Denny C J, Kollek D
McMaster University Medical School, Hamilton, Ontario, Canada.
J Emerg Med. 1999 Nov-Dec;17(6):949-52. doi: 10.1016/s0736-4679(99)00121-3.
We sought to measure the prevalence of practicing procedures on the recently dead in emergency departments. Surveys were mailed to all medical students, interns, residents in Emergency Medicine, emergency physicians, and trauma team leaders working in the teaching hospitals of a city with a population of 600,000. Of 447 distributed surveys, 222 (49%) were returned. Participants were divided into learners and teachers. Of the learners (n = 162), 6 (4%) had practiced intubation and 4 (3%) had practiced pericardiocentesis on a recently dead patient. Of the teachers (n = 30), 8 (27%) had had learners practice intubation and 4 (13%) had had learners practice pericardiocentesis on a recently dead patient. Of the students and teachers who practiced procedures on recently dead patients, none had obtained consent. The prevalence of practicing procedures on recently dead patients appears to be less than has been reported previously. Intubation is the most commonly practiced procedure on recently dead patients. None of the participants obtained consent before practicing a procedure.
我们试图衡量在急诊科对刚死亡者实施操作的发生率。调查问卷被邮寄给了在一个拥有60万人口城市的教学医院工作的所有医学生、实习生、急诊医学住院医师、急诊医生以及创伤团队负责人。在分发的447份调查问卷中，有222份（49%）被返还。参与者被分为学习者和带教者。在学习者（n = 162）中，有6人（4%）对刚死亡的患者实施过插管操作，4人（3%）对刚死亡的患者实施过心包穿刺术。在带教者（n = 30）中，有8人（27%）让学习者对刚死亡的患者实施过插管操作，4人（13%）让学习者对刚死亡的患者实施过心包穿刺术。在对刚死亡的患者实施操作的学生和带教者中，没有人获得过同意。对刚死亡的患者实施操作的发生率似乎低于之前报道的水平。插管是对刚死亡的患者最常实施的操作。没有一名参与者在实施操作前获得同意。
