Ethical challenges in resuscitation

Intensive Care Medicine
Spyros D MentzelopoulosLeo Bossaert

Abstract

A rapidly evolving resuscitation science provides more effective treatments to an aging population with multiple comorbidites. Concurrently, emergency care has become patient-centered. This review aims to describe challenges associated with the application of key principles of bioethics in resuscitation and post-resuscitation care; propose actions to address these challenges; and highlight the need for evidence-based ethics and consensus on ethical principles interpretation. Following agreement on the article's outline, subgroups of 2-3 authors provided narrative reviews of ethical issues concerning autonomy and honesty, beneficence/nonmaleficence and dignity, justice, specific practices/circumstances such as family presence during resuscitation, and emergency research. Proposals for addressing ethical challenges were also offered. Respect for patient autonomy can be realized through honest provision of information, shared decision-making, and advance directives/care planning. Essential prerequisites comprise public and specific healthcare professionals' education, appropriate regulatory provisions, and allocation of adequate resources. Regarding beneficence/nonmaleficence, resuscitation should benefit patients, while avoiding ...Continue Reading

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Jun 11, 2020·Acta Anaesthesiologica Scandinavica·Heidi KangasniemiSanna Hoppu
Oct 4, 2019·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Heidi KangasniemiSanna Hoppu
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Jun 8, 2021·Notfall & Rettungsmedizin·Spyros D MentzelopoulosLeo Bossaert
Sep 21, 2021·Journal of Clinical Nursing·Katherine RileyLuke Molloy
Sep 25, 2021·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·Louise MillingSøren Mikkelsen

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