Rethinking Rescue Medicine

Jecker, Nancy S.

doi:10.1080/15265161.2014.990169

Cited by 7 publications

(4 citation statements)

References 19 publications

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“…29 Conversations amongst physicians, ethicists, patients, and patients' families might provide a better way to avoid aggressive treatments that would only add suffering to the patient's ordeal without hope of much success. Would our transactional medical model coupled with our culture of "rescue medicine" 30 and "denial of death" 31 be receptive to such conversations? Hopefully coronavirus will now allow us to address these questions since not only are they paramount in times of limited resources, 32 but also they may explain why approximately half of all intensivists burnout.…”

Section: Moral Injurymentioning

confidence: 99%

The Moral Lessons of Covid-19: A Call for Renewal

Mangione

Post

2021

The American Journal of the Medical Sciences

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This is a PDF file of an article that has undergone enhancements after acceptance, such as the addition of a cover page and metadata, and formatting for readability, but it is not yet the definitive version of record. This version will undergo additional copyediting, typesetting and review before it is published in its final form, but we are providing this version to give early visibility of the article. Please note that, during the production process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Moral Injurymentioning

confidence: 99%

The Moral Lessons of Covid-19: A Call for Renewal

Mangione

Post

2021

The American Journal of the Medical Sciences

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“…The ethics of these "incidental" findings is hotly debated (Viberg et al 2016, Hofmann 2016, Costain and Bassett 2013, Kleiderman et al 2014, Gliwa and Berkman 2013, Garrett 2013, Borgelt, Anderson, and Illes 2013, Price 2013, Anastasova et al 2013, Ross and Reiff 2013, Parens, Appelbaum, and Chung 2013, Greenbaum 2014, Appelbaum et al 2014. The relevance and limitations of the concepts of "duty to rescue" and "right not to know" to incidental findings is also canvassed by many articles (Berkman, Hull, and Biesecker 2015, Zuradzki 2015, Fenwick et al 2015, Wachbroit 2015, Meagher 2015, Jecker 2015, Garrett 2015, Parsi 2015, Ulrich 2013. Illustratively, Garrett argues that a rescue paradigm grounded in beneficence insufficiently relates to genomics research because the traditional rescue paradigm was developed for short-term situations where risks were unpredictable and unanticipated.…”

Section: The Human Being As a Source Of Information About The Past Pmentioning

confidence: 99%

Conceptualizing the Human Being: Insights from the Genethics Discourse and Implications for Islamic Bioethics

Padela¹

2019

Islamic Ethics and the Genome Question

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“…Yet, patient advocacy is ethically limited under circumstances where it poses a serious threat to the health or life of others, including health-care professionals. 7 Although clinicians should generally put self-regarding interests aside to serve those in need, this obligation is not absolute. Th e obligation to assist may be overridden when there is an unacceptably high risk to health-care professionals.…”

Section: Balancing Risks and Benefi Tsmentioning

confidence: 99%

Ebola Virus Disease

Jecker

Dudzinski

Diekema

et al. 2015

CHEST

Self Cite

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Caring for patients affected with Ebola virus disease (EVD) while simultaneously preventing EVD transmission represents a central ethical challenge of the EVD epidemic. To address this challenge, we propose a model policy for resuscitation and emergent procedure policy of patients with EVD and set forth ethical principles that lend support to this policy. The policy and principles we propose bear relevance beyond the EVD epidemic, offering guidance for the care of patients with other highly contagious, virulent, and lethal diseases. The policy establishes (1) a limited code status for patients with confirmed or suspected EVD. Limited code status means that a code blue will not be called for patients with confirmed or suspected EVD at any stage of the disease; however, properly protected providers (those already in full protective equipment) may initiate resuscitative efforts if, in their clinical assessment, these efforts are likely to benefit the patient. The policy also requires that (2) resuscitation not be attempted for patients with advanced EVD, as resuscitation would be medically futile; (3) providers caring for or having contact with patients with confirmed or suspected EVD be properly protected and trained; (4) the treating team identify and treat in advance likely causes of cardiac and respiratory arrest to minimize the need for emergency response; (5) patients with EVD and their proxies be involved in care discussions; and (6) care team and provider discretion guide the care of patients with EVD. We discuss ethical issues involving medical futility and the duty to avoid harm and propose a utilitarian-based principle of triage to address resource scarcity in the emergency setting.

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Rethinking Rescue Medicine

Cited by 7 publications

References 19 publications

The Moral Lessons of Covid-19: A Call for Renewal

The Moral Lessons of Covid-19: A Call for Renewal

Conceptualizing the Human Being: Insights from the Genethics Discourse and Implications for Islamic Bioethics

Ebola Virus Disease

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