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Bloom v. DuBois Regional Medical Center
597 A.2d 671
Pa. Super. Ct.
1991
Check Treatment

*3 SOLE, HUDOCK, Before DEL BECK and JJ. *4 BECK, Judge.

This appeal granting preliminary is an from an order and objections dismissing some but not all a multi-count The complaint. appeal challeng- substantive issues on raise ing questions regarding sufficiency plaintiffs-appel- the lants’ The first issue is suffi- pleading. appellants whether ciently pled negligence so as to fall gross excep- within tion to immunity provided defendants-appellees by Act, 50, Mental Health Procedures tit. Pa.Stat.Ann. The second issue is whether 7114(a) (Purdon Supp.1990). § is distress negligent infliction emotional a claim that he allege not plaintiff where the does sufficiently pled defendants, consisted of the which negligence witnessed act, he allege does witnessed failure to but negligence. of defendants’ results injurious however, must questions, we addressing Prior to these appealed order to what extent the first examine whether or dismissed Since the order appealable. from is final of the entire complaint dispose of the and did part order. must determine case, not a classic final We it is final to be considered whether the order nevertheless appealable.1 of the and somewhat presentation with a facts begin

We of this case. On October confusing procedural history admit- voluntarily Bloom appellant Cindy was Medical Regional of DuBois psychiatric unit ted to the Bloom’s next Mrs. (the “Hospital”). evening, The Center found her to visit his He (co-appellant) came wife. husband shoestrings neck a bathroom from behind hanging by suicide her evident room an adjacent hospital door On attempt Mrs. Bloom’s failed. attempt. Fortunately, 21,* 1988, instituted suit she and her husband October Hospital, are the Robert DiGilar- appellees, who unit, and Dr. mo, manager Hospital’s psychiatric employed by Hospital. Fugate, psychiatrist James they Bloom to recover for sought injuries Mr. and Mrs. of this incident. sustained as a result allegedly six All were complaint contained counts. original that Mrs. had informed premised allegation Bloom upon admission and defendants of her mental disorder her that de- alleged treatment. The also requested duty they Mrs. Bloom a care which had fendants owed count, alleged Mrs. Bloom that Dr. the first breached. wanton, reckless, and careless in Fugate had been jurisdiction question implicates it sponte 1. this since our We raise sua Burkhart, Pa.Super. appeal. See Motheral over (en (1990) banc). A.2d 1180 *5 his examination and treatment of Mrs. Bloom by failing test, diagnose to and her. In the adequately supervise count, second Mrs. Bloom made the same substantially allegations against Hospital, alleged and also that the Hospital had failed to train and its properly supervise staff. count, In the third Mrs. Bloom asserted Mr. DiGilarmo provide adequate supervision, procedures had failed to and five, at the In staffing Hospital. counts four and Mr. Bloom alone He plaintiff. sought recovery was damages for the emotional distress he suffered as a result his witnessing hanging by wife the neck and for medical he expenses expended time for treatment of his wife as six, a result incident. count both plaintiffs joined in a claim for Mr. Bloom’s loss of consortium.

All three defendants filed answers with new matter in they immunity provided which asserted to them by 7114(a) Act, Section of the Mental Health Procedures Pa. 7114(a) (Purdon tit. Stat.Ann. Supp.1990). Section § 7114(a) provides:

In the gross absence willful misconduct or negli- gence, administrator, a county a director of a facility, officer or physician, peace any person partici- other who pates person a decision that a examined be or treated act, under this or that a be or person discharged, placed under partial hospitalization, outpatient care or leave of absence, or that the upon person restraint such other- reduced, or a county wise administrator or other autho- rized an person application who denies for voluntary treatment or for involuntary emergency examination and treatment, shall not be civilly criminally liable for such decision or for of its any consequences.

Id.2 immunity defendants’ assertion of rested on the

alleged plaintiffs plead gross failure of either the negli- interpreted apply equally hospital 2. This section has been type individual defendants and to treatment decisions of the at issue Farago Hospital, in this case. v. Sacred Heart General 522 Pa. A.2d 300 7114(a). Section required by misconduct or willful gence appellant in new matter pleaded defendants also All *6 infliction negligent state a claim had failed to Mr. Bloom plead- Bloom’s alleged that Mr. They emotional distress. allege failed to in that he had deficient of this tort was ing i.e., event, act or negligent that he had witnessed care for Mrs. to adequately of the defendants failure of that viewed the “aftermath” Bloom, rather had but negligence. answers, plaintiffs defendants’ response

Apparently complaint their to add new to amend sought leave of court defendants. The the conduct of the regarding allegations amend, but limited the permission to granted trial court following in the memorandum: the amendments extent of plead have original complaint [appellants] In the [sic] wanton, acts on behalf “reckless, and careless” negligent complaint amended prepared of Defendants gross negli- conduct as to characterize said they wish they properly is satisfied that have This Court gence. “reckless, wanton, and careless” acts and plead to gross this rises the issue no doubt become whether will not, is satisfied that If it does this Court negligence. cause of action to change cannot now their Plaintiffs complaint If satis- original gross negligence. include amendment is negligence, then an pleads gross factorily will, however, Plaintiffs permit This Court unnecessary. the amend- will restrict complaint, to file an amended but of the Defendants negligence complaint defining ed wanton, careless.” “reckless, negligent and as original that if the com- Thus, court determined the trial the com- gross negligence, sufficiently plead not plaint did the necessary to add supplemented could not be plaint statute of limitations because the allegations, presumably Al- already expired. claims had negligence appellants’ of this precedent support cited no though the court finding that to add decision, in essence to be appears it con- complaint already allegations gross negligence would constitute allegations simple negligence taining pleading of a cause of action new which is permissi- ble after the limitations period See Junk passed. East End Fire Department, Pa.Super. 473, 396 A.2d (1978).3

Appellants filed an complaint amended in which they supplemented original allegations of wrongdoing by appellees. amended alleged that Dr. Fugate and the Hospital “special” had a duty care toward Mrs. Bloom upon and that her admission she showed indications psychiatric “severe and psychological disturbances, ... depression and paranoia” which created an “unreasonably high probability self-destructive actions on her part.” The amended complaint alleged also in several para- new graphs that the defendants all knew had reason to know their in dealing actions with Mrs. Bloom created an *7 unreasonably high probability of self-destructive harm for Mrs. Bloom and that all defendants acted in conscious disregard of this substantial risk. Finally, the amended complaint contained specific additional allegations of wrong- alia, doing defendants, including, inter by that the defen- dants had failed to obtain adequate information concerning Mrs. Bloom’s suicidal possibly condition on admission and had failed to properly medicate and clinically treat her.

All defendants immediately filed preliminary object Fugate ions.4 Dr. demurred to all counts in which he was defendant, i.e., I, a named IV, counts V and VI. He argued that to the extent the complaint amended plead continued to permissible 3. We do not decide plaintiffs whether it would be to complaint plead amend gross negligence their after the statute of passed limitations had since that is not the issue before us. Neither party appealed the trial court's decision to allow a limited amend- Rather, ment. original our entire focus complaint is on whether the sufficiently pled gross negligence so as to immunity avoid defendants' defense. Immunity from suit is an 4. pleaded affirmative defense which must be Matter, 1030; preliminary objections. in New not in See Pa.R.C.P. Criste, 631, Kyle v. (1985). McNamara & 506 Pa. 487 A.2d 814 How- ever, by where the preliminary objections defense is raised and this to, procedure objected question immunity not may from suit Commonwealth, be decided. Freach v. 471 Pa. 565 n. 370 A.2d 1166 n. 6 it immune, to the extent and that he was negligence, simple cause a new negligence, this was gross attempted plead He also limitations. the statute of by of action barred claim on distress Mr. Bloom’s emotional sought dismissal Bloom had that Mr. plead failed to that it ground Bloom failed that Mr. act itself and the tortious witnessed as a result injury physical he had suffered plead Mr. DiGilarmo and Hospital distress. his emotional of a motion in the nature objections preliminary filed both portions those largely to strike sought They to strike. amendment, in the added that had been complaint in conscious dis- conduct alleging portions those namely, these risk, ground on the substantial regard in the amended included could averments permitting court’s order of the trial the terms under of limitations. the statute beyond and were amendment Dr. from, granted the trial appealed In the order and Mr. DiGilarmo’s Hospital demurrer and Fugate’s I, IV, and their strike, V VI dismissed Counts motion to III II and of Counts portions struck the entirety, alone) that had been and DiGilarmo Hospital (against is that of this order The result the amendment. by added from the case as dismissed completely has been Fugate Dr. Moreover, Mr. Bloom has plaintiffs. both to all claims (includ- claims of his individual the dismissal of all suffered distress, and medi- consortium for emotional ing his claims DiGilarmo. Mrs. Hospital expenses) cal *8 dismissal of all hand, suffered the Bloom, on the other only portion Dr. against Fugate but of her claims DiGilarmo, namely, and Mr. Hospital against her claims All the complaint. amended added by those that were in the these defendants against asserted that she claims complaint remain. original appealability backdrop, analyze we

Against this Bloom, the order on As to Mr. order. of the trial court’s Mr. All counts which the entire case. disposed of appeal and he dismissed have been as a joined Bloom was is out of Thus, court as to all defendants. the order is a classic final and appealable order as to Mr. Bloom. Bloom,

As to Mrs. the answer is not as clear. Mrs. Bloom has put been out of court as to all of her claims against Dr. Fugate. Since an order dismissing a defendant is clearly final and appealable, Mrs. Bloom has a present right appeal aspect of the order. See Motheral v. Burkhart, 408, 400 Pa.Super. (1990) (en 583 A.2d 1180 banc) and However, cases cited therein. Mrs. Bloom is still in court as to her original claims against the Hospital and Mr. DiGilarmo. She is out of only to the extent that she has alleged the amended complaint that these defen- dants knew or should have known of a substantial risk of harm and acted conscious disregard of that risk. Our inquiry is whether the dismissal of these claims was a final appealable order.

This inquiry unfortunately leads us back to that troubling line of beginning cases Stocker, with Praisner v. 313 Pa.Su per. (1983) (en A.2d 1255 banc), in which we have struggled to define an analysis which will enable us to determine whether an order dismissing some but not all of a plaintiffs claims against a particular defendant should be considered final. Praisner itself determined that such an order is final if it dismissed a separate cause of action. However, this premise basic has been somewhat modified in a very recent quartet of cases decided an en by banc panel of this court. See Jenkins v. Hospital the Medical College Pennsylvania, 401 Pa.Super. 585 A.2d 1091 (1991); Burkhart, Motheral v. 400 Pa.Super. 408, 583 A.2d (1990); Trackers Raceway, Inc. v. Comstock Agency, Inc., 400 Pa.Super. (1990); A.2d 1193 Garofolo Shah, 400 Pa.Super. 456, 583 A.2d 1205

The fullest exposition of the finality issue is con tained in the Motheral opinion. There, the court opined that the pivotal consideration in determining finality is “... whether the plaintiff aggrieved it has, for [the order] purposes particular action, put been ‘out of court’ on all theories of recovery asserted given defendant *9 Motheral, 412, 583 A.2d at Pa.Super. given for a loss.” Church, 516 Pa. Baptist (quoting Sweener First at 1184 The Motheral court (1987)). 539, 533 A.2d Praisner had between drawn reiterated the distinction also final, action, is of which separate of a cause the dismissal relief, of which is of alternate theory and the dismissal an situation, has been plaintiff former Id. not. or harm given for a loss to recover any opportunity denied has in been suffered, he whereas the latter has for that legal theory support recovery of denied one of of this standard to dismissal Id. loss. Application and Mr. Hospital Mrs. Bloom’s claims some of of the order is not final portion that this DiGilarmo reveals claims The dismissed Mrs. Bloom’s order appealable. of a disregard in conscious these defendants acted that The dismissed certain risk of harm. order also substantial which had been allegations wrongdoing of specific that complaint. allegations added the amended defendants to included the failure these were stricken insofar specifically mental diagnose problem, Mrs. Bloom’s suicidal, and the failure of these allegedly as she was in a manner. clinically appropriate defendants to treat her to allow Mrs. Bloom to The refusal of trial court defendants acted con- theory on the these proceed risk and on her more disregard scious a substantial put did not Mrs. specific allegations wrongdoing certainly given for a recovery Bloom on all theories of out original in court on her definitely loss. still most She arise wrongdoing, all of which out allegations deficiencies in the allege general the same same facts and provid- Hospital in which defendants and DiGilarmo manner Moreover, sought Bloom. she ed medical care Mrs. original loss in both the for but one and the same recover and she is still in complaint and the amended her recover for loss. At the attempt very court on most, recovery of her theories of been excised. one appealable This a final and order alone does result *10 way litigation put that has in ended the or Mrs. Bloom any out of court as to these defendants.5

Thus, jurisdiction appeal we conclude that our over this is limited to a of the of the trial following aspects review court’s order: of Dr. all of Fugate

1. the dismissal from counts the and complaint; claims,

2. the dismissal of Mr. Bloom’s in- specifically his claim for cluding infliction of emotional distress. begin against with the dismissal of all counts pleaded

We Fugate. reasoning Dr. trial court’s of support First, dismissal of these claims parts. was three original court found that the facts complaint pleaded that rise only give finding simple negligence could to a of and give did not rise to a claim Dr. Fugate that was of guilty Second, gross negligence. the court found that appellants could not file an amended complaint allegations that added that would sufficiently plead gross negligence because the addition of such allegations pleading would constitute the of “a new of theory recovery” past statute limitations. Finally, Fugate the court found that Dr. was immune from simple negligence 7114(a) suit for under Section of the Act, Mental Health Procedures quoted above. disagree

Since we with the first conclusion reached court, the trial by we must reverse its dismissal of Dr. recognize opinion support 5. We that the trial court of the order on appeal Hospital does state that the and Mr. DiGilarmo are immune ordinary negligence original complaint from suit for and that the alleged only ordinary negligence. recognize them We also allegations that when the trial court struck the complaint in the amended amendment, by restoring which had been added thus state, complaint original effectively to its it left Mrs. Bloom allegations immunity with which the court found to be within the Nevertheless, provided appeal to these defendants. the order on did immunity grounds. presume not dismiss these claims on We preliminary objections court did not do so because the filed these defendants, deciding, request which the court was then did not complaint immunity grounds. the Fugate, dismiss Unlike Dr. requested only portions these defendants that the amended gave be struck and is all the trial court them. appellants court found and as Clearly, as the trial Fugate. 7114(a) Fugate Dr. immune concede, would render Section of his treat- arising out simple negligence a suit for from However, supra. See note ment of Mrs. Bloom. can be determined as immunity issue not a case where the Even complaint. with- from the face matter law propriety amend- consideration of the content out original complaint, sufficient- find that the complaint, we ed could, upon development further pleaded acts that ly evidence, aby jury be found production facts gross negligence.6 constitute upon defining the depends of this issue

Resolution gross negli negligence ordinary difference between *11 the difference between these We must ascertain gence. so can doing because without we culpability two levels of appellants’ in determine whether the facts possibly not latter, high the complaint alleging presumably succeeded er, level.7 no provides

The Mental Health Procedures Act itself the fact phrase “gross negligence,” despite definition of the 7114(a) may meaning phrase that under Section this defendant is immune be determinative whether a well precedent no constru- expressly from suit. We have located Act, any nor have we found ing phrase as used definition of the generally applicable statutory other 7114(a) immunity provides exception Section an where 6. also guilty This has been defined defendants are of "willful misconduct.” bring immunity purposes whereby for as "conduct the actor desired to aware it about the result that followed or at least was that was certain follow, Breach, King implied." that desire be v. 115 so such can 355, 366-67, 976, (1988). In Pa.Commw. 540 A.2d the instant case, appellants appellees’ do conduct willful. not contend that was Thus, appellees unless their conduct was are immune from suit grossly negligent. attempt We note court no to define difference 7. trial made Instead, concepts. focus on wheth- between these the court seemed to merely appellees' original complaint labelled conduct as er the had disagree grossly negligent. We with this form or as analysis, adequacy judged of the must since pled, conclusions law that examination of the facts accompany them. phrase. There are two cases remotely even instructive on this question. Commonwealth, 558, first case is Freach 471 Pa.

370 A.2d Freach, wrongful death and brought survival actions were Commonwealth departments, several of agencies, its officials and em- ployees, Farview including State its Hospital, superintend- ent and several doctors employed there. The complaint alleged that these defendants a Mr. Wright released from Farview, where he had been pursuant committed to the Mental 1966, Health and Mental Act Retardation Pa.Stat. Ann. tit. (Purdon 1969), 4101 et seq. his despite § extensive past. Wright violent criminal Mr. subsequently persons murdered the two whose behalf the wrongful death brought. and survival actions were The court held these allegations gross sufficed to plead negligence under the Mental Health and Mental Retardation ofAct provides which immunity persons committing acts pursuant constitute, that statute those except where acts alia, inter gross negligence incompetence. The court did not on the directly opine meaning phrase gross negligence.

Similarly, Farago v. Sacred Heart General Hospital, (1989), Pa. 562 A.2d 300 was confronted with an action in a patient hospital which at the alleged that *12 she was raped by patient another result as a of the hospi- tal’s inadequate supervision protection. The trial court and had instructed the that no could jury liability attach unless they found that the defendants had committed gross negli- gence because the defendants immune were from liability under 7114(a) Section of the Mental Health Procedures Act for all treatment decisions except those involving gross negligence or jury willful misconduct. The a returned verdict for the plaintiffs defendants. On appeal, contended hospital that the itself was not a protected person under 7114(a) that general and Section treatment decisions were protected not by 7114(a). of immunity Section There- fore, plaintiffs that alleged prove all had to they estab-

97 The Court Supreme negligence. liability ordinary lish was did not The court affirmed the trial court. disagreed and of the conclusion jury’s the rectitude opine on specifically not rise the level negligence of did acts pleaded that the the court. gross as that issue was before negligence, of provide any of the cases us with foregoing neither Since a to deter- as to how to evaluate real standards plead failing sufficiently if it mine must be dismissed for guidance turn to the common law gross negligence, we in the gross negligence as used meaning on the term statute. negligence and

Attempts distinguishing at between in distinctions that are negligence have resulted gross perhaps As vague impractical. the authors point treatise on tort law out: leading has not negligence” the idea Although “degrees advocates, by it has been condemned been without its writers, and, common most rejected ... at law most courts, impracticable “vague as a distinction [its] nature, only it adds principle,” so unfounded nebulous and difficulty already and confusion to the given jury. must to the standards uncertain which no in most that there are prevailing rule situations law; as matter “degrees” negligence, of care care, a matter of amounts of as there are different is mere- “gross” negligence perspective, fact. From this thing ordinary negligence, “with ly the same as addition,” vituperative epithet.” “of a ... Torts, Ch. 210- and Keeton on

Keeton, 34 at Prosser § (5th 1984) (footnotes omitted). ed. 11 guidance. In provide do not clear Pennsylvania Cases Assoc., & Savings v. First Federal Loan Pa.Su Henry (1983), panel A.2d 772 noted per. degree simply a different gross negligence was of a premised and both were violation negligence Id., Ct. duty plaintiff. Pa.Superior of care owed to the contrast, A.2d 774. the Commonwealth at at *13 98 gross

Court defines as negligence failure to a perform duty in disregard reckless of the consequences or such want with of care as to a justify conclusion of willfulness wanton ness. Comm., v. Civil Williams State Service 9 Pa. 437, 443, 419, 306 (1973), Commw. A.2d 422 on other aff'd 470, Pa. grds., (1974). hand, 327 A.2d 70 On the other the Supreme Court has opined gross in the negligence a context of recent case bailment as follows: "... there are no in degrees negligence Pennsylvania. There are differing care, however, have been always standards of at in least bailment cases....” Ferrick Excavating v. Co., 181, 191, Senger Trucking 506 Pa. 484 A.2d (1984). there

Although has not been universal as to agreement meaning gross term is negligence, it clear that the term does not encompass wanton or reckless behavior. As the Supreme explained: Court has understood,

It course, must be that wanton misconduct something is different negligence from gross,— however merely kind, different but in degree evincing state of different mind on the part of the tortfeasor. Negligence inadvertence, consists of inattention or where- as wantonness exists where the danger plaintiff, realized, though that, recklessly so disregarded even intent, though there be no actual there is at least a willingness inflict injury, conscious indifference to perpetration wrong. 199, 203, Kasanovich 348 Pa. 34 A.2d George, (1943); also Krivijanski Co., see v. Union Railroad Pa.Super. 515 A.2d 933 Having prior law, reviewed the case we are still guidance without clear as what legislature might have intended its use of term “gross negligence” the Mental Health Procedures Act. is the phrase Nowhere defined either the Act or in generally itself applicable definitions in our appears law. It statutory legisla ture require intended to liability premised on facts more indicating deviant egregiously conduct than ordinary carelessness, inadvertence, laxity, or indifference. We hold

99 negligence to gross the term legislature intended that the support the facts substan- negligence form of where mean a inadvertence, carelessness, laxity, ordinary more than tially must be the defendant The of or indifference. behavior of standard deviating ordinary from the grossly flagrant, care. origi- gross to negligence of this definition

Applying that conclude appellants, filed we by nal give to plead facts sufficient be construed to complaint can complaint alleged finding gross negligence. of rise to a defendants, competent out as who themselves held that the of position to one treatment psychiatric provide condi- Bloom, diagnose her mental failed completely Mrs. from her protect in a that would her manner tion and treat admis- upon It further averred that harm. physical serious Bloom’s mental of Mrs. were informed the defendants sion adequate precau- failed to take and nevertheless disorder allegations encompass safety. These to assure her tions of the defen- part on the showing conduct potential Based grossly negligent. might be considered dants that can plaintiffs it is not certain whether complaint, on the that the defendants’ that will demonstrate develop evidence gross as a enough to characterized flagrant be failure was of care. applicable standard deviation from of whether further note that determination We negligence, any to act constitutes an act or failure particu been always of all the view evidence degree, Colloi v. by jury. to determination committed larly Co., A.2d 616 481 Pa.Super. Philadelphia Electric Pa.Super. (1984); Freight Lloyd, East Texas Motor may It is an issue that A.2d 797 and decided as a by a jury from consideration removed free from entirely of law where the case only matter a reasonable jury that possibility and there is no doubt case, the trial court not Id. negligence. could find characterization prevented proper the issue of foreclosed going jury, from but the defendant’s conduct pleading stage moving past from plaintiffs-appellants Thus, their This ease. was error. the dismissal of Dr. Fugate on immunity grounds at this of the case stage must be reversed.8 now proceed

We to the last issue requiring our review. Mr. Bloom’s count of infliction emotional dis- tress was dismissed. The dismissal was based on the ground that he failed to had allege he witnessed the negligent acts defendants. only alleged Rather he acts, he i.e., witnessed the aftermath of those his wife hanging by the neck.9 The trial court concluded that this failure rendered Mr. pleading Bloom’s this cause of *15 action fatally defective. of of parameters the tort negligent infliction of

emotional distress have been difficult to define and the tort undergone has evolutionary an A development. of history the tort illustrates the difficult and multitudinous conceptu- al and policy problems poses. it

In an to attempt engender consistency, courts of this Commonwealth have drawn artificial at lines different times to demark where will liability attach and where it will not. completely 8. The also trial court dismissed Mr. Bloom’s claims for wife, money expended time and his he on medical treatment of his consortium, six, for of claim lack contained in counts five and pleaded against which had been all defendants. The court did not why state it completely, dismissed these claims Mr. Bloom as to all defendants, only striking portions while certain of Mrs. Bloom's against Hospital claims Perhaps and Mr. DiGilarmo. the court thought immunity Fugate that its on conclusion of Dr. also effectively precluded defendants, liability against remaining since they eventually too would be determined to be immune and the event, complaint entirety. any given them dismissed in its In immunity our conclusion that cannot determined as a matter of stage, law at this was for it error the trial court to dismiss Mr. Bloom’s expenses claims of for medical and loss consortium and those counts should be reinstated on remand. Appellees argue allege 9. also that Mr. Bloom failed to facts that plead are sufficient to intentional infliction of emotional distress. We attempting do not read Mr. Bloom’s as even to raise such a claim, argue appeal pled nor does he that he has such a claim. allegation Nowhere is there nor is of by appellees, an intentional misconduct required pleading outrageous there the of behavior that is (Second) central to this tort as defined in Restatement Torts § 46. Thus, we do not reach this issue. continued this Commonwealth until 1970 example, For deny- impact, of requirement physical cling to the artificial had plaintiff unless the for emotional distress recovery ing negligent as a result impacted physically also been Gotwalt, 267, 220 A.2d Knaub v. Pa. act. See 401, 261 A.2d 84 Brodsky, v. 436 Pa. (1966). Niederman line, another com- replaced by (1970), impact rule was of rule. Under this danger the zone referred as monly distress un- rule, for emotional could recover from the physical impact jeopardy he she less was would impact that such actually act and feared negligent However, an proved also soon to be Id. this rule result. lia- limitless limiting potentially means unjustifiable emotional distress suffered for imposed that could be bility directly physically those who are other than by persons act. negligent as a result of a impacted danger of the zone of nature Recognizing untenable Burd, (1979), A.2d 672 486 Pa. Sinn rule, persons group who expanded Court further Supreme “by- infliction include certain negligent may recover nor within impacted neither physically who are standers” the test danger. The court enunciated the zone in a infliction governs liability presently *16 action, a cause holding that such emotional distress following criteria: by judged action must of the near the scene (1) plaintiff Whether was located away a one who was distance accident as contrasted with it; from direct emotional

(2) the shock resulted from a Whether sensory contemporane- upon from impact plaintiff accident, as with learn- of the contrasted ous observance occurrence; from others after its of the accident ing closely (3) and the victim were related Whether or the relationship of any with an absence as contrasted relationship. a distant presence Id., Dillon 170-71, (quoting 404 A.2d at 685 486 Pa. at 72, 80, 740-41, 441 P.2d Cal.Rptr. 69 68 Cal.2d Legg, (1968)). The Sinn test we requires distinguish that between those cases where liability should be allowed and those where it focusing should not by part on whether the emotional distress results from the plaintiffs own contemporaneous opposed as to hearing observance about the event from someone else. This clearly was established in Mazzagatti v. Everingham, Pa. 516 A.2d 672 In Mazza gatti, rejected claim a mother whose daughter was struck an fatally automobile. At the time accident, the mother was approximately one mile from away scene, but when notified of the accident she immediately proceeded the scene where she viewed her fatally injured daughter. Supreme Court denied the recovery mother because it found that the driver of the automobile owed the mother no duty protect care to her against the emotional distress she suffered when she her injured daughter. Id., viewed 278-79, 512 Pa. at A.2d at 678-9. The court as reasoned follows: when plaintiff

... is a away distance from the scene of the accident and learns of the accident from others after its occurrence rather than from contemporaneous ob- servance, the sum total of policy considerations weigh against the conclusion particular plaintiff is legally protection entitled to from the harm suffered.

We believe that where the close present relative accident, at the scene of the but instead learns of the accident from a third party, thé close prior relative’s knowledge of the injury to the victim serves as a buffer full impact observing the accident scene. contrast, By the relative who contemporaneously ob- serves tortious conduct has time no span which her system____ Hence, brace his or emotional the critical element for establishing such is the liability contempora- neous observance injury the close relative. *17 Id., 279, 512 Pa. at 516 A.2d at 679.

One might well question whether there is a sufficient “buffer” inherent in from a hearing third that party

103 in one and inflicted on a loved been injury terrible the of an accident but horrible results seeing the emotional recovery for denial of justify to itself accident legitimate in Is it fact a result thereof. as distress suffered a person when distress suffered the emotional to that say immediately then a relative and injury an hears is so relative injured and sees the to the scene proceeds recovery so much less intense that much less foreseeable far have thus Although questions these be denied? should Court, by Supreme in affirmative our the been answered debate, it would open to presently therefore are not creates a Sinn/Mazzagatti standard itself that the appear non-liability. line between liability somewhat artificial Sinn/Mazzagatti standard the applying is—what case, question the we must answer precise 10 above-quoted As the have observed? plaintiff must the reveals, Sinn required the Sinn from language v. also Brooks See the “accident.” plaintiff observe Decker, 365, (1986). Panels of this 516 A.2d 1380 512 Pa. requirement as variously observance phrased court have accident,” have observed “the plaintiff requiring harm,” act,” negligent “the infliction negligent “the See, e.g., event,” and the “traumatic event.” “the 1304, Lasso, appeal 487, 555 A.2d v. Pa.Super. 382 Neff v. 636, 637, denied, Hackett (1989); 565 A.2d 445 523 Pa. 612, (1987); Airlines, 528 A.2d 971 United Pa.Super. 364 Beltz, A.2d 906 Holliday v. Pa.Super. describing what used array terminology from the myriad must has resulted have observed of action. give which rise to the cause of fact situations nature of expressing precise uniformity The lack of Lasso, Judge Kelly opinion thorough authored 10. In the Neff denied, (1989), Pa. Pa.Super. 555 A.2d 1304 allocatur 382 637, (1989), attempt refining at the observation 565 A.2d a similar There, panel that in requirement of this court concluded was made. require actual visual accident case Sinn did not a motor vehicle impact, but observation visually events the relative observed rather included cases where leading impact causing injury and then heard the actual injury. *18 i.e., the requirement, observance exactly what must be observed, has resulted from the fact that in the above- referenced cases there was no need for further refinement cases, requirement. involving those commonly an accident, automobile negligent act and the infliction of were injury substantially simultaneous. There was no divi- sion in space time or negligent between the act and the and, harmful therefore, result or infliction of injury if one observed, was the other was also. necessarily plaintiff The alleged either that she had observed both the negligent act and the occurrence of the or injury, neither, had observed all since occurred within span the same short time the same place. precise parameters of the observance requirement becomes important in the instant case only because, prior unlike the cases which dealt with an affirma- tive and negligent traumatic act by the defendant and simultaneous injury, the instant case involves failure to part act of the defendants and the injury occurred some negligent time after the act and as a direct result of intervening Mrs. Bloom’s own suicide attempt. Because of these distinctions between prior this case and cases, the conclusion we reach the instant case is not Nevertheless, dictated expressly by existing precedent. we find that the result that is most consistent with the Su- preme Court’s view this tort is to deny relief to Mr. gravamen Bloom. The of the observance requirement clearly plaintiff a negligent infliction ease must observed have the traumatic infliction of on his or injury her close relative at hands of the defendant. The Supreme has drawn Court a line between involving cases observation of a traumatic event which has an immediate on the impact plaintiff and those involving the observa- tion of a traumatic event and where there is some separate- negligence ness between the of the defendant and its ulti- impact plaintiff. mate on the The court’s intent clearly been to limit for recovery negligent infliction of emotional distress to those situations where the plaintiff suffers a direct harm of or his her own as a result of the defendant’s conduct, experienced harm has find that this been and to traumatically directly has been plaintiff where To recover conduct. defendant’s tortious by impacted traumatical- the defendant must have observed relative, with no plaintiff’s on the inflicting the harm ly soften blow. space of time buffer Court in Supreme followed consistently This court has have, for infliction. We limiting recovery so *19 experi allegedly a who recovery plaintiff to example, denied the watching progression slow emotional distress enced allegedly a close relative by suffered of a horrible disease the did plaintiff which by of the defendants because acts no single caused and contemporaneously observe which not observe. plaintiff event that the could traumatic identifiable Insulation, 324 Pa.Su Industrial v. Keene See Cathcart recovery denied Similarly, we 123, 471 A.2d 493 per. a who suffering of relative to who watched plaintiffs malpractice by acts of medical injured allegedly had been contemporaneously observe. did plaintiffs which the Beltz, case, we have supra. In each such Halliday resulting on the impact plaintiff a a traumatic found lack of from observation contemporaneously directly relative at plaintiff’s on the injury infliction of traumatic hands of the defendant. considerations, to we conclude that allow light of these parameters of go beyond here would be recovery by Supreme have established both liability that been his in the Mr. Bloom wife and this court. observed Court not, He did how- attempt. her suicide aftermath of own on his wife ever, any injury traumatic infliction observe none occurred. at the defendants because hands of here is an omission of defendants alleged negligence on Mrs. injury infliction of no direct and traumatic involved circumstances, we these find Bloom defendants. Under by a cause pleaded sufficiently Mr. Bloom has not since he of emotional distress infliction negligent action for observ- contemporaneous the element pleaded has not by defendants. injury of traumatic infliction ance add, however, hasten to We that we do not intend to recovery fashion rule that excludes plaintiffs all who allege infliction negligent based on their observance omission defendants. There are certainly an might circumstances where omission be construed as a traumatic infliction plaintiffs and, injury relative if plaintiff occurrence, observed that recovery could be Take, for example, had. the situation where a husband seeks admit his wife to an room emergency for medical care. Because of inaction by the emergency room personnel, languish the wife is left to in the outer office and expires there. Husband has viewed the entire event. The omission by emergency room personnel this scenario might create a sufficiently traumatic situation to be the basis for recovery negligent infliction.

The order of the trial court is reversed part and affirmed in part, consistent with this opinion. The counts of the complaint improperly dismissed are reinstated and the matter is remanded for further proceedings in accord- opinion. ance with this relinquished. Jurisdiction is *20 J., SOLE, DEL files and Concurring Dissenting Opinion. SOLE, DEL Judge, concurring dissenting. and I concur in the majority’s decision that Mrs. Bloom’s against Hospital claims the and Mr. DiGilarmo are not final appealable. and I however, separately, write because I is to believe it time reexamine the case law that leads us to this result.

While the has majority correctly stated the prevailing line Praisner, 332, cases from 313 Pa.Super. 1255, 459 A.2d Motheral, 408, to 400 Pa.Super. 1180, 583 A.2d concluding that the dismissal of an alternative theory of relief does not plaintiff take the out court hence and is not final and appealable, I am not satisfied with Instead, this result. I the theory favor that once a court’s jurisdiction attaches for any purpose, it then all attaches for In purposes. the case, instant the because court has to jurisdiction hear Mr.

107 Fugate, against claims Dr. Bloom’s and Mrs. Bloom’s claims hear all of have to jurisdiction the court would therefore theory to the analogous This is Mrs. Bloom’s claims. In case of appellate on an level. the pendent jurisdiction, and the will have both federal jurisdiction, pendent state Although the defendant. the state claims in federal court brought be may independently claim has diversity, of lack of the federal court discretion because if claim the pendent jurisdiction over state to exercise operative a common nucleus of two claims “derive from plaintiff “would be ex- ordinarily fact” and are such that proceeding.” judicial to them all one United pected try Gibbs, 86 S.Ct. v. U.S. Mine Workers situation, (1968). in the Similarly, instant L.Ed.2d have to hear all of Mrs. court should the discretion appellate any it hear of them. agrees Bloom’s related claims when to that an order is principle the rationale for the Generally, effectively out appellant not final until appealable litigation should avoided piecemeal of court is that efficiently. resources most Gordon order to use court’s Gordon, 293 439 A.2d How- Pa.Super. ever, my proposed approach this also underlies policy Here, appellate agreed instant situation. court’s order. order to aspects hear some trial litigation economically, proper act piecemeal avoid remaining aspects be to hear all action would therefore I find this to be the order at the same time. Because I the time has come to judicial approach, most sound believe eye of the law with an towards this reconsider area change.

I respectfully portion majority dissent from that Bloom for opinion which denies relief Mr. *21 The its majority infliction of emotional distress. reaches negligent Mr. because Bloom never observed decision defendants, he found his despite acts of the fact that wife attempt. negligent her neck in a suicide hanging by test, adequately defendants of a failure to acts of consisted Bloom, diagnose proper- and Mrs. and failure to supervise and ly supervise train the staff. If one were to follow the majority’s Mr. mere reasoning, presence Bloom’s when staffing supervisory were decisions made allow would him negligent to recover for distress, infliction emotional viewing while his hanging by shoestring wife around her reason, neck not. theory would This defies for the observ- ance of these seemingly neutral acts could not have inflict- ed the resultant harm. Such observance would have to the added emotional distress suffered Mr. Bloom. Mr. Only when Bloom his hanging encountered wife’s body did he suffer the emotional for distress which he now seeks recovery illogical it is. to hold that observation of these acts negligent and omissions of defendants is the necessary element to a for Mr. finding Bloom. Because I believe that observation of defendant’s acts is irrelevant to a case determination of Mr. Bloom’s claim for recovery of damages distress, emotional I respectfully dissent.

597 A.2d 684 Anita NEWMAN NEWMAN, Appellant. Steve Superior Pennsylvania. Court of

Argued June 1991.

Filed Oct. 1991.

Case Details

Case Name: Bloom v. DuBois Regional Medical Center
Court Name: Superior Court of Pennsylvania
Date Published: Sep 27, 1991
Citation: 597 A.2d 671
Docket Number: 824
Court Abbreviation: Pa. Super. Ct.
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