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THE DOCTOR AS RESCUER, GOOD SAMARITAN OR VOLUNTEER

By P S Ranjan Advocate & Solicitor

Legal Duty of Care

A doctor owes a legal duty of care even when he acts as a rescuer, Good Samaritan or volunteer. In the Australian case of Goode v Nash (1979) 21 SASR 419, a doctor who, without reward, took part in a Lions Club glaucoma screening project, negligently caused burns when he placed a hot tonometer on a patient's eye. The doctor was ordered to pay damages.

Ethical Duty in Emergencies

While in an emergency there is no legal duty on the part of a doctor to attend to a person in need of care, there may be an ethical duty to do so. The International Code of Medical Ethics states as follows on the subject: "A doctor must give emergency care as a humanitarian duty unless he is assured that others are willing and able to give such care."

The Standard of Care

The standard of care to be applied is that of the ordinary competent doctor, as was stated in the English case of Bolam v Friern Hospital Management Committee [1968] 1 All E.R. 1068. The Bolam test has been applied in a number of Malaysian cases, including Chin Keow v Government of Malaysia [1967] 2 MLJ 45 and Dr Chin Yoon Hiap v Ng Eu Khoon & Ors and other appeals [1998] 1 MLJ 57.

The standard of care to be applied to a rescuer, Good Samaritan or volunteer must be a reasonable one in the circumstances. For instance, the standard to be expected from a doctor- passenger when responding to an emergency on an aircraft during a flight would obviously be lower than that of a big hospital's accident and emergency department where the facilities would be better.

There does not appear to be any reported case of a doctor being successfully sued for negligence for a Good Samaritan act. However, the faint traces of a "charitable immunity" found in early British cases and in some American states have not found much favour in modern times.

Doctor as Victim

There have been reported cases of Good Samaritans, volunteers and rescuers who had suffered injury through the fault of others, as a result of which damages had been awarded. A good example is the British case of Baker v Hopkins [1959] 3 All E.R. 225. A doctor went down a well to rescue two men who had been overcome by carbon monoxide fumes produced in the well by the use of a petrol-driven motor pump, an act of negligence on the part of the building contractors who had undertaken the task of emptying the well of water. The doctor succumbed to the fumes and died. It was held that the contractors were liable for the death of the doctor.

In another British case, Ogwo v Taylor [1987] 3 All E.R. 961, a fireman, who was injured when attending to a fire negligently caused by the defendant's workmen, succeeded in his claim for damages against the defendant.

Conclusion

Doctors are frequently afraid of legal problems arising out of accidents occurring when they attend to people in emergencies and when undertaking voluntary or charitable work. The law expects doctors to provide reasonable care, according to the circumstances. Sometimes the doctor who acts as rescuer, helper or volunteer and who, in the process suffers injury from the wrongdoing of others, may properly claim damages from the wrongdoers.



Case Note 2007 (30th Nov 2007)
PITFALLS IN SPINAL SURGERY (13th Feb 2007)
PITFALLS IN BRAIN SURGERY AND SPINAL SURGERY (8th Jan 2007)
ANNUAL REPORT 2005 (13th Feb 2006)
HEALTH TOURISM (10th Feb 2006)
Doctors Mangled By "Justice" (16th Jan 2004)
PATIENTS' VIEWS (22nd Oct 2003)
Patient Safety/Clinical Risk/Medical Error (9th Oct 2003)
NOTICE TO MEMBERS (1st Oct 2003)
CASE STUDIES (1st Oct 2003)
Frequently Asked Questions (FAQs) (1st Oct 2003)
APPOINTMENT OF NEW CHAIRMAN (25th Sep 2003)
Annual Report for MDM (28th Jan 2003)
STORAGE, PRESCRIPTION AND DISPENSING OF DRUGS (6th Mar 2002)
ADVICE TO MEMBERS (6th Mar 2002)
THE DOCTOR AS RESCUER, GOOD SAMARITAN OR VOLUNTEER (20th Jan 2002)


MEDICO-LEGAL UPDATES
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(2nd Dec 2009)

•  CASE REPORTS FOR 2009
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•  Healthcare Tourism Congress 12 & 13 April 2010
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•  Forensics Conference
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•  ADR CONFERENCE ON MEDICAL NEGLIGENCE 2009
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•  ABF Medico Legal Seminar
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•  CASE REPORTS FOR 2008
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•  INDIVIDUAL INSURANCE POLICY
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•  ANNUAL REPORT 2007
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•  MEDICAL RECORDS: PRESERVATION AND MATTERS OF EVIDENCE
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•  THE STANDARD OF CARE IN MEDICAL PRACTICE AND DISCLOSURE OF TREATMENT RISK TO PATIENTS - AN INTERNATIONAL PERSPECTIVE
(1st Nov 2007)

•  Medical Negligence Litigation In Malaysia
(27th Sep 2007)

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