Disaster Ethics: Shifting Priorities in an Unstable and Dangerous Environment.
| Autor: | Satkoske VB; Wheeling Hospital, 64 Medical Center Drive, Room 1168D, Health Sciences North, Morgantown, WV 26506-9022, USA., Kappel DA; WVOEMS, West Virginia State Trauma System, 1 Medical Park, Wheeling, WV 26003, USA., DeVita MA; Harlem Hospital, 506 Lenox Avenue New, New York, NY 10037, USA. Electronic address: michael.devita@nychhc.org. |
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| Jazyk: | angličtina |
| Zdroj: | Critical care clinics [Crit Care Clin] 2019 Oct; Vol. 35 (4), pp. 717-725. Date of Electronic Publication: 2019 Jul 18. |
| DOI: | 10.1016/j.ccc.2019.06.006 |
| Abstrakt: | Emergency and critical care medicine are fraught with ethically challenging decision making for clinicians, patients, and families. Time and resource constraints, decisional-impaired patients, and emotionally overwhelmed family members make obtaining informed consent, discussing withholding or withdrawing of life-sustaining treatments, and respecting patient values and preferences difficult. When illness or trauma is secondary to disaster, ethical considerations increase and change based on number of casualties, type of disaster, and anticipated life cycle of the crisis. This article considers the ethical issues that arise when health providers are confronted with the challenges of caring for victims of disaster. (Copyright © 2019 Elsevier Inc. All rights reserved.) |
| Databáze: | MEDLINE |
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