Common use of Medical Emergency Clause in Contracts

Medical Emergency. The sudden and unexpected onset of a medical condi- tion or the acute exacerbation of a chronic condition that is threatening to life, limb, or sight, and requires im- mediate medical treatment or which manifests painful symptomatology re- xxxxxxx immediate palliative efforts to alleviate suffering. Medical emer- gencies include heart attacks, cardio- vascular accidents, poisoning, convul- sions, kidney stones, and such other acute medical conditions as may be de- termined to be medical emergencies by the Director, OCHAMPUS, or a des- ignee. In the case of a pregnancy, a medical emergency must involve a sud- den and unexpected medical complica- tion that puts the mother, the baby, or both, at risk. Pain would not, however, qualify a maternity case as an emer- gency, nor would incipient birth after the 34th week of gestation, unless an otherwise qualifying medical condition is present. Examples of medical emer- gencies related to pregnancy or deliv- ery are hemorrhage, ruptured mem- brane with prolapsed cord, placenta previa, abruptio placenta, presence of shock or unconsciousness, suspected heart attack or stroke, or trauma (such as injuries received in an auto- mobile accident). Medically or psychologically necessary preauthorization. A pre (or prior) au- thorization for payment for medical/ surgical or psychological services based upon criteria that are generally accepted by qualified professionals to be reasonable for diagnosis and treat- ment of an illness, injury, pregnancy, and mental disorder. Medical supplies and dressings (consumables). Necessary medical or surgical supplies (exclusive of durable medical equipment) that do not with- stand prolonged, repeated use and that are needed for the proper medical man- agement of a condition for which bene- fits are otherwise authorized under CHAMPUS, on either an inpatient or outpatient basis. Examples include dis- posable syringes for a diabetic, colos- tomy sets, irrigation sets, and ace ban- xxxxx. Medically or psychologically necessary. The frequency, extent, and types of medical services or supplies which rep- resent appropriate medical care and that are generally accepted by quali- fied professionals to be reasonable and adequate for the diagnosis and treat- ment of illness, injury, pregnancy, and mental disorders or that are reasonable and adequate for well-baby care.