Ethical Problems in Emergency Medicine. a Discussion-Based Review

Description

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.

Table of Contents

• Contributors
• Preface

Section One: Challenging professionalism

• 1 Physician care of family, friends, or colleagues,
  Taku Taira, Joel Martin Geiderman
• 2 The impaired physician,
  Peter Moffett, Christopher Kang
• 3 Disclosure of medical error and truth telling,
  Abhi Mehrotra, Cherri Hobgood
• 4 Conflicts between patient requests and physician obligations,
  Shellie L. Asher
• 5 Judgmental attitudes and opinions in the emergency department,
  V. Ramana Feeser
• 6 Using physicians as agents of the state,
  Jeremy R. Simon

Section Two: End-of-life decisions

• 7 Family-witnessed resuscitation in the emergency department: making sense of ethical and practical considerations in an emotional debate,
  Kirsten G. Engel, Arthur R. Derse
• 8 Palliative care in the emergency department,
  Tammie E. Quest, Paul DeSandre
• 9 Refusal of life-saving therapy,
  Catherine A. Marco, Arthur R. Derse
• 10 Revisiting comfort-directed therapies: death and dying in the emergency department, including withholding and withdrawal of life-sustaining treatment,
  Raquel M. Schears, Terri A. Schmidt
• 11 Futility in emergency medicine,
  Arthur R. Derse

Section Three: Representing vulnerable populations

• 12 The care of minors in the emergency department,
  Chloë-Maryse Baxter
• 13 Chemical restraints, physical restraints, and other demonstrations of force,
  Michael P. Wilson, Christian M. Sloane
• 14 Capacity determination in the patient with altered mental status,
  Michael C. Tricoci, Catherine A. Marco
• 15 Obstetric emergency: perimortem cesarean section,
  Kenneth D. Marshall, Carrie Tibbles

Section Four: Outside influence and observation

• 16 Non-medical observers in the emergency department,
  Joel Martin Geiderman
• 17 Religious perspectives on do-not-resuscitate (DNR) documents and the dying patient,
  Avraham Steinberg
• 18 Non-physician influence on the scope and responsibilities of emergency physicians,
  Laura G. Burke, Jennifer V. Pope
• 19 Privacy and confidentiality: particular challenges in the emergency department,
  Jessica H. Stevens, Michael N. Cocchi

Section Five: Emergency medicine outside the emergency department

• 20 Short-term international medical initiatives,
  Matthew B. Allen, Christine Dyott, John Jesus
• 21 Disaster triage,
  Matthew B. Allen, John Jesus
• 22 The emergency physician as a bystander outside the hospital,
  Zev Wiener, Shamai A. Grossman
• 23 Military objectives versus patient interests,
  Kenneth D. Marshall, Kathryn L. Hall-Boyer

Section Six: Public health as emergency medicine

• 24 Treatment of potential organ donors,
  Glen E. Michael, John Jesus
• 25 Mandatory and permissive reporting laws: conflicts in patient confidentiality, autonomy, and the duty to report,
  Joel Martin Geiderman
• 26 Ethics of care during a pandemic,
  John C. Moskop

Section Seven: Education and research

• 27 Practicing medical procedures on the newly or nearly dead,
  Ajay V. Jetley, Catherine A. Marco
• 28 Ethics of research without informed consent,
  Dave W. Lu, Jonathan Burstein, John Jesus

• Appendix: useful resources,
  Alexander Bracey
• Index