EMS Negligence can have devastating consequences, as exemplified by several recent cases in the Ohio and Michigan region involving alleged refusal of care and delayed treatment. While a specific incident of a major settlement in Toledo was not found, similar cases highlight systemic issues within emergency medical services. These cases underscore the critical importance of adherence to protocols and the potential for severe legal and ethical repercussions when those protocols are breached.
Flat Rock Settlement: A Case Study in EMS Negligence
The City of Flat Rock, Michigan, reached a $1.5 million settlement in December 2024 with the family of Jane Krentler, a 61-year-old disabled woman, after an incident of alleged EMS refusal led to her death. The case serves as a stark reminder of the responsibilities entrusted to first responders and the potential for catastrophic failure.
The Incident
According to reporting by EMS1 on December 27, 2024, based on information from The News Herald, the events unfolded on an unspecified date when Jane Krentler called 911 at 4:56 a.m., reporting breathing difficulties. Firefighters Thomas Miller, Jr. and Brandon Hicks arrived at her residence at 5:41 a.m. and departed just seven minutes later, at 5:48 a.m. By 11:45 a.m. that same day, Krentler was dead.
Alleged Refusal of Care
The lawsuit alleged that upon arrival, Miller and Hicks recognized Krentler as someone who frequently calls without a genuine medical complaint. Despite Krentler’s pleas that she couldn’t breathe and needed oxygen, and her disorientation suggesting she was unable to refuse treatment, the firefighters allegedly failed to conduct vital checks or administer oxygen. Furthermore, they reportedly left without contacting medical control at a local hospital, a mandatory step given her disoriented state. The firefighters claimed Krentler refused treatment, although no signed refusal form was produced.
Consequences and Accountability
The City of Flat Rock’s $1.5 million settlement was largely covered by its insurance. However, the immediate aftermath saw the termination of firefighters Miller and Hicks, who never worked another shift with the department. The city attorney acknowledged the tragedy, stating that “many mistakes were made by many people at the City of Flat Rock.” This statement underscores the systemic failures that contributed to Krentler’s death.
Other Incidents of EMS Negligence in Ohio
The Flat Rock case is not an isolated incident. Similar cases in Ohio highlight a pattern of alleged negligence and delayed treatment within EMS systems.
Columbus: Delayed Treatment Leads to Death
In Columbus, Ohio, the city agreed to pay $1.2 million to the family of a 76-year-old woman who died after paramedics allegedly delayed treatment for nearly 25 minutes. The woman suffered a cardiac arrest at an MRI facility after complaining of breathing problems and chest pains. The paramedics reportedly failed to take vital signs, provide an EKG, or treat her as a cardiac arrest patient, even suggesting her son drive her to the hospital. This case illustrates the potentially fatal consequences of delayed or inadequate medical intervention.
Springfield Township: Premature Declaration of Death
In another incident, two paramedics in Springfield Township were terminated in April 2024 after mistakenly declaring a 31-year-old woman, Arielle Diaz, dead during a response to a possible drug overdose in January 2024. Springfield Township responded to the Toledo call due to a mutual aid contract. An investigation revealed that the paramedics “failed to follow basic procedures before declaring the patient deceased,” despite her still being alive. While the search results did not explicitly mention a settlement with the family, the severe negligence led to the paramedics’ termination and a strong statement from the Springfield Township Administrator emphasizing the avoidability of the situation. This incident highlights the critical importance of adhering to established protocols and the potential for devastating errors when those protocols are disregarded.
The Importance of Protocol and Training
These cases collectively underscore the critical importance of rigorous training, adherence to established protocols, and ongoing oversight within EMS systems. The consequences of negligence or failure to follow proper procedures can be devastating, leading to patient harm, legal repercussions, and a loss of public trust.
Key Takeaways
- Thorough Patient Assessment: EMS personnel must conduct thorough assessments of patients, including vital signs and medical history, regardless of prior interactions or perceived complaints.
- Adherence to Protocols: Strict adherence to established protocols is essential to ensure consistent and appropriate care.
- Medical Control Consultation: When in doubt, EMS personnel should consult with medical control at a local hospital for guidance and direction.
- Documentation: Accurate and complete documentation of patient interactions, including assessments, treatments, and any refusals of care, is crucial for legal protection and quality assurance.
- Continuous Training and Education: Ongoing training and education are necessary to keep EMS personnel up-to-date on best practices and emerging medical knowledge.
Conclusion
The cases in Flat Rock, Columbus, and Springfield Township serve as cautionary tales, highlighting the potential for devastating consequences when EMS protocols are not followed. These incidents emphasize the need for continuous improvement, rigorous training, and a commitment to patient safety within emergency medical services. By prioritizing these measures, communities can work to prevent future tragedies and ensure that all individuals receive the timely and appropriate care they deserve.
