Emergency Medical Treatment and Active Labor Act

And they said, well, we're not going to charge on that.

The Biden HHS issued guidance to health care providers on their obligations to provide abortions under the Emergency Medical Treatment and Labor Act, regardless of state laws, and they gave no conscience protections to individual providers.

Everybody had to do abortions.

The report also highlights a 2022 executive order addressing what leftists dubbed conversion therapy, which was used to discourage and restrict counseling aligned with traditional Christian beliefs about gender identity.

Correct.

It's called the EMTALA, E-M-T-A-L-A law.

And it's basically they have to take care of you in the event of emergency.

They cannot decline.

And of all the doctors, ER doctors, and we've got hundreds of them in our community, in our crowd health community.

They've all said they're like, we don't even know.

The hospital doesn't even tell us because the penalties for EMTALA breaking that EMTALA law are legit, like huge penalties.

So they don't even let the ER doctors know if you have insurance or don't have insurance.

So as a result, a lot of the STEMI patients do go into the local ER and are then transferred, kind of adding an extra step.

However, this program has a very streamlined process for the local ER to arrange transport and then get EMTALA started.

So what can happen in this case and what did happen on this call, and this is how this program is supposed to work, the EMTs will transmit the EKG, the receiving hospital will get the EKG, and then they will activate FLIGHT, Prior to the patient getting there.

And so flight comes and lands and then, you know, they often shut down.

Oh, but, you know, like, it's not oftentimes, and I know this is a, you know, this is one of those where it can get gray.

But, like, a helicopter lands at the hospital, and then the crew just bypasses, and that's totally fine.

It's not an EMTALA violation to, you know, not go into the ER.

Yeah.

And that means we're going to see them when they're sicker.

which also means under EMTALA, which many people don't understand.

EMTALA is a federal rule, as you well know, that requires us as hospitals to see people when they come in for emergency care.

So we can't turn them away whether they have insurance or not.

And with our missions, we don't want to.

In this rapid review sheet, I basically, you know, provide 80 high yield items.

You know, I talk about things like informed consent, capacity, surrogates, advanced directives, confidentiality, right? When you're allowed to break confidentiality, minors, disclosing errors, QI, patient safety, EMTALA, Medicare, Medicaid, many more things, right? And again, it's organized to follow the social sciences section of the USMLE content outline.

See, again, I'm a person that teaches to these exams, right? I follow the USMLE content outline in these rapid review sheets, right? So again, these are the questions where one rule will basically decide the answer, right? This sheet is gonna put every one of those rules in one place so that you can lock them in your brain right before testing, right? And then class number four is the three hour last minute review.

This is just for step two and step three or level two and three, right? Now, is your exam coming up fast? Is your exam coming up soon? Well, you will love this class, right? It's a rapid high yield pass over the key topics tested on step two, CK and step three, right? It's built for people very close to testing, right? And also I've noticed that this class for some people actually, it's also a great introduction to How does the USMLE like to phrase questions, right? You know, just again, and I try to make sure that I really pattern this class based on how material has been showing up on recent testing administrations, right? It's a short class, it's a dense class, but it pairs well with anything else on this list that I'm talking about right now, right? And again, as I said, this class you can take it very close to your exams or honestly you can even take it at the beginning of your dedicated period because it will teach you a method of thinking that can be very very helpful as you go through your dedicated period all right now class number five is the 20 hour step two ck step three course The 20-hour Step 2 CK Step 3 course, right? This also, again, applies to Level 2 and Level 3, right? So basically, how does this class work? Five evenings, you know, with some exceptions, but overall, it still adds up to 20 hours, right? We cover internal medicine, surgery, OB-GYN, neuro, psych, PEDS, multisystems, processes, and disorders, right? We cover all these things, tie all these things together.

You are now into an assessment, in my opinion.

Yeah, so this is kind of comparing apples to oranges, but we had an EMTALA issue.

Nothing that our agency did before my chief has a cow, but there was an EMTALA question that came up with the transport to one of the hospitals.

And I looked up the EMTALA law, and it says that these patients require an assessment by a provider.

All it says is assessment.

It does not define what an assessment is.