Literature DB >> 8331644

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

K V Iserson1.   

Abstract

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?

Entities:  

Keywords:  Analytical Approach; Bioethics and Professional Ethics; Professional Patient Relationship

Mesh:

Year:  1993        PMID: 8331644      PMCID: PMC1376195          DOI: 10.1136/jme.19.2.92

Source DB:  PubMed          Journal:  J Med Ethics        ISSN: 0306-6800            Impact factor:   2.903


  17 in total

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Journal:  Physician Exec       Date:  1987 Jan-Feb

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Review 3.  Foregoing prehospital care: should ambulance staff always resuscitate?

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Journal:  J Med Ethics       Date:  1991-03       Impact factor: 2.903

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Journal:  Hastings Cent Rep       Date:  1985-02       Impact factor: 2.683

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Authors:  J Feinberg
Journal:  Hastings Cent Rep       Date:  1985-02       Impact factor: 2.683

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Authors:  W F Casey
Journal:  Lancet       Date:  1983-06-25       Impact factor: 79.321

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Journal:  Arch Intern Med       Date:  1988-05

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Authors:  S A Schroeder; K I Marton; B L Strom
Journal:  Arch Intern Med       Date:  1978-12

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Authors:  R D Stewart; P M Paris; G H Pelton; D Garretson
Journal:  Ann Emerg Med       Date:  1984-11       Impact factor: 5.721

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  6 in total

Review 1.  Ethics in the laboratory examination of patients.

Authors:  T Nyrhinen; H Leino-Kilpi
Journal:  J Med Ethics       Date:  2000-02       Impact factor: 2.903

Review 2.  Informed consent in research to improve the number and quality of deceased donor organs.

Authors:  Michael M Rey; Lorraine B Ware; Michael A Matthay; Gordon R Bernard; Amy L McGuire; Arthur L Caplan; Scott D Halpern
Journal:  Crit Care Med       Date:  2011-02       Impact factor: 7.598

3.  May we practise endotracheal intubation on the newly dead?

Authors:  M Ardagh
Journal:  J Med Ethics       Date:  1997-10       Impact factor: 2.903

4.  Ethics and necropsies.

Authors:  E W Benbow
Journal:  J Clin Pathol       Date:  1993-10       Impact factor: 3.411

5.  A survey of graduating emergency medicine residents' experience with cricothyrotomy.

Authors:  Andrew L Makowski
Journal:  West J Emerg Med       Date:  2013-11

6.  Using newly deceased patients in teaching clinical skills: its ethical and educational challenges.

Authors:  Mahboobeh Saber; Seyed Ali Enjoo; Ali Mahboudi; Seyed Ziaadin Tabei
Journal:  J Adv Med Educ Prof       Date:  2018-04
  6 in total

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