Abstract:
:Many patients believe that cardiopulmonary resuscitation (CPR) is more likely to be successful than it really is in clinical practice. Even when working with accurate information, some nevertheless remain resolute in demanding maximal treatment. They maintain that even if survival after cardiac arrest with CPR is extremely low, the fact remains that it is still greater than the probability of survival after cardiac arrest without CPR (ie, zero). Without realising it, this line of reasoning is strikingly similar to Pascal's Wager, a Renaissance-era argument for accepting the proposition for God's existence. But while the original argument is quite logical-if not universally compelling-the modern variant makes several erroneous assumptions. The authors here present a case of a patient who unwittingly appeals to Pascal's Wager to explain his request for maximal treatment, in order to highlight the crucial divergences from the original Wager. In understanding the faulty assumptions inherent in the application of Pascal's Wager to code status decisions-and identifying the underlying motivations which the Wager serves to confirm-providers can better ensure that the true values and preferences of patients are upheld.
journal_name
J Med Ethicsjournal_title
Journal of medical ethicsauthors
Harari DY,Macauley RCdoi
10.1136/medethics-2019-105558subject
Has Abstractpub_date
2020-02-01 00:00:00pages
110-113issue
2eissn
0306-6800issn
1473-4257pii
medethics-2019-105558journal_volume
46pub_type
杂志文章abstract::Research that is initiated, designed or funded by sponsor agencies based in countries with relatively high social and economic development, and conducted in countries that are relatively less developed, gives rise to many important ethical challenges. Although clinical trials of HIV vaccines began ten years ago in the...
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pub_type: 评论,杂志文章
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更新日期:2014-03-01 00:00:00
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pub_type: 评论,杂志文章
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更新日期:1989-03-01 00:00:00
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更新日期:1982-09-01 00:00:00
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更新日期:2006-08-01 00:00:00
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journal_title:Journal of medical ethics
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更新日期:2020-04-24 00:00:00
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更新日期:2004-02-01 00:00:00
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pub_type: 评论,杂志文章
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更新日期:2018-09-01 00:00:00