Postmortem procedures in the emergency department: using the recently dead to practise and teach.

نویسنده

  • K V Iserson
چکیده

In generations past, it was common practice for doctors to learn lifesaving technical skills on patients who had recently died. But this practice has lately been criticised on religious, legal, and ethical grounds, and has fallen into disuse in many hospitals and emergency departments. This paper uses four questions to resolve whether doctors in emergency departments should practise and teach non-invasive and minimally invasive procedures on the newly dead: Is it ethically and legally permissible to practise and teach non-invasive and minimally invasive procedures on the newly dead emergency-department patient? What are the alternatives or possible consequences of not practising non-invasive and minimally invasive procedures on newly dead patients? Is consent from relatives required? Should doctors in emergency departments allow or even encourage this use of newly dead patients?

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

The Diagnostic Value of End-tidal Carbon Dioxide (EtCO2) and Alveolar Dead Space (AVDS) in Patients with Suspected Pulmonary Thrombo-embolism (PTE)

Introduction: Capnography, is an easy, fast and practical method which its application in the diagnosis of Pulmonary Thromboendarterectomy (PTE) has recently been studied. This study aimed to assess the diagnostic value of end-tidal CO2 (ETCO2) and the alveolar dead space (AVDS) in the diagnosis of patients suspected to PTE who have been referred to the emergency department. Materials and Metho...

متن کامل

Procedures on the newly deceased: An ethical and educational challenge

Introduction: The newly deceased patients have long been usedin medical schools to teach clinical skills without any challengesas it helps to train skilled doctors. Nowadays, the use of moulagesand simulators are common in teaching clinical skills since thesetools provide the opportunity for frequent practice without anypain and injury. There are specific procedures which still requirethe use o...

متن کامل

Comparing the effect of family presence and their training before presence on patient's anxiety during invasive nursing procedures in the emergency department: a randomized clinical trial

Introduction: Today, despite of emphasis on family-based care strategies, there is little understanding of the adult patient's perception of the presence of family members during emergency care and invasive procedures. The aim of this study was to comparing the effect of family presence and their training before the presence on the anxiety of patients undergoing invasive nursing procedures in t...

متن کامل

Performing procedures on the newly deceased for teaching purposes: what if we were to ask?

BACKGROUND Performance of procedures on the recently dead for physician training is controversial. It has been suggested that permission be obtained. We investigated whether patients and family members would grant such permission or if even this request might anger the recently bereaved. METHODS Physicians administered identical surveys to adult emergency department patients and family member...

متن کامل

Do we know what people die of in the emergency department?

OBJECTIVE To establish the discrepancy rate between the predicted cause of death and the actual cause of death as determined by postmortem examination result, for all deaths in the emergency department reported to the Scottish Procurator Fiscal and subsequently undergoing postmortem examination. METHODS A prospective study of all patients who were dead on arrival or died in the emergency depa...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Journal of medical ethics

دوره 19 2  شماره 

صفحات  -

تاریخ انتشار 1993