Negligence
Advance Directives
Privacy /
Transfers
Special Situations
Medical Direction
Ethics
Consent
Refusal
100

Breach of duty

Failure to meet a legal responsibility or required standard of care.

100

Living will

A document stating preferences for future treatment if the person cannot communicate decisions and its conditions apply.

100

Confidentiality

The duty to protect private information and disclose it only on an appropriate basis.

100

SIDS

Sudden infant death syndrome: an unexplained infant death after a thorough investigation. EMS should not assign the diagnosis from the scene alone.

100

Protocol 

 An approved plan directing how EMS handles a type of situation. Apply it within your authority and seek clarification when needed.

100

Informed consent 

Agreement to care after an understandable explanation of the proposed care, important risks, benefits, and alternatives.

200

Tort

A civil wrong for which the law may provide a remedy, often money damages.

200

DNR or do not resuscitate order

 A medical order limiting attempted resuscitation under its terms. It does not mean provide no care.

200

HIPAA

A federal law whose privacy rules protect identifiable health information held by covered entities and their business associates.

200

Crime scene and evidence preservation

A location potentially connected to a crime, and efforts to avoid unnecessary disturbance of relevant items while meeting patient-care needs.

200

Standing order 

An instruction approved in advance that allows specified actions when its conditions are met.

200

Competence 

A legal concept concerning a person’s ability to make decisions. In the field, focus on assessing decision-making capacity rather than making a court ruling.

300

Criminal negligence

A degree of negligent conduct that meets a criminal law’s requirements. It is not established merely by an incomplete report.

300

End-of-life care

Care focused on a person approaching death, including comfort, dignity, communication, and treatment consistent with applicable wishes and orders.

300

Slander and libel

Commonly, slander is spoken defamation and libel is written or published defamation.

300

Dependent lividity

Discoloration from blood settling in lower parts of the body after circulation stops.

300

Medical direction or medical command

 Physician oversight and guidance for the EMS system and patient care.

300

Decision-making capacity 

The ability to understand a decision, appreciate how it affects you, weigh options, and communicate a choice. It concerns the particular decision at that time.

400

Assault and battery

 In civil-law usage, assault involves apprehension of imminent harmful or offensive contact; battery involves the contact itself. Legal definitions vary.

400

Durable power of attorney for health care

 A document naming someone to make health decisions when legally authorized.

400

EMTALA

A federal law requiring covered hospitals to provide emergency medical screening and, when needed, stabilizing treatment or an appropriate transfer, regardless of ability to pay.

400

Mandatory reporting

A legal duty to report specified concerns or events. The trigger, recipient, and deadline depend on applicable law.

400

EMT Code of Ethics

Professional commitments such as patient welfare, honesty, competence, and respect.

400

Implied consent

An emergency basis for necessary care when a patient cannot give permission and consent can reasonably be presumed. Applicable refusals or orders still matter.

500

Negligence per se

A doctrine under which violation of a qualifying safety law can establish a negligence element. Other requirements, including causation, still matter.

500

 POLST 

Portable medical orders addressing life-sustaining treatment. Names, authorized signers, and recognition vary by state.

500

Interfacility transfer

Moving a patient from one health facility to another with suitable personnel, equipment, information, and arrangements.

500

Safe-haven law

 A law allowing an infant to be surrendered under specified conditions at designated locations. Age limits, sites, and procedures vary.

 

500

Offline medical direction

 Physician guidance provided in advance through protocols, training, and other system oversight.

500

Expressed consent 

Permission communicated directly, such as saying yes or clearly agreeing through an action.

700

Res ipsa loquitur

A rule allowing negligence to be inferred from certain circumstances when legal conditions are met. It is not automatic proof whenever an outcome is poor.

700

Health care proxy or agent

The person authorized to make health decisions for someone else, or the document appointing that person, depending on usage.

700

Sovereign or governmental immunity

Legal protection that can limit claims against government bodies or workers. Exceptions and conditions apply.

700

Contributory negligence

Negligence by an injured person that helped cause the harm. Its legal effect depends on the jurisdiction; refusal alone does not establish it.

700

Ethical or moral conflict

A situation in which values or responsibilities pull in different directions. Personal disagreement does not remove the duty to treat respectfully.

700

Minor consent

 Rules governing permission for care of a person below the legal age of adulthood. A parent or guardian often gives permission, but exceptions apply.