Should doctors practise resuscitation skills on newly deceased patients? A survey of public opinion

Tachakra, Sapal; Ho, Selwyn; Lynch, Maria; Newson, Roger

doi:10.1177/014107689809101107

Cited by 10 publications

(6 citation statements)

References 5 publications

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“…Do communities actually debate it? A 1998 survey by Tachakra 25 shows that people want to know about the performance of such maneuvers and procedures, as well as to be consulted before the fact. They want procedures to be done quickly and respectfully towards the dead.…”

Section: The Context Of Practical Training In Medicinementioning

confidence: 99%

Análise bioética do uso de recém-cadáveres na aprendizagem prática em medicina

Gomes¹,

Rêgo²,

Palácios³

et al. 2010

Rev. Assoc. Med. Bras.

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Bioethical analysis of the use of the newly deceased in medical training. Objective. The objective of this study is to carry out, a discussion on the subject of bioethics and cadavers based upon a critic review of literature. MethOds. Literature review based on a survey of articles published between 1977 and 2007 on websites Biblioteca Virtual de Saúde, PubMed and SciElo, using the following keywords: newly deceased patients, newly dead patients, simulators. The review was complemented by books on ethics and bioethics, as well as a critical evaluation of the subject. Results. The utilization of the newly deceased to learn invasive procedures is very common and seldom admitted. Procedures are usually carried out secretly, without family knowledge or consent, often without proper supervision from professors. In Brazil, moral and legal regulations do not back these practices, and their ethical aspects should be more widely discussed in undergraduate medical training. cOnclusiOn. It essential that the ethics of using the newly deceased to learn invasive procedures be discussed in academia (by professors and students alike) and be extended to practices as well. Performance of these procedures by students should always require authorization from family members. Simulators should be the first step in medical training.

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Section: The Context Of Practical Training In Medicinementioning

confidence: 99%

Análise bioética do uso de recém-cadáveres na aprendizagem prática em medicina

Gomes¹,

Rêgo²,

Palácios³

et al. 2010

Rev. Assoc. Med. Bras.

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“…Deference to family may not be a barrier to medical training. Several studies conclude that a majority of persons, if asked, would provide consent for training on their newly dead relatives, including infants 24–27 …”

Section: Practicing Procedures On the Newly Deadmentioning

confidence: 99%

“…However, significant barriers to consent exist. Many laypersons support the use of advance directives for postmortem medical training, similar those used for organ donation 26,27 . However, experiences with organ procurement suggest that, in fact, prior consent would have little effect on using these corpses for training 30 .…”

Section: Disclosure Truth‐telling and Consentmentioning

confidence: 99%

Ethics of practicing medical procedures on newly dead and nearly dead patients

2002

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OBJECTIVE:To examine the ethical issues raised by physicians performing, for skill development, medically nonindicated invasive medical procedures on newly dead and dying patients. DESIGN: Literature review; issue analysis employing current normative ethical obligations, and evaluation against moral rules and utilitarian assessments manifest in other common perimortem practices. RESULTS:Practicing medical procedures for training purposes is not uncommon among physicians in training. However, empiric information is limited or absent evaluating the effects of this practice on physician competence and ethics, assessing public attitudes toward practicing medical procedures and requirements for consent, and discerning the effects of a consent requirement on physicians' clinical competence. Despite these informational gaps, there is an obligation to secure consent for training activities on newly and nearly dead patients based on contemporary norms for informed consent and family respect. Paradigms of consentdependent societal benefits elsewhere in health care support our determination that the benefits from physicians practicing procedures does not justify setting aside the informed consent requirement.CONCLUSION: Current ethical norms do not support the practice of using newly and nearly dead patients for training in invasive medical procedures absent prior consent by the patient or contemporaneous surrogate consent. Performing an appropriately consented training procedure is ethically acceptable when done under competent supervision and with appropriate professional decorum. The ethics of training on the newly and nearly dead remains an insufficiently examined area of medical training.

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“…This practice is justified because if training on live individuals carries risks, those already deceased cannot suffer any harm. Moreover, the human body (with all its peculiarities) is impossible to faithfully reproduce in simulations, and training situations in fully controlled environments do not instill in students the relationship between fear and stress control; thus, practice on a cadaver is essential to increase not only a doctor's ability, but also to boosting their self-confidence (4)(5)(6)(7).…”

Section: ' Introductionmentioning

confidence: 99%

The need to standardize use of the newly deceased in medical trainings

Cabar

Lacerda

Freitas

et al. 2020

Clinics

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The present study aimed to identify the characteristics of use of the deceased in invasive training and the bioethical principles that govern this practice. In this context, it has become imperative to deduce which professional skills are critical to develop. METHODS: A prospective study investigated a cadaver's use in medical (and related) schools through a questionnaire, which was made available for 48 hours on social networks (Facebook and LinkedIn) to groups of doctors and medical students using a communication app (WhatsApp). The inclusion criteria were being a medical student or a doctor. Cases in which the answers to the questionnaire were inadequate, or when the student had reason to withdraw, were excluded. Each participant could only answer the questionnaire once, and could not modify the responses after submitting it. RESULTS: A disproportionate relationship was found regarding the replacement of the newly deceased by other means (such as dummies and simulators). This outcome suggests that there is no substitution, concomitant with the importance of a prior request for consent from the patient and/or subsequent consent from family members. CONCLUSION: According to the findings, the significance of-and need for-training is undeniable. Hence, it is urgent to normalize the practice and definition of the ethical limitations of medical conduct.

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Should doctors practise resuscitation skills on newly deceased patients? A survey of public opinion

Cited by 10 publications

References 5 publications

Análise bioética do uso de recém-cadáveres na aprendizagem prática em medicina

Análise bioética do uso de recém-cadáveres na aprendizagem prática em medicina

Ethics of practicing medical procedures on newly dead and nearly dead patients

The need to standardize use of the newly deceased in medical trainings

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