Civil legal aspects of remote consulting in the event of a hazardous chemical incident: the good Samaritan law
Summary. In Ukraine, in the absence of specialized toxicological centers, advisory assistance in cases of chemical incidents is provided by specialists of the operational and dispatching service of emergency and disaster medicine centers. Today, in some countries around the world, the dispatch service uses the provisions of the good Samaritan law. The purpose of the study — analysis of the experience of individual countries in the field of telephone communication about a dangerous chemical incident on the basis of the good Samaritan law. Research methods: content-analysis, comparative analysis. The results. At the beginning of 2020, the network of toxicological advisory centers in the world was represented by 313 institutions in >150 countries. Over the last 20 years, the centers have been increasing the demand for telephone consultations, internet resources, in particular in social networks that contain information about potential poisons (drugs, alcohol, drugs, pesticides and agrochemicals, household chemicals, etc.). An important aspect in the communication between operator and subscriber is the civil liability for reporting an incident involving hazardous chemicals (narcotic, toxic, explosive, etc.), which is provided by the good Samaritan law. The article demonstrate data on the positive results of the implementation of the law to the emergency services of the USA and other countries. Conclusions. Legal consolidation of the principles of providing consultative medical care under the good Samaritan law allows saving many lives from premature death in many countries around the world, so the implementation of these provisions in Ukrainian legislation in the field of health care is a topical issue for relevant ministries and medical professional associations.
- Prodanchuk M.G., Kalashnikov A.A., Kurdil N.V. (2019) Organization of training in the field of preventive medicine in Ukraine: past and present. Clinical and preventive medicine, 4(9–10): 12–21. DOI: 10.31612/2616-4868.3(9).2019.02.
- Trachtenberg I.M. (2010) Priority aspects of preventive toxicology: the experience of the past, the realities of the present, the horizons of the future. Actual problems of transport medicine: environment; occupational health; pathology, 3: 72–84.
- Sheiman B.S., Prodanchuk N.G., Borshchov S.P., Voloshina N.A. (2014) Strategic issues of the organization of the system of emergency toxicological care in Ukraine. Medicine of emergencies, 2: 140–145.
- Adusumalli J., Benkhadra Kh., Murad M.H. (2018) Good Samaritan Laws and Graduate Medical Education: A Tristate Survey. Mayo Clin. Proc. Innov. Qual. Outcomes, 2(4): 336–341. doi:10.1016/j.mayocpiqo.2018.07.002.
- American Association of Poison Control Centers (AAPCC) (2020) http://www.aapcc.org/DNN.
- Drug Policy Alliance (DPA) (2020) Good Samaritan Fatal Overdose Prevention Laws (https://www.drugpolicy.org/issues/good-samaritan-fatal-overdose-prevention-laws).
- European Association of Poisons Centres and Clinical Toxicologists (EAPCCT) (2020) (http://www.eapcct.org).
- Faul M., Aikman S.N., Sasser S.M. (2016) Bystander intervention prior to the arrival of emergency medical services: comparing assistance across types of medical emergencies. Prehosp. Emerg. Care, 20(3): 317–323. doi: 10.3109/10903127.2015.1088605.
- International Chemical Safety Program (IPCS INCHEM) (2020) (http://www.inchem.org/contents.html).
- System of bibliographic and factual toxicological and medical computer databases (2020) TOXNET Resource (http://toxnet.nlm.nih.gov).
- World Health Organization (2020) World Directory of Toxicology Centers (http://www.who.int/ipcs/poisons/centre/directory/en).