurred. The officer checked McCoy and determined he had a small pulse.
He then called for an ambulance. About the same time, a second officer
arrived at the scene. This officer was an emergency medical technician.
As he began to start cardiopulmonary resuscitation the ambulance arrived.
A paramedic, Hatmaker, exited the ambulance and assessed McCoy's condition.
He noted that McCoy showed no visible signs of life. He had no pulse. Hatmaker
used a stethoscope to listen for a heart beat but heart sounds were entirely
absent. He next examined McCoy's eyes and pupils. He found the pupils to
be fixed and dilated. He further observed that McCoy had released bodily
fluids and that his body temperature had already dropped markedly. Consequently,
Hatmaker concluded that McCoy was dead and not a viable candidate for resuscitation.
Hatmaker proceeded to complete a state mandated information sheet regarding
the call while the police summoned the medical examiner. Subsequently,
the deceased's next of kin filed suit against Hatmaker and the police officers
alleging wrongful death. Specifically, the heirs claimed that Hatmaker
breached his duty to McCoy by failing to render appropriate resuscitation
and medical treatments, violated Maryland State protocols for cardiac rescue,
and that Hatmaker was grossly negligent. The fire department medical bureau
had investigated the incident and concluded in its report that Hatmaker
had indeed violated state protocols when he treated McCoy. This report
was placed in Hatmaker's personnel file. McCoy's heirs sought a copy of
the report. Their efforts at obtaining the report were resisted by the
fire department. Ultimately, the court ruled that the report could not
be used by the plaintiffs. Hatmaker and the police officers moved for summary
judgment, which the court granted. McCoy's heirs appeal.
HELD: The Maryland Good Samaritan Act provides that an individual is not civilly liable in giving medical care if the act is not one of gross |
negligence. Similarly, the state Fire and Rescue Company Act provides immunity to fire rescue personnel in the performance of their duties except for willful or grossly negligent acts. The plaintiffs in this case argue that Hatmaker was grossly negligent and, therefore, not covered by the immunity statutes because of his failure to comply with state emergency medical protocols. Prior Maryland case law defines "gross negligence" as willful and wanton conduct, a wanton or reckless disregard for human life. Gross negligence occurs only when an individual inflicts injury intentionally or is so utterly indifferent to the rights of others that he acts as if such rights did not exist. Stated differently, only extraordinary or outrageous conduct can be considered gross negligence; mere recklessness is not enough but rather there must be a reckless disregard for human life. In this case, when Hatmaker arrived at the scene he did an assessment of McCoy. He checked for a pulse as well as his pupils. He used a stethoscope and he also noticed that McCoy had released his bowels and bladder. All of the signs that appeared to Hatmaker are medical signs that death had occurred. Only after noting all such symptoms did Hatmaker conclude that McCoy was beyond resuscitation. Far from exhibiting deliberate indifference to McCoy's welfare, the undisputed facts show that Hatmaker demonstrated genuine concern and urgency that was appropriate to the situation. At worst, he made an error in medical judgment. The Maryland state standards on emergency medical services note that the goal of such services is to deliver a viable patient to appropriate definitive care as soon as possible. Hatmaker pronounced McCoy dead and processed the case as though the patient were dead on arrival. The testimony shows that Hatmaker believed he had the authority to do just that. His conduct may have been wrong but it was well intended. Hatmaker's failure to follow the state protocols is not a reckless disregard for McCoy's life. Certainly, Hatmaker's employers might recommend his retraining in the protocols of emergency care or even disciplinary action. A court, however, cannot equate a well- | |||||||
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