Re: EMTALA
From: Robert J. Carpenter, Jr. MD (zygote@icsi.net)
Thu Jul 28 05:59:35 2005
Not withstanding the Bush Congress mandate that all fetuses must be attended, it is
clear from both science and the Pediatric society and multiple writing since that the
standard for neonatal evaluation and resuscitation remain at 24 weeks. If your
specific unit is routinely salvaging most 23 week fetuses then that may change in
your locale. For the rest of us it is 24 weeks. The reg was passed to make sure any
born alive abortion was attended.
You do NOT have to go pronounce a 12 weeker.
Yes, hopefully saner heads will prevail after the Bush reign.
On 27 Jul 2005 at 23:14, Garry E. Siegel, M.D. wrote:
> Horribly sad that common and clinical sense have been thrown out the
> window so that they can be mandated by law.
>
> Unfortunately, you can't legislate common sense.
>
> Garry
>
> At Wed, 27 Jul 2005, Efrain Ramirez wrote:
> >
> >>At Wed, 27 Jul 2005, art fougner, md wrote:
> >>
> >>I can envision the look on the face of the pediatrician, called to
> >>the ER for the viability screen ... Folks get paid to write these
> >>regs?
> >>
> >>art
> >>
> >>At Wed, 27 Jul 2005, rmodugno@aol.com wrote:
> >>>
> >>>Not entirely Dan - everyone knows a 12 weeker cannot survive - you
> >>>however must document your "screening exam" and reasons for not
> >>>proceeding with resuscitation.
> >>>
> >>>Robert Modugno MD MBA FACOG
> >>>Marietta, GA
> >>>
> >>>-----Original Message-----
> >>>From: R. Daniel Braun <rd.braun@gmail.com>
> >>>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> >>>Sent: Wed, 27 Jul 2005 11:16:42 -0500 Subject: Re: EMTALA
> >>>
> >>>Yeah, well now it is VIABLE by LAW if it has any kind of sign of
> >>>life at Delivery. If a 12 weeker comes out with a heart beat or
> >>>movements "All efforts must be made to sustain its life(?) as long
> >>>as possible" That is according to my understanding of the law. Help
> >>>me out if I am wrong. Dan
> >>>
> >>>On 7/27/05, Larry Glazerman <l.glazerman@rcn.com> wrote:
> >>>Viability at 20 weeks?????????
> >>>
> >>>Larry R. Glazerman, MD
> >>>Ob-Gyn at Trexlertown, PC
> >>>larry.glazerman@lvh.com
> >>>
> >>>From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of
> >>>Stmidwife@aol.com Sent: Wednesday, July 27, 2005 11:19 AM To:
> >>>Multiple recipients of list OB-GYN-L Subject: Re: EMTALA
> >>>
> >>>I always seen 20 weeks here in So CA.
> >>>
> >>>Sue
> >>>
> >>>In a message dated 7/27/05 6:44:56 A.M. Pacific Daylight Time,
> >>>ob-gyn-l@obgyn.net writes:
> >>>
> >>>."and 22 weeks is within the standard that most hospitals use for
> >>>viability
> >>>
> >>>--
> >>>R. Daniel Braun
> >>> Kinky for Governor
> >>>
> >>--
> >>art fougner, md
> >>
> >> "If you don't know where you are going, you will wind up somewhere
> >> else."
> >>Lawrence Peter Berra
> >>
> >This is getting nonsensical isn't...?
> >
> >They "section" a patient at 20 weeks for "fetal indications" --
> >that's Kalifornia...??
> >
> >Dan is right - viability should be a medical term not a legal term -
> >
> >Ef
> >
> >These EMTALA "guidelines" have -IMHO- far reaching consequences ...
> >
> >--
> >"Character may be manifested in the great moments, but it is made in
> >the small ones."
> >
> > - Phillip Brooks
> >
> > ~walt whitman~
> >
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA
>
--
Robert J. Carpenter, Jr. MD
6624 Fannin, #2720
St. Luke's Medical Tower
Houston,TX 77030-2339
713-795-4600
