Compelling Ethical Challenges In Critical Care And Emergency Medicine
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Compelling Ethical Challenges In Critical Care And Emergency Medicine
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Author : Andrej Michalsen
language : en
Publisher: Springer Nature
Release Date : 2020-07-22
Compelling Ethical Challenges In Critical Care And Emergency Medicine written by Andrej Michalsen and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-07-22 with Medical categories.
This book addresses the ethical problems that physicians have to face every day while caring for critically ill patients. Advances in medical technology, ageing societies worldwide, and their increased demands on health care systems have, on the one hand, led to better care and remarkable longevity in many parts of the world. On the other hand, however, improved treatments in many medical fields, amongst others in emergency and critical care, have resulted in more patients surviving with reduced quality of life. This entails tradeoffs for many patients, their families, and the teams caring for them. At the same time, health care expenditures have risen dramatically and have to be balanced against costs for other public goods. Finally, the humane aspects of care have often failed to keep pace with the remarkable technological strides made in recent years. In this book, experts in their respective fields describe compelling ethical challenges resulting from these discrepancies and discuss potential solutions. The book is primarily intended for clinicians who care for two of the most vulnerable patient subpopulations – those being treated in ambulances or emergency rooms, and those being treated at intensive care units – due in part to the fact that they may be temporarily or permanently incapacitated. Core medical skills, such as diagnosis and predicting outcomes, as well as implementing treatment, remain challenging. However, without adequate communication and collaboration both within the inter-professional treatment teams and between the teams and the patients/their families, delivering excellent care is difficult at best. Therefore, the so-called “soft skills” are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill.
Ethics And Critical Care Medicine
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Author : J.C. Moskop
language : en
Publisher: Springer
Release Date : 2011-11-22
Ethics And Critical Care Medicine written by J.C. Moskop and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2011-11-22 with Medical categories.
The expense of critical care and emergency medicine, along with widespread expectations for good care when the need arises, pose hard moral and political problems. How should we spend our tax d'ollars, and who should get help? The purpose of this volume is to reflect upon our choices. The authors whose papers appear herein identify major difficulties and offer various solutions to them. Four topics are discussed throughout the volume: First, encounters between patients and health professionals in critical situations in general, and where scarcity makes rationing necessary; second, allocation and social policy, including how much to spend on preventive, chronic or critical care medicine, or for medicine in general compared to other important social projects; third, conflicts between or ranking of important goals and values; and fourth, conceptual issues affecting the choices we make. Since these topics are raised by the authors in almost every essay, we did not divide the papers into separate sections within the volume. Warren Reich begins the volume with a parable illustrating a key problem for contemporary medicine and two very different approaches to its solution. His story begins with the "delivery" of three indigent, critically ill, foreign patients to the emergency room of a large American private hospital. Although the hospital is legally bound to care for these patients, providing long term, high cost care for them and others soon becomes a major financial strain.
Critical Care
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Author : Jack Tinker
language : en
Publisher: CRC Press
Release Date : 1995-10-17
Critical Care written by Jack Tinker and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995-10-17 with Medical categories.
'Critical Care: Standards, Audit and Ethics' brings together the important issues which are topical and relevant to the dilemmas faced by all concerned with the management of critically ill patients. The standards of resources that should be available to deliver this care are discussed, including transport of the critically ill, the design of intensive care units, technical support, and the staffing and training within related disciplines, viewed from a world wide perspective. The authors review and debate: current theories and practice in audit to quantify critical illnesses; the selection of patients; the results of critical care and the quality of survival as well as the cost benefits; the ethics of establishing health care priorities; withholding and withdrawing life-support; the ethical issues of organ donation; clinical research, medico-legal, moral and religious aspects of critical care. This is the first book to look in depth at the principles and practice of the organisational aspects of intensive care delivery and will be of value to all members of the multidisciplinary Intensive Care team: physicians, nurses, trainees and managers. Every Intensive Care Unit should have a copy.
Ethics In Intensive Care Medicine
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Author : Andrej Michalsen
language : en
Publisher: Springer Nature
Release Date : 2023-07-19
Ethics In Intensive Care Medicine written by Andrej Michalsen and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2023-07-19 with Medical categories.
In this book, part of the European Society of Intensive Care Medicine (ESICM) textbook series, experts in the field of clinical ethics describe basic principles of clinical ethics and ethical reasoning, the fundamental pillars of intensive care medicine as well as the decision-making processes necessary to arrive at appropriate decisions for each individual patient. Specifically, the complex decision-making process, with regard to limiting life-sustaining therapies and integrating palliative care into intensive care, are expounded. Furthermore, the still controversial topics of ethical climate, proportionate care, and prioritization are elaborated upon. The so-called “soft skills” of inter-professional communication and co-operation are given the attention they deserve in order to overcome the gap between technological progress and interpersonal standstill. Finally, widely accepted ethical values and principles were challenged by the Covid-19 pandemic, forcing clinicians to elaborate recommendations regarding the prioritization of scarce resources. The book will be an invaluable tool for clinicians to understand ethical principles and reasoning to contend ethical challenges in intensive care medicine across the boundaries of disciplines and professions, in order to provide an appropriate individual plan of treatment for their patients.
Ethical Problems In Emergency Medicine
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Author : Peter Rosen
language : en
Publisher: John Wiley & Sons
Release Date : 2012-06-13
Ethical Problems In Emergency Medicine written by Peter Rosen and has been published by John Wiley & Sons this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-06-13 with Medical categories.
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.
Law And Ethics In Intensive Care
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Author : Christopher Danbury
language : en
Publisher: Oxford University Press
Release Date : 2020-09-16
Law And Ethics In Intensive Care written by Christopher Danbury and has been published by Oxford University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-09-16 with Medical categories.
The practice of intensive care medicine raises multiple legal and ethical issues on a daily basis, making it increasingly difficult to know who to admit and when, at what stage invasive management should be withdrawn, and who, importantly, should decide? These profound dilemmas, already complicated in a setting of scarce resources, mandate an understanding of law and ethics for those working in intensive care medicine. Clinically focused, this book explains the relevance of landmark rulings to aid your day-to-day decision-making. A spectrum of ethical and legal controversies in critical care are addressed to demonstrate how law and ethics affects the care available to patients and vice versa. Discussion of conflict resolution advises the options open to you when agreement on treatment decisions or withdrawal cannot be reached. The literature and variations surrounding Do Not Attempt Resuscitation decisions are outlined to help you navigate this complex area. This edition also provides an up-to-date analysis of issues such as futility and depreciation of liberty. Featuring contributions from leading legal and medical experts, this important reference should be read by every critical care professional.
Ethics In Emergency Medicine
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Author : Kenneth V. Iserson
language : en
Publisher: Gale Group Incorporated
Release Date : 1995
Ethics In Emergency Medicine written by Kenneth V. Iserson and has been published by Gale Group Incorporated this book supported file pdf, txt, epub, kindle and other format this book has been release on 1995 with Medical categories.
1. General Introduction -- 2. Unique Aspects of Ethics in Emergency Medicine -- 3. Legal Setting of Emergency Medicine -- 4. What is Ethics? -- 5. An Approach to Ethical Problems in Emergency Medicine -- 6. Autonomy and Informed Consent -- 7. Education and Research -- 8. Privacy and Confidentiality -- 9. Life-Sustaining Treatment - Emergency Department -- 10. Life-Sustaining Treatment - Prehospital -- 11. Professional Relations -- 12. Allocation of Health Care Resources -- 13. Quality of Care -- 14. Threatening Situations -- 15. Ethical Statements - Overview -- Appendix. Prehospital Advance Directives.
Stories Of Intensive Care Medical Challenges And Ethical Dilemmas In Real Patients
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Author : Lawrence Martin M. D.
language : en
Publisher:
Release Date : 2020-01-07
Stories Of Intensive Care Medical Challenges And Ethical Dilemmas In Real Patients written by Lawrence Martin M. D. and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-01-07 with Medical categories.
"Stories of Intensive Care" is a series of 23 stories about real patients cared for in the intensive care unit. The author, a retired pulmonary (lung) physician, directed the Mt. Sinai Hospital of Cleveland's Medical Intensive Care Unit (MICU) in the 1980s and 1990s. Each story highlights a medical challenge or ethical dilemma he encountered. The first chapter gives an overview of intensive care rounds, how the MICU operates, and what happens, when, during MICU rounds, a patient's heart suddenly stops beating. Succeeding chapters are devoted to one or two patients and the challenges they present. Like Harold Switek, too ill to leave MICU, too psychotic to stay. And Willie the Yellow Man, whose love affair with alcohol exceeded anything you've ever seen. You'll meet a young socialite hospitalized with rapid onset of total paralysis and wonder (as we did): will she ever hug her kids again? And another woman about to have her baby during a terrifying asthma attack. Then there's the young accountant who slept in a coma-for six months! In "The Red Baron" Dr. Martin tells the strange saga of a man who claimed to be coughing up blood, only that wasn't his real problem. Another patient, dubbed "The Wild Man," is deposited in the emergency department by a family member, who then disappears. The wild man is delirious, but why?These and other patients profiled in the book are all real, with names and other identifying features changed as necessary. In answer to the question "Should a physician write about his or her patients?, Dr. Martin states: "Emphatically, yes, if he or she is so inclined and provided that privacy is maintained. In a literary sense, doctors and nurses are privileged. What we see in our daily jobs is more than enough to fill many interesting books. We just have to find the time and inclination to tell others about what we do, and to make the work seem as interesting in print as it is in real life.
Morgan And Mikhail S Clinical Anesthesiology 7th Edition
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Author : John F. Butterworth
language : en
Publisher: McGraw Hill Professional
Release Date : 2022-06-03
Morgan And Mikhail S Clinical Anesthesiology 7th Edition written by John F. Butterworth and has been published by McGraw Hill Professional this book supported file pdf, txt, epub, kindle and other format this book has been release on 2022-06-03 with Medical categories.
The most engagingly written, clinically relevant overview of the practice of anesthesiology Hailed as the best primer on the topic, Morgan and Mikhail’s Clinical Anesthesiology has remained true to its stated goal: “to provide a concise, consistent presentation of the basic principles essential to the modern practice of anesthesia.” This trusted classic delivers comprehensive coverage of the field’s must-know basic science and clinical topics in a clear, easy-to-understand presentation. At the same time, it has retained its value for coursework, review, and as a clinical refresher. Key features that make it easier to understand complex topics: Rich full-color art work combined with a modern, user-friendly design make information easy to find and remember Case discussions promote application of concepts in real-world clinical practice Boxed Key Concepts at the beginning of each chapter identify important issues and facts that underlie the specialty Numerous tables and figures encapsulate important information and facilitate recall Up-to-date discussion of all relevant areas of anesthesiology, including equipment and monitors, pharmacology, pathophysiology, regional anesthesia, pain management, and critical care
Neurologic Emergencies An Issue Of Emergency Medicine Clinics Of North America
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Author : Michael K. Abraham
language : en
Publisher: Elsevier Health Sciences
Release Date : 2020-11-25
Neurologic Emergencies An Issue Of Emergency Medicine Clinics Of North America written by Michael K. Abraham and has been published by Elsevier Health Sciences this book supported file pdf, txt, epub, kindle and other format this book has been release on 2020-11-25 with Medical categories.
This issue of Emergency Medicine Clinics, guest edited by Drs. Michael K. Abraham and Evie Marcolini, focuses on Neurologic Emergencies. This issue is one of four selected each year by series Consulting Editor, Dr. Amal Mattu. Topics include: Traumatic injuries of the nervous system; Modern Neuroimaging Techniques in Diagnosing TIA and Acute Ischemic Stroke; Neurologic Emergencies at the Extremes of Age; Headache in the Emergency Department Avoiding Misdiagnosis of Dangerous Secondary Causes and Infections of the Central Nervous System.