This document provides an overview of legal and ethical issues in prehospital emergency care. It discusses the differences between legal, ethical and moral responsibilities and reviews laws impacting EMS providers, such as scope of practice and vehicle operation laws. It also examines accountability and malpractice, including the standard of care and elements required to prove negligence. Specific issues related to patient consent, refusals, restraint and confidentiality are analyzed. The document concludes with discussions of operational concerns like equipment failure, documentation requirements and interactions with law enforcement.