Medical ethics and treatment of accident victims

0
610

We examine the ethical concerns in emergency medicine (EM) research in this study, focusing on informed consent, vulnerable populations, avoiding damage, and safeguarding the welfare and privacy of subjects and patients. We talk about clinical trial funding and sponsorship, as well as outcomes reporting integrity and scientific dishonesty. The characteristics of a well-designed study are covering in another article in this whole series.

A MORAL BASIS FOR THE AREAS OF RESEARCH IN EMERGENCY MEDICINE

Patients are handled exclusively based on need, which is a fundamental element of EM practice.

Patients who visit an emergency department (ED) have the right to expect to be treated according to the best available evidence. By undertaking clinical evaluations of emerging technology and treatments, the emergency physician (EP) is responsible for improving the store of information that underpins the best evidence. Clinical research at an emergency room in medical negligence, on the other hand, has its own set of challenges. Patients are typically terrified, in pain, and have decreased cognition due to injury or drunkenness.

Opioid analgesia, for example, may alter the patient’s critical faculties and impair their capacity to give informed consent. There is no long-term relationship between the physician and the patient in the emergency department, as there could be in a GP practice or outpatient department.

In the event of a clinical emergency, randomization to therapy must be finished. The primary studies of thrombolytic therapy in acute myocardial infarction, for example, showed significant mortality gains and were thus morally sound. Thousands of patients with life-threatening illnesses were recruited into substantial multicenter studies, and the data would not have been gathered otherwise. The compounds under research have serious adverse effects, such as fatal and debilitating strokes, which happen 3–7 

times per thousand treatments.

The EP must accept “increased ethical obligations, moral standards, and social contracts” in addition to the ethical code that all doctors adhere to 3. In a research setting, the EP must balance two moral imperatives: the responsibility to engage in studies that may benefit patients or improve the efficient use of scarce wealth and the obligation to safeguard a vulnerable subset of patients from exploitation.

BALANCING BENEFICENCE AND NON-MALEFICENCE

Patients place their faith in the clinician’s ability to operate professionally and not abuse his position’s authority. The EP must adhere to the notion that self-promotion should not be taking precedence over the patient’s best interests. Self-promotion can be taking many forms, but the prestige of publishing in peer-reviewed publications is particularly appealing to individuals working on a thesis or considering a future in academia. With the research of medical negligence, like in other parts of clinical practice, integrity and responsibility are critical. Doctors’ moral duty to do good, known as beneficence, must be balanced with non-maleficence.

That is, the potential disadvantages of a course of action must be weighed against the potential benefits. Subjects should be informed about the nature, extent, and risk of harm, and the doctor should keep in mind that what constitutes a negative or positive impact may be different for each subject.

Participants and non-participants alike must uphold the inherent rights of justice and equitable access. The researcher must be a skilled communicator with openness and good listening skills. When describing the possible hazards of a proposed operation, it’s critical to quantify minimal, low, and high risk using real-life examples. A minimum risk technique, for example, is one with a chance of mortality of less than one per million and a significant adverse event risk of less than ten per million.

A research study of medical negligence may result in benefits for the patient or society. It’s important to distinguish between therapeutic and non-therapeutic research when analyzing the advantages of a proposed study. When one is usually weighing the risks and benefits of any strategy, researchers must assess the possible benefit to the patient. It would not be strictly ethical to expose the subject to anything more than minimal risk if there is a small direct benefit to the patient, regardless of how substantial the benefit to society is.

The ideas for a code of practice are relay on a recent statement by the Society for Academic Emergency Medicine.