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This work aimed to evaluate the potential to expand the usage of telemedicine services for neurotrauma to reduce transfer rates, minimize movement of patients across borders, and alleviate the burden on tertiary care hospitals involved in the care of patients with COVID-19 during a global pandemic. In this paper, the authors outline EMTALA provisions, provide examples of EMTALA violations involving neurosurgical care, and propose guidelines for the creation of telemedicine protocols between referring and consulting institutions.<\/jats:p>","DOI":"10.3171\/2020.8.focus20587","type":"journal-article","created":{"date-parts":[[2020,11,2]],"date-time":"2020-11-02T12:42:51Z","timestamp":1604320971000},"page":"E8","source":"Crossref","is-referenced-by-count":1,"title":["Examining the Emergency Medical Treatment and Active Labor Act: impact on telemedicine for neurotrauma"],"prefix":"10.3171","volume":"49","author":[{"given":"Sanjit","family":"Shah","sequence":"first","affiliation":[{"name":"Department of Neurological Surgery, University of Cincinnati College of Medicine;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"George L.","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Cincinnati College of Medicine;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diana T.","family":"Le","sequence":"additional","affiliation":[{"name":"University of Cincinnati College of Medicine, Cincinnati;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christina","family":"Gerges","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine, Cleveland;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"James M.","family":"Wright","sequence":"additional","affiliation":[{"name":"Case Western Reserve University School of Medicine, Cleveland;"},{"name":"Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann M.","family":"Parr","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph S.","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Cincinnati College of Medicine;"},{"name":"University of Cincinnati College of Medicine, Cincinnati;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura B.","family":"Ngwenya","sequence":"additional","affiliation":[{"name":"Department of Neurological Surgery, University of Cincinnati College of Medicine;"},{"name":"University of Cincinnati College of Medicine, Cincinnati;"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"4","key":"b1","series-title":"Proc (Bayl Univ Med Cent).","doi-asserted-by":"publisher","first-page":"339","DOI":"10.1080\/08998280.2001.11927785","article-title":"The Emergency Medical Treatment and Active Labor Act (EMTALA): what it is and what it means for physicians","volume":"14","author":"Zibulewsky J","year":"2001","unstructured":"Zibulewsky J. 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