IS IT TIME TO TEACH MEDICAL ETHICS TO EMT'S? AN ISRAELI CASE STUDY.

IF 0.1 Q4 LAW MEDICINE AND LAW Pub Date : 2014-07-01
Zohar Lederman
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Abstract

In 2012, the Israeli actor and director Doron Nesher had a stroke and his family called the Israeli Emergency Service to take him to the hospital. On arrival, the medical crew encountered resistance by the patient who refused to receive treatment and to be accompanied to the hospital. After all of the crew's persuasion attempts that lasted about two hours failed, the crew left the scene without the patient, against his tearing wife's repeated requests. Hours later, the family, with the help of neighbors, took Mr. Nesher to the hospital in a private car, rolled up in a carpet. In this paper, I claim that the medical crew made an ethical error by not forcing the patient to go to the hospital. However, I do not blame the crew itself, but rather point my finger towards two institutional culprits: the Israeli Emergency Medical Service and the Israeli medical ethics education of paramedics and emergency medical technicians. I recommend that we start teaching medical ethics to paramedical professions.

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是时候教急诊医生医学伦理了吗?以色列的案例研究。
2012年,以色列演员兼导演多伦·内舍(Doron Nesher)中风,他的家人打电话给以色列急救中心(Israeli Emergency Service),将他送往医院。医务人员到达后,遇到了病人的抵抗,他拒绝接受治疗并拒绝陪同前往医院。在持续了两个多小时的劝说失败后,工作人员不顾病人流泪的妻子的一再要求,丢下病人离开了现场。几小时后,家人在邻居的帮助下,用一辆私家车把内舍送到了医院。在本文中,我认为医务人员没有强迫病人去医院是一个道德错误。然而,我并不责怪机组人员本身,而是把我的矛头指向两个制度上的罪魁祸首:以色列紧急医疗服务和以色列对护理人员和紧急医疗技术人员的医疗道德教育。我建议我们开始向医疗辅助人员教授医学伦理学。
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