TY - JOUR
T1 - Medical Ethics in Extreme and Austere Environments
AU - Pingree, Christian S.
AU - Newberry, Travis R.
AU - McMains, K. Christopher
AU - Holt, G. Richard
N1 - Publisher Copyright:
© 2020, Springer Nature B.V.
Copyright:
Copyright 2020 Elsevier B.V., All rights reserved.
PY - 2020/12
Y1 - 2020/12
N2 - American society has a history of turning to physicians during times of extreme need, from plagues in the past to recent outbreaks of communicable diseases. This public instinct comes from a deep seated trust in physician duty that has been earned over the centuries through dedicated and selfless care, often in the face of personal risks. As dangers facing our communities include terroristic events physicians must be adequately prepared to respond, both medically and ethically. While the ethical principles that govern physician behavior—beneficence, nonmaleficence, autonomy, and social justice—are unchanging, fundamental doctrines must change with the new risks inherent to terroristic events. Responding to mass casualty disasters caused by terrorists, natural calamities, and combat continue to be challenging frontiers in medicine. Preparing physicians to deal with the consequences of a terroristic disease must include understanding the ethical challenges that can occur.
AB - American society has a history of turning to physicians during times of extreme need, from plagues in the past to recent outbreaks of communicable diseases. This public instinct comes from a deep seated trust in physician duty that has been earned over the centuries through dedicated and selfless care, often in the face of personal risks. As dangers facing our communities include terroristic events physicians must be adequately prepared to respond, both medically and ethically. While the ethical principles that govern physician behavior—beneficence, nonmaleficence, autonomy, and social justice—are unchanging, fundamental doctrines must change with the new risks inherent to terroristic events. Responding to mass casualty disasters caused by terrorists, natural calamities, and combat continue to be challenging frontiers in medicine. Preparing physicians to deal with the consequences of a terroristic disease must include understanding the ethical challenges that can occur.
KW - Combat ethics' military medical ethics
KW - Disaster relief
KW - Extreme environment
KW - Physician training
UR - http://www.scopus.com/inward/record.url?scp=85082718344&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85082718344&partnerID=8YFLogxK
U2 - 10.1007/s10730-020-09405-9
DO - 10.1007/s10730-020-09405-9
M3 - Article
AN - SCOPUS:85082718344
VL - 32
SP - 345
EP - 356
JO - HEC Forum
JF - HEC Forum
SN - 0956-2737
IS - 4
ER -