Saturday, January 3, 2009

Week One Online Challenge

Each week, I'll be posting an online challenge a few days before class to help us all prepare for the two hours we spend together in class. Responding with comments will be a regular way for you to participate in online discussions, but is neither required, nor is it the only way you contribute. You are also encouraged to make your own posts. We'll talk more about this in class on Wednesday. So on to this week's challenge:

You've signed up for a class titled, "Ethics in the ER."

The first part of the challenge is to think of 3 words or phrases relevant to medical ethics. It's okay to repeat a previous poster's words, but push yourself to think of new contributions.

The second part of the challenge is to think of one way that medical ethics might be different in the emergency room.

You can answer one or both parts here. We'll be discussing what you come up with in class.

10 comments:

  1. My three ethics words are:

    HIPPA
    Consent
    I-1000

    I'll hold off on an entry about how ethics is different in the ER.

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  2. 3 words: Fairness, Grey areas, Consent

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  3. Responsibility, trust, patient's well-being.

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  4. DNR, confidentiality, self determination

    Conducting research: using the emergency exception of informed consent in comparing two prehospital resuscitation strategies

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  5. Urgency
    Informed-Consent
    Barriers

    I think that one way that ethics functions differently in the ED is that ofen there isn't time or access to gather more information. Decisions must be made quickly, sometimes without the benefit of all of the facts.

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  6. 3 words:
    Integrity
    Beneficence
    Trust


    Major difference in the ER:

    Urgency

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  7. Evidence based medicine
    Conflicting opinions
    Patient population bias

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  8. Multi-faceted
    Competition
    Beneficence

    Difference in the ED: at times, patient preference cannot be determined, there is a rapidity to the situation, and all players might not be available to provide their voice to the process.

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  9. morality
    judgment
    open-mindedness

    I imagine that ethical choices in the ER are more often made based on the gut feeling, since time is usually a limiting factor

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  10. Autonomy
    Vulnerable
    Capacity

    Ethical dilemmas are strained by the value of life, lack of time, and all the other chaos that make an ED. However, the experienced lead the confused through to a conclusion. In many cases reflections seem come after the decision has already been made. Either to confirm the option selected or to think or a new option for the next time.

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