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William F. Byrne v. Chester County Hospital

September 18, 2012


The opinion of the court was delivered by: Gene E.K. Pratter, J.


William F. Byrne, a pro se litigant, has sued Chester County Hospital (the "Hospital") due to his treatment in the Hospital's emergency room on February 15, 2007. The Court partially granted the Hospital's Motion to Dismiss and granted Defendant Cleveland Clinic's Motion for Summary Judgment, leaving Mr. Byrne with one surviving claim, based on the theory that the Hospital failed to provide him with the appropriate medical screening required by the Emergency Medical Treatment and Active Labor Act ("EMTALA"). The Hospital now moves for summary judgment against this claim. For the reasons that follow, the Court grants the motion.


Mr. Byrne alleges that he entered the emergency room of the Hospital on February 15, 2007. Upon arriving, he told emergency room personnel that he was experiencing chest pain. Mr. Byrne alleges that those personnel began treating him within 20 minutes of his arrival, but he claims that he suffered heart damage and mental duress because subsequent aspects of his treatment were delayed.

In moving for summary judgment, the Hospital offers evidence that it had two policies in February 2007 that pertained to screening emergency room patients with chest pains. The first policy, entitled "Emergency Department -- Standard of Care Manual -- Triage Section," directed Hospital personnel to begin treating a patient with chest pains by undertaking an assessment. The assessment entailed giving a patient a physical examination, questioning the patient about her symptoms, screening her for domestic violence, and creating a record that detailed her risk factors. Following the assessment, personnel were to obtain a pulse oximetry reading, immediately triage patients with suspected cardiac symptoms to a treatment area, and alert other staff of the patient's need for immediate treatment.

The Hospital's second policy, entitled "Emergency Department -- Intervention Guideline," directed personnel to ask patients about the nature, severity, and location of their chest pain, as well as their associated symptoms, what made their pain better or worse, and their prior medical history. Based on the answers to those questions, personnel could give patients aspirin, an EKG, an oxygen saturation check and two liters of oxygen, a cardiac work-up, and a chest x-ray.

The Hospital has provided evidence that it followed both of its policies in screening Mr. Byrne. In regards to the first policy, the evidence shows that Mr. Byrne entered the emergency room at 5:47 p.m., and that he received a physical examination from triage nurse Linda Shepard at 5:55 p.m. Nurse Shepard asked Mr. Byrne about the onset of his pain, the severity of his pain, symptoms related to his pain, whether he had attempted self-treatment, and whether he experienced domestic violence. She also created a record that detailed Mr. Byrne's risk factors, including his blood pressure, tobacco use, and personal and family medical history. Finally, Nurse Shepard obtained a pulse oximetry reading, documented that Mr. Byrne took aspirin prior to arriving at the Hospital, and classified Mr. Byrne as a Triage Level III patient.

Nurse Shepard also asked Mr. Byrne the questions required by the Hospital's second policy for chest-pain screening.*fn1 She then ordered an EKG, which was completed by an emergency room technician at 6:27 p.m but was non-diagnositc. Mr. Byrne also had his blood drawn for a cardiac work-up at 6:40 p.m. and underwent chest x-rays at 6:43 p.m. At 7:50 p.m., an analysis of Mr. Byrne's blood indicated that he had potentially undergone a cardiac event, and Dr. Beverly Mikuriya immediately evaluated him.*fn2

Finally, the Hospital supports its motion through the sworn affidavit of Dr. Richard Donze, its Senior Vice President. The affidavit states that Mr. Byrne received the same basic screening as the other patients who came to the emergency room on February 15 and complained of chest pain. Moreover, according to the affidavit, Mr. Byrne received similar treatment in comparison to the 136 emergency room patients who complained of chest pain between January 15, 2007, and February 15, 2007.

Although he has submitted a brief and a supplemental brief in opposition to the Hospital's motion for summary judgment, Mr. Byrne has contested very few of the facts set forth above. His supplemental brief does claim that his blood tests revealed a potential heart problem at 6:40 p.m. and that his EKG showed that he was experiencing a heart attack.*fn3 Additionally, Mr. Byrne makes the (unsupported) assertion that the records of the 136 patients reveal that they were treated differently than he was.


A court shall grant a motion for summary judgment "if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law."Fed. R. Civ. P. 56(a). An issue is "genuine" if there is a sufficient evidentiary basis on which a reasonable jury could return a verdict for the non-moving party. Kaucher v. Cnty. of Bucks, 455 F.3d 418, 423 (3d Cir. 2006) (citing Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986)). A factual dispute is "material" if it might affect the outcome of the case under governing law. Id. (citing Anderson, 477 U.S. at 248). Under Rule 56, the Court must view the evidence presented in the light most favorable to the non-moving party. See Anderson, 477 U.S. at 255. However, "[u]nsupported assertions, conclusory allegations, or mere suspicions are insufficient to overcome a motion for summary judgment." Betts v. New Castle Youth Dev. Ctr., 621 F.3d 249, 252 (3d Cir. 2010).

The movant bears the initial responsibility for informing the court of the basis for its motion for summary judgment and identifying those portions of the record that it believes demonstrate the absence of a genuine issue of material fact. Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). Where the non-moving party bears the burden of proof on a particular issue, the moving party's initial burden can be met simply by "pointing out to the district court that there is an absence of evidence to support the non-moving party's case." Id. at 325. After the moving party has met its initial burden, the non-moving party must set forth specific facts showing that there is a genuinely disputed factual issue for trial by "citing to particular parts of materials in the record, including depositions, documents, electronically stored information, affidavits or declarations, stipulations . . . , admissions, interrogatory answers, or other materials" or by "showing that the materials cited do not establish the absence or presence of a genuine dispute." Fed. R. Civ. P. 56(c). Summary judgment is appropriate if the non-moving party fails to rebut by making a factual showing "sufficient to establish the existence of an element essential to that party's case, and on which that party will bear the burden of proof at trial." Celotex, 477 U.S. at 322.

In this case, the Court recognizes the challenges presented to a pro se litigant and notes that Mr. Byrne's pro se submissions are "liberally construed." Estelle v. Gamble, 429 U.S. 97, 106 (1976). Due to an "understandable difference in legal sophistication," pro se litigants such as Mr. Byrne are held to a "less exacting standard" than trained counsel. Lopez v. Brown, No. 04-6267, 2005 WL 2972843, at * 2 (D.N.J. Nov. 4, 2005) (citing Haines v. Kerner, 404 U.S. 519, 520 (1972)). Accordingly, the Court gives pro se litigants like Mr. Byrne ...

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