Abstract:
:Ethical dilemmas can create moral distress in even the most experienced emergency physicians (EPs). Following reasonable and justified approaches can help alleviate such distress. The purpose of this article is to guide EPs providing Emergency Medical Services (EMS) direction to navigate through common ethical issues confronted in the prehospital delivery of care, including protecting privacy and confidentiality, decision-making capacity and refusal of treatment, withholding of treatment, and termination of resuscitation (TOR). This requires a strong foundation in the principles and theories underlying sound ethical decisions that EPs and prehospital providers make every day in good faith, but will now also make with more awareness and conscientiousness. Brenner JM , Aswegan AL , Vearrier LE , Basford JB , Iserson KV . The ethics of real-time EMS direction: suggested curricular content. Prehosp Disaster Med. 2018;33(2):201-212.
journal_name
Prehosp Disaster Medjournal_title
Prehospital and disaster medicineauthors
Brenner JM,Aswegan AL,Vearrier LE,Basford JB,Iserson KVdoi
10.1017/S1049023X18000110subject
Has Abstractpub_date
2018-04-01 00:00:00pages
201-212issue
2eissn
1049-023Xissn
1945-1938pii
S1049023X18000110journal_volume
33pub_type
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00000212
更新日期:2002-04-01 00:00:00
abstract::The provision of surgery within humanitarian crises is complex, requiring coordination and cooperation among all stakeholders. During the 2011 Humanitarian Action Summit best practice guidelines were proposed to provide greater accountability and standardization in surgical humanitarian relief efforts. Surgical humani...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章,实务指引
doi:10.1017/S1049023X12000064
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abstract:INTRODUCTION:Currently, there is no widely available method to evaluate an emergency department disaster plan. Creation of a standardized patient database and the use of a virtual, live exercise may lead to a standardized and reproducible method that can be used to evaluate a disaster plan. PURPOSE:A virtual, live exe...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00005999
更新日期:2008-07-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X1600090X
更新日期:2016-12-01 00:00:00
abstract::Introduction A model prepared by National Civil Defense (INDECI; Lima, Peru) estimated that an earthquake with an intensity of 8.0 Mw in front of the central coast of Peru would result in 51,019 deaths and 686,105 injured in districts of Metropolitan Lima and Callao. Using this information as a base, a study was desig...
journal_title:Prehospital and disaster medicine
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doi:10.1017/S1049023X16001254
更新日期:2017-02-01 00:00:00
abstract::The tsunami disaster affected several countries in Southeast Asia in December 2004 and killed or affected many tourists, most of them from Europe. Eight Czech citizens died, and about 500 Czechs were seriously mentally traumatized. The psychosocial needs of tourists included: (1) protection; (2) treatment; (3) safety;...
journal_title:Prehospital and disaster medicine
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doi:
更新日期:2006-01-01 00:00:00
abstract:INTRODUCTION:Surge capacity is defined as a healthcare system's ability to rapidly expand beyond normal services to meet the increased demand for appropriate space, qualified personnel, medical care, and public health in the event ofbioterrorism, disaster, or other large-scale, public health emergencies. There are many...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00005719
更新日期:2008-03-01 00:00:00
abstract::In the early morning of 26 December 2003, Bam, an old city in southeastern Iran, was devastated by an earthquake measuring 6.6 on the Richter scale. Managing such situations always brings about many problems. In the case of the Bam Earthquake, two of the most serious problems were rescue operations and provision of ap...
journal_title:Prehospital and disaster medicine
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doi:10.1017/s1049023x00005355
更新日期:2007-11-01 00:00:00
abstract:INTRODUCTION:Post-injury hypothermia is a risk predictor in trauma patients whose physiology is deranged. The aim of the present study was to examine the effect of simple, in-field, hypothermia prevention to victims of penetrating trauma during long prehospital evacuations. METHODS:A total of 170 consecutively injured...
journal_title:Prehospital and disaster medicine
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更新日期:2002-01-01 00:00:00
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更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To study the effects of early, advanced prehospital life support on the survival rate of war casualties during the battle of Jalalabad, Afghanistan from 1989-1992. METHOD:The outcomes of simple trauma care administered from 1989-1990 were compared to the outcomes of advanced trauma care administered from 199...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:
更新日期:1999-04-01 00:00:00
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doi:10.1017/S1049023X11000124
更新日期:2011-04-01 00:00:00
abstract::Sudden onset disasters (SODs) have affected over 1.5 billion of the world's population in the past decade. During the same time, developing nations have faced a sustained increase in the burden of non-communicable disease (NCD) with extra pressure placed on health systems. The combined increase in SODs and the NCD epi...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X17006707
更新日期:2017-12-01 00:00:00
abstract:INTRODUCTION:Tenecteplase is a thrombolytic protein drug used by paramedics, emergency responders, and critical care medical personnel for the prehospital treatment of blood clotting diseases. Minimizing the time between symptom onset and the initiation of thrombolytic treatment is important for reducing mortality and ...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X20000928
更新日期:2020-10-01 00:00:00
abstract::Introduction The concept of response time with minimal interval is intimately related to the practice of emergency medicine. The factors influencing this time interval are poorly understood. Problem In a process of improvement of response time, the impact of the patient's age on ambulance departure intervals was inves...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X16000947
更新日期:2016-12-01 00:00:00
abstract:INTRODUCTION:In 2001, the Israeli government announced the construction of the West Bank barrier. The stated purpose of construction to prevent attacks by Palestinians on Israeli citizens. In a subsequent advisory opinion, the International Court of Justice decided the wall would block access to health care and educati...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00004829
更新日期:2007-07-01 00:00:00
abstract::In the years following the September 11, 2001 terrorist attacks (9/11; New York USA), emergency first responders began experiencing a range of physical health and psychosocial impacts. Publications documenting these tended to focus on firefighters, while emerging reports are starting to focus on other first responders...
journal_title:Prehospital and disaster medicine
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doi:10.1017/S1049023X1800064X
更新日期:2018-08-01 00:00:00
abstract:INTRODUCTION:The need to manage psychological symptoms after disasters can result in an increase in the prescription of psychotropic drugs, including antidepressants and anxiolytics. Therefore, an increase in the prescription of antidepressants and anxiolytics could be an indicator of general psychological distress in ...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/S1049023X12001392
更新日期:2012-12-01 00:00:00
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journal_title:Prehospital and disaster medicine
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更新日期:2014-02-01 00:00:00
abstract:OBJECTIVE:To analyze the availability and level of medical services for fans at major league baseball games in the United States. METHODS:A 10-item questionnaire was sent to the operations managers of each of 28 major league baseball stadiums. The survey was distributed in cooperation with a major league baseball club...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00042151
更新日期:1995-10-01 00:00:00
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journal_title:Prehospital and disaster medicine
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doi:10.1017/s1049023x00003150
更新日期:2005-11-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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更新日期:2015-08-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:
更新日期:2006-02-01 00:00:00
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journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
doi:10.1017/s1049023x00002090
更新日期:2005-01-01 00:00:00
abstract::Specific Event Identifiers a. Event Type: Earthquake measuring 6.2 (SD=0.016) on the moment magnitude; b. Event Onset: August 24, 2016 - 03:36:32 CEST (01:36 UTC); c. Location of Event: Central Italy, in the town of Amatrice; d. Geographic Coordinates: latitude (DMS): 42°37'45.77″N; longitude (DMS): 13°17'18.14″E; ele...
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更新日期:2018-02-01 00:00:00
abstract:OBJECTIVES:The objective of this study is to describe the Longitudinal Emergency Medical Technician (EMT) Attributes and Demographic Study (LEADS) design, instrument development, pilot testing, sampling procedures, and data collection methodology. Response rates are provided, along with results of follow-up surveys of ...
journal_title:Prehospital and disaster medicine
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更新日期:2016-12-01 00:00:00
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journal_title:Prehospital and disaster medicine
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更新日期:1994-01-01 00:00:00
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journal_title:Prehospital and disaster medicine
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更新日期:2006-07-01 00:00:00
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journal_title:Prehospital and disaster medicine
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更新日期:2016-08-01 00:00:00
abstract::The tasks required for the preservation of the health of rescuers can be accomplished with the creation of a system for medical examinations and rehabilitation that functions with commonly used methodological and organizational principles. Absence of such a common methodological platform often results in the disqualif...
journal_title:Prehospital and disaster medicine
pub_type: 杂志文章
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更新日期:1999-07-01 00:00:00