Review Paper: Emergency Medical Technicians’ Ethical Challenges in the Prehospital Emergency Services: A Review Article

  • سال انتشار: 1398
  • محل انتشار: فصلنامه سلامت در حوادث و بلایا، دوره: 5، شماره: 1
  • کد COI اختصاصی: JR_HDQ-5-1_002
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 194
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نویسندگان

Fatemeh Cheraghi

Chronic Disease (Home Care) Research center, School of Nursing & Midwifery, Hamadan university of Medical Sciences, Hamedan, Iran.

Mohammad Reza Yousefzadeh Chosari

Department of Educational Sciences, Bu-Ali Sina University, Hamadan, Iran

Mehdi Beyrami Jam

Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.

Ali Afshari

School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran.

چکیده

Background: Because of the complexity, stressfulness, and the threatening nature of the working environment of prehospital Emergency Medical Technicians (EMTs), they encounter many ethical challenges during making decisions and providing quick and accurate care to patients. The present study aimed to investigate the ethical challenges among prehospital EMTs. Materials and Methods: To review all published studies, we searched SID, Medlib, Iran Medex, Magiran, Web of Science, Medline, Google Scholar, CINAHL, PubMed, Ovid, and Scopus databases from ۲۰۰۰-۱۸. The keywords were “ethical challenges”, “emergency medical technicians”, and “prehospital emergency”. Results: According to the evaluation of the studies, the ethical challenge regarding prehospital emergencies included decision over dispatching an ambulance to the scene, cardiopulmonary resuscitation, triage in crisis and disaster, irrational interventions of the patient or patient’s family, intervention in accordance with patient’s informed consent, and safe driving. Conclusion: Considering the unique conditions of prehospital caring, identifying, and discovering the ethical conflicts in this field of the health care system and providing the appropriate solution are very important.

کلیدواژه ها

Ethical challenges, Emergency Medical Technicians (EMTs), Prehospital emergency

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