Lead Opinion
Opinion by
Thе widow of Prank Baur, a steel company employee who died of a coronary occlusion suffered Avhile in the course of his employment, Avas denied compensation by the Workmen’s Compensation Board on the ground that the deceased suffered no accident. The County Court of Allegheny County reversed the board and granted compensation, and the insurance carrier appealed to this Court.
The only question is Avhether the board was guilty of a capricious disregard of competent eAddence in finding that there was no accident.
When Baur arrived at the dispensary it was 4:15 P. M., and a male registered nurse was on duty. According to the evidence presented by the claimant, Baur walked into the first aid room “complaining of diarrhea and vomiting and pains in his stomach and chest pains when on deep breathing and also chills.” He told the nurse he had been under a doctor’s care for a virus condition, and the nurse suggested that maybe he still had a virus and that he should see his family doctor who had been treating him. The nurse had him lie on a cot, and about an hour and a half later gave him a teaspoonful of citrus carbonate. While Baur was at the dispensary, he had two bowel movements and he vomited. The nurse checked his pulse several times. Although, according to the nurse, “he got over his initial shock,” he, nevertheless, remained ill, and the nurse called a taxi to take him home. The nurse called Baur’s wife and told her he was sending her husband home in a taxi, and that she should get a doctor and have him waiting at the house. A fellow employe brought Baur’s street clothes to the dispensаry, and after he had changed from his working clothes, Baur walked with his fellow employe to the cab. It was then approximately 6:10 o’clock. While taking Baur home, the cab driver noticed his passenger was unconscious, so he drove directly to a hospital where Baur was pronounced
Baur’s widow filed this claim for-workmen’s compensation, and also brought a suit against the employer in trespass. A demurrer to the trespass action was sustained by the-Court of Commоn Pleas of Allegheny County, and affirmed by the Supreme Court. Baur v. Mesta Machine Company,
The Workmen’s Compensation Act of June 21, 1939, P. L. 520, §301 (a), 77 P.S. §431, provides that “. . . compensation for personal injury to, or for the death of [an] employe, by an accident in the course of his employment, shall be paid in all cases by the employer, without regard to negligence, . . .” (Emphasis supplied.) The Act further provides in §301 (c), as amended, 77 P.S. §411: “The terms ‘injury’ and ‘personal injury,’ as used in this act, shall be construed to mean only violence to the physical structure of the body, and such disease or infection as naturally result therefrom
The board here found there was no accident. Disability overtaking an employe at work is not compensable unless it is the result of an . accident, and the accident cannot be inferred merely from the injury or death. Good v. Pa. Dept. of Property & Supplies,
A heart attack is an injury, but it is not an accident, although it may be the result of an accident either by a direct or an indirect trauma or by an unusual exertion. Bonaduce v. Transcontinental Gas Pipe Line
It is frequently said that “accident” is used in the Workmen’s Compensation Act “in its usual, ordinary, popular sense,” Lacey v. Washburn & Williams Co.,
The claimant originally pressed her trespass action, contending that nothing happened here that could be called an accident. The employer, she contended, was negligent in failing to call a physician and in failing to properly treat her husband when he became ill, and that this negligence brought about his death, and that the employer was, therefore, liable to her in trespass. The widow relied upon the alleged negligence of the employer to establish his liability to her. By pressing her trespass action, she took the position that “negligence” could not be equated with “accident,’’ .nor could that which allegedly did not happen (to wit, the providing of proper medical care) be held to be an accident. She took the position that an accident is something that happens, — an event — not something that does not happen. The Supreme Court rejected her argument
The Court there said, “Here death was directly attributable to the neglect of the attendant in not providing proper
According to our understanding of the opinion, the Court decided that when an employer provides a first aid room or a dispensary and administers to ill employes, he has a duty to provide proper or adequate medical care to them, and that if the emplоye suffers an injury or death directly due to the neglect of the employer to provide such care, there has been an accident, which, if in the course of his employment, entitles a claimant to a workmen’s compensation award.
The claimant has the burden of establishing that the decedent’s death was due to an accident, and not to natural causes. Rosso v. Aetna Steel Products Corp., supra,
We believe that it was not the intention of the Supreme Court to make the employer an insurer of the health of its employes while in the course of their employment. The Workmen’s Compensation Act was passed to compensate employes for disability caused by accidents, but as has been frequently said, it is not insurance against disability because of illness or death
To make tlie defendant liable under any theory, there must be something more than the fact that its employe’s illness was not cured or that the employe’s death from a coronary occlusion, a natural cause, was not prevented by some possible direct action of the employer. As the Supreme Court clearly indicated, the claimant must show that there was “neglect to provide proper care.” What constitutes proper care and under what circumstances the employer is guilty of neglect to provide it, cannot be decided on the basis of the ultimate effect of the coronary occlusion. Death occurring in the normal course of the decedent’s work does not raise even an inference of an accident. Landis v. General Motors Corp., supra,
There must be some test by which “neglect in not providing proper care” can be measured or determined. We can conceive of only one reasonable test which can be applied. Proper care must be the care which an employer should be expected to provide under all the circumstances, or “what a reasonable, prudent registered nurse would have done under the circumstances,” to borrow a statement from the claimant’s brief.
The claimant argues that she is not attempting to convict anyone of negligence, and that the failure to provide medical care in and of itself constitutes an accident. Of course, workmen’s compensation is not based upon negligence, but on the other hand some fact finding body must determine what constitutes “neglect” to provide “proper” medical care.
Not every failure on the part of the employer to furnish medical care to a sick employe is an accident. It is not the failure to provide care that has been held to constitute an accident, but the neglect to provide proper care. In each case it must be decided what care is proper, and what constitutes neglect on the part of employer to provide it. If it is found that the employer had a duty to provide proper care, and neglected to provide it, and the death was due to the neglect of the employer to provide such care, then there wаs an “accident.”
The court does not find the facts. The legislature gave that responsibility to the board. The question before the court below and this Court in a case like this one was first carefully stated by the late President Judge Keller in Walsh v. Penn Anthracite Mining Co.,
This has been followed in numerous cases. Seisek v. Blaw-Knox Co.,
The test here is not whether there was competent evidence to sustain a finding that there was an accident, but whether there was a capricious disregard of the evidence in the refusal to find that there was an accident. Allen v. Patterson-Emerson-Comstock, Inc., supra,
The appellee contends that the board capriciously disregarded the uncontradicted testimony of the claimant in finding that there was no accident in this case. It is necessary to review the evidence in some detail in order to pass upon this contention. The defendant and its insurance carrier offered no evidence, so the cаse must be determined on the claimant’s evidence. We have set forth in the beginning of this opinion, the facts which the evidence establishes. There can be no doubt that the employer provided a dispensary or a first aid station where a registered nurse was provided to assist and render first aid not only to injured em
Before an employer is under any duty to the employe to provide proper or adequate medical care, he must agree to provide medical care. Baur v. Mesta Machine Co., supra,
The claimant called Wendell B. Gordon, M.D., a specialist in internal medicine and in cardiology and the then president of the Pennsylvania Heart Association.. He never treated or saw the deceased and was
As stated in Walsh v. Penn Anthracite Mining Co., supra,
In evaluating Dr. Gordon’s testimony, all of it must be considered, and when this is done, the testimony quoted above loses much of its force. Dr. Gordon was, of course, viewing the assumed facts as a heart specialist with knowledge of the death and with the diagnosis after death of a coronary occlusion. He frankly admitted, “hindsight is easy, isn’t it?” Throughout his testimony it is clear that his opinions and conclusions were strongly influenced, if not controlled, by that hindsight. “It wasn’t proper to ask a nurse ... to make a diagnosis and prescribe treatment as sick as he must have been.” “He should have had a doctor as sick as he must have been.” . . . “the nurse should have
Tbe force of Doctor Gordon’s testimony is further weakened because it was based upon two false assumptions. Throughout bis testimony be assumed that Baur bad pains in bis arms. In at least four questions put to tbe doctor, reference was made to the pain in Baur’s arms, and in at least four answers to other questions, tbe doctor made reference to tbe pain in Baur’s arms. Tbe evidence was that Baur never said anything about pain in bis arms.
Dr. Gordon did not know a single fact about this case except what be bad been told. He was merely giving bis oрinion on what be thought tbe nurse should
The conduct of the nurse must be judged not by hindsight, but in the light of the facts as they appeared while Baur was in the first aid room. According to the evidence, this was the 123rd time Baur appeared at the first aid room during the nine years he was employed by the defendant. It was at least the 12th time he was there complaining of a stomach ailment, indigestion or pain in the abdomen. It was the third time he was there with pain in his chest. He had been there at least six times for a headache. He had not collapsed at work on thе day he died. He walked into the first aid room. He told of- having been ill of a virus; He complained of diarrhea, vomiting, chills, and pains in his stomach and chest. He did not complain of pain in his arms. Diarrhea is not a symptom of heart trouble, but pain in the arms is. Taken as a whole the symptoms were more indicative of a return of his previous illness than of a heart attack. His condition did
The unanimous opinion of the board was written by its chairman, John L. Dorris, M.D. After relating certain facts and referring to Baur v. Mesta Machine Co., supra,
The board found, therefore, that under the circumstances the nurse did not neglect to provide proper
The burden rested upon the claimant to convince the board that the death was the result of an accident and not from natural causes or from the normal progress of a pre-existing ailment. Mancuso v. Mancuso,
As the power to find facts was given by the legislature to the board and not to the courts, the court below had no authority to substitute its finding of neglect to provide proper care and of a causal connection between the care and the death, for the findings of the board.
Judgment reversed.
Notes
Counsel for claimant is understandably annoyed that the defendant argued in the .trespass case that there had been an accident, and is now contending that there was no accident. It must be understood, however, that the argument in the trespass case was made on the basis of the allegations of the plaintiff. The contention here is made on the basis of the evidence in the workmen’s compensation case. Whether there was negligence and whether it was the proximate cause of the death would have been а question which would have been open to determination by a jury, even if the widow had been successful in overruling the demurrer in the trespass action.
The Pennsylvania Self Insurers’ Association has indicated a concern over the lower court’s application of the Supreme Court’s opinion to this case. After receiving this Court’s permission, the association filed a brief in this ease as amicus curiae.
Both it and the appellant have suggested that to subject an employer, who makes an effort to administer to his ill employеs, liable for compensation for disability resulting from inadequate care, while those offering no assistance to their ill employes have no liability, discourages employers from maintaining first aid stations. The association argues that the ruling punishes those who demonstrate a concern over employes who become ill in the course of their employment, and rewards those who refuse care to ill employes. As we are bound by the holding of the Supreme Court in the trespass action, we believe the argument on public policy is not properly directed to this Court.
We recognize the additional liability for compensation placed upon the employer who gratuitously assists his ill employes, but in trespass law we find a somewhat similar liability upon one who volunteers to assist an ill or injured stranger whom he finds by the roadside. Whether the law should operate to punish rather than praise the Good Samaritan is a question we shall not discuss in this case.
The Georgia Court of Appeals said in Bartram v. City of Atlanta,
See article of Hon. John M. McLaughlin, LL.D. of Erie in Vol. 21 of University of Pittsburgh Law Review 445 at page 482 et seq.
The opinion elsewhere contains a reference to “providing adequate medical care.”
This is quoted from her brief on what she says she proved the employer’s agent failed to do.
The registered nurse testified that he had no recollection of the deceased referring to pain in his arms. Another of the claimant’s witnesses to whom Baur had related his symptoms testified that the deceased had not mentioned anything with respect tо pain in his arms. We can find no indication in the record that the deceased mentioned pain in his arms to any person. It is interesting that the doctor, counsel for claimant, and even the board made reference to the deceased’s pain in his arms. The Supreme Court relying upon an allegation of the plaintiff, properly assumed that the deecased had told the nurse that he had pain in his arms.
The claimant tried but could not get a doctor. Had the taxi cab driver taken the deceased home he would not have received any jngdieíü treatment there even if he had been alive.
Concurrence Opinion
Concurring Opinion by
I concur in the result. Notwithstanding the decision in Baur v. Mesta Machine Co.,
