Ethical Problems in Emergency Medicine (eBook)

James Adams, Arthur R. Derse, Shamai Grossman, Peter Rosen, Richard Wolfe (Herausgeber)

eBook Download: PDF

2012 | 1. Auflage
347 Seiten
Wiley (Verlag)
978-1-118-29213-6 (ISBN)

Infos

This book is designed to consolidate the relevant literature as well as the thoughts of professionals currently working in the field into a practical and accessible reference for the emergency medical technician, student, nurse, resident, and attending emergency physician. Each chapter is divided into four sections: case presentation, discussion, review of the current literature, and recommendations. Designed to serve simultaneously as a learning and reference tool, each chapter begins with a real case that was encountered in an ED setting. The case presentation is followed by a short discussion of the case, as if at a morbidity and mortality conference, by a panel of experienced attending physicians explaining how they would approach the ethical dilemmas associated with the case, and a review of the existing literature.

Inhalt

Ethical Problems in Emergency Medicine 3
Contents 7
Contributors 11
Preface 15
Section One: Challenging professionalism 17
1: Physician care of family, friends, or colleagues 19
2: The impaired physician 31
3: Disclosure of medical error and truth telling 43
4: Conflicts between patient requests and physician obligations 53
5: Judgmental attitudes and opinions in the emergency department 63
6: Using physicians as agents of the state 73
Section Two: End-of-life decisions 83
7: Family-witnessed resuscitation in the emergency department: making sense of ethical and practical considerations in an emotional debate 85
8: Palliative care in the emergency department 95
9: Refusal of life-saving therapy 105
10: Revisiting comfort-directed therapies: death and dying in the emergency department, including withholding and withdrawal of life-sustaining treatment 115
11: Futility in emergency medicine 133
Section Three: Representing vulnerable populations 143
12: The care of minors in the emergency department 145
13: Chemical restraints, physical restraints, and other demonstrations of force 155
14: Capacity determination in the patient with altered mental status 165
15: Obstetric emergency: perimortem cesarean section 173
Section Four: Outside influence and observation 183
16: Non-medical observers in the emergency department 185
17: Religious perspectives on do-notresuscitate (DNR) documents and the dying patient 195
18: Non-physician influence on the scope and responsibilities of emergency physicians 203
19: Privacy and confidentiality: particular challenges in the emergency department 213
Section Five: Emergency medicine outside the emergency department 223
20: Short-term international medical initiatives 225
21: Disaster triage 237
22: The emergency physician as a bystander outside the hospital 253
23: Military objectives versus patient interests 263
Section Six: Public health as emergency medicine 275
24: Treatment of potential organ donors 277
25: Mandatory and permissive reporting laws: conflicts in patient confidentiality, autonomy, and the duty to report 287
26: Ethics of care during a pandemic 303
Section Seven: Education and research 315
27: Practicing medical procedures on the newly or nearly dead 317
28: Ethics of research without informed consent 327
Appendix: useful resources 337
Index 341

Produkt-Details

• Erscheint lt. Verlag: 12.6.2012
• Mitarbeit: Chef-Herausgeber: John Jesus
• Sprache: englisch
• Themenwelt: Medizin / Pharmazie ► Allgemeines / Lexika
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Medizinethik
• Themenwelt: Medizin / Pharmazie ► Medizinische Fachgebiete ► Notfallmedizin
• Themenwelt: Studium ► Querschnittsbereiche ► Geschichte / Ethik der Medizin
• ISBN-10: 1-118-29213-8 / 1118292138
• ISBN-13: 978-1-118-29213-6 / 9781118292136