Ethics in emergency medicine /

Bibliographic Details
Other Authors: Iserson, Kenneth V., Sanders, Arthur B. (Arthur Barry), 1947-, Mathieu, Deborah
Format: Book
Language:English
Published: Tucson, Ariz. : Galen Press, [1995]
Edition:Second edition.
Subjects:
Table of Contents:
  • Introduction
  • General introduction
  • Unique aspects of ethics in emergency medicine
  • Legal setting of emergency medicine
  • What is ethics?
  • An approach to ethical problems in emergency medicine
  • Cases and commentaries
  • Autonomy and informed consent
  • Informed participation in decisions
  • The question of competence
  • Suicide
  • Rights of minors
  • Uncertain diagnosis and the uncooperative patient
  • A slight postmortem disagreement
  • Impaired decision making
  • Consent: explicit and presumed
  • Education and research
  • Research and student exploitation
  • Faculty-student relationships
  • Paramedic education
  • Practicing procedures on the newly dead
  • Human subjects in resuscitation research
  • Human subjects in trauma research
  • Prehospital research and informed consent
  • Phase 4 research projects
  • Privacy and confidentiality.
  • Legal requirements for notification
  • Answering questions from "relatives"
  • Security of the emergency medical service system radio network
  • Police information
  • Request for special treatment.
  • Potential harm to a third party
  • Calling other emergency departments about suspicious patients
  • Life-sustaining treatment, emergency department
  • Resuscitating a patient with no vital signs
  • When not to resuscitate
  • Pediatric patients- do we try too hard?
  • Community standards for resuscitation, are they valid?
  • Organ donation, the uncertain donor
  • Organ donation, the willing donor
  • A questionable parental request
  • Life sustaining treatment- prehospital
  • Prehospital do-not-resuscitate orders
  • Medical futility
  • Disagreement on "optimal" treatment
  • Unauthorized lifesaving procedures
  • Professional relations
  • Nurse-physician relationships
  • Conscientious objections (bad orders)
  • Telephone orders from local physicians
  • Delegating notification of death to others
  • Consultation dilemmas
  • Referral back to an incompetent primary care provider
  • Referral to specialists at another hospital.
  • The questionably impaired health care professional
  • Relationship to biomedical companies
  • Relationship with hospital and community
  • Allocation of health care resources.
  • The manipulative patient; the irresponsible family; and the nursing home "dump"
  • Allocation of resources: social and political factors
  • Allocation of resources: Economic factors
  • Fee-for-service system of care
  • Increased charges for third-party-payer patients
  • No payment, adult or child
  • "Gatekeeper's" role
  • Patient transfers
  • Patient-requested laboratory requests
  • Quality of care
  • Continuous quality improvement and peer review
  • Responsibility to monitor and remedy quality-of-care mistakes
  • Physicians' attitudes toward patients
  • Physician's quality of life vs. patient care
  • Solo nurse in the emergency department
  • Treating cases beyond your abilities
  • Telephone consultations with health care providers or others
  • Physician calls re: Do-not-resuscitate orders
  • Denial of antipregnancy prophylaxis to a rape victim
  • Threatening situations
  • Resuscitation of an AIDS patient.
  • Failure-to-stop laws and good samaritan behavior
  • A desperate fight
  • Patient confidentiality vs. the rights of ED personnel
  • ED personnel's safety vs. a duty to treat
  • Prehospital personnel's safety vs. a duty to treat
  • Use of patient restraints
  • Wilderness medicine.
  • Ethical statements pertaining to medical care
  • Ethical statements: Overview
  • Hippocratic oath
  • Oath of Louis Lasagna
  • Emergency medical technician's oath
  • Prayer of Maimonides
  • Flight nurse's creed
  • Declaration of Geneva
  • American Medical Association's principles of medical ethics
  • American Osteopathic Association's code of ethics
  • Canadian Medical Association's code of ethics
  • Autralian Medical Association's code of ethics
  • American Nurses' Association's code for nurses
  • Emergency Medical Technician's code of ethics
  • Emergency Nurses Association's code of ethics
  • Emergency Medicine Residents' Associaton's principles of medical ethics
  • International Council of Nurses' code for nurses
  • World Medical Association's international code of medical ethics
  • American Hospital Association's patient's bill of rights
  • Nuremberg code
  • Declaration of Helsinki.
  • American Medical Association's ethical guidelines for clinical investigation
  • Regulations of the U.S. Department of Health and Human Services and the protection of human subjects
  • Prehospital advance directives
  • Arizona living wills and health care directives act
  • Montana's comfort one protocol.