Ethical Problems in Emergency Medicine A

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.

John Jesus, MD, Chief Resident, Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA; Clinical Instructor, Department of Emergency Medicine, Christiana Care Health System, Newark, DE, USA.

Peter Rosen, MD, FACS, FACEP, Director of Education, Beth Israel Deaconess Medical Center; Senior Lecturer in Medicine, Harvard Medical School, Boston, MA, USA.

Shamai A. Grossman, MD, MS, FACEP, Vice Chair for Resource Utilization; Director, Cardiac Emergency Center, Division of Emergency Medicine, Beth Israel Deaconess Medical Center; Assistant Professor of Medicine, Harvard Medical School, Boston, MA, USA.

Arthur R. Derse, MD, JD, FACEP, Director, Center for Bioethics and Medical Humanities, Julia and David Uihlein Professor of Medical Humanities; Professor of Bioethics and Emergency Medicine, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI, USA.

James G. Adams, MD, Professor and Chair, Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Northwestern Memorial Hospital, Chicago, IL, USA.

Richard Wolfe, MD, Chief of Emergency Medicine, Beth Israel Deaconess Medical Center; Associate Professor of Medicine, Harvard Medical School, Boston, MA, USA.

Preface
Challenging Professionalism
Physician Care of Family, Friends or Colleagues
The impaired physician
Disclosure of Medical Error and Truth Telling
Conflicts between patients' requests and physician obligations
Judgmental attitudes and opinions in the Emergency Department
Ramana Feeser
Using Physicians as Agents of the State
End of Life Decisions
Family-Witnessed Resuscitation in the ED: Making sense of ethical and practical considerations in an emotional debate
Palliative Care in the Emergency Department
Refusal of Life Saving Therapy
Revisiting Comfort-Directed Therapies: Death and Dying in the ED, Including Withholding and Withdrawal of Life-sustaining Treatment
Futility in Emergency Medicine
Representing Vulnerable Populations
The care of minors in the emergency department
Chemical Restraints, Physical Restraints, and Other Demonstrations of Force
Capacity determination in the patient with altered mental status
Obstetric Emergency: Perimortem C-section
Outside Influence and Observation
Non-medical observers in the emergency department
Religion and Emergency Medicine
Non-physician influence on the scope and responsibilities of an emergency physician
Privacy and Confidentiality: particular challenges in the emergency department
Emergency Medicine Outside the ER
Short-Term International Medical Initiatives
Disaster triage
The Emergency Physician as a Bystander outside the Hospital
Military objectives vs. patient interests
Public Health as Emergency Medicine
Treatment of potential organ donors
Mandatory and Permissive Reporting Laws: Conflicts in Patient Confidentiality, Autonomy and the Duty to Report
Ethics of care during a pandemic
Education and Research
Practicing medical procedures on the newly or nearly dead
Ethics of Research without Informed Consent
Appendix: Useful resources
Index
Table of Contents provided by Publisher. All Rights Reserved.

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Ethical Problems in Emergency Medicine A Discussion-based Review

Summary

Author Biography

Table of Contents

Supplemental Materials