Ethische Konflikte in der Notfallmedizin.
Traduction en anglais : Ethical aspects of emergency medicine.
Thirty years ago, cardiopulmonary resuscitation (CPR) was primarily developed for otherwise healthy individuals who experienced sudden cardiac arrest.
Today, CPR is widely viewed as an emergency procedure that can be attempted on any person who undergoes a cessation ofcardiorespiratory function.
Therefore, the appropriateness of CPR has been questioned as a matter of the outcome, the patient's preferences, and the cost.
The objective of this article is to analyse ethical issues in prehospital resuscitation.
Arguments : CPR is bound by moral considerations that surround the use of any medical treatment.
According to Beauchamp and Childress, the hierarchy of justification in biomedical ethics consists of ethical theories, principles, rules and particular judgements and actions.
The decision to start CPR is based on the medical judgement that a person is suffering from circulatory arrest.
The decision isjustified by the moral rule that the victim of cardiac arrest has the right to survive and to receive CPR.
Moral rules are more specific to contexts and are based on ethical principles.
The principle of beneficence means the provision of benefits for the promotion of welfare.
Talking about beneficence in resuscitation means once again reporting stories of success, as many victims of pre-and in-hospital sudden death have been saved in the past. (...)
Mots-clés Pascal : Médecine, Urgence, Ethique, Réanimation, Période préhospitalière, Allemagne, Europe
Mots-clés Pascal anglais : Medicine, Emergency, Ethics, Resuscitation, Prehospital period, Germany, Europe
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0272534
Code Inist : 002B30A09. Création : 15/07/1997.