Hadassah University Hospital, Jerusalem, Israel.
Am J Bioeth. 2009 Oct;9(10):40-2. doi: 10.1080/15265160902985035.
With the escalation of terrorism worldwide in recent years, situations arise in which the perpetration of violence and the defense of human rights come into conflict, creating serious ethical problems. The Geneva Convention provides guidelines for the medical treatment of enemy wounded and sick, as well as prisoners of war. However, there are no comparable provisions for the treatment of terrorists, who can be termed unlawful combatants or unprivileged belligerents. Two cases of severely injured terrorists are presented here to illustrate the dilemmas facing the medical staff that treated them. It is suggested that international legal and bioethical guidelines are required to define the role of the physician and auxiliary medical staff vis a vis injured terrorists. There are extreme situations where the perpetration of violence and the defense of human rights come into conflict, leading to serious ethical and psychological discord. Terrorists, using violence to create fear in order to further their political objectives, might require life-saving medical care if injured during the course of their terror activities.
近年来，随着全球恐怖主义的升级，暴力行为的实施与捍卫人权之间的冲突时有发生，从而产生了严重的伦理问题。《日内瓦公约》为敌方伤员和病患以及战俘的医疗提供了指导方针。然而，对于恐怖分子，目前还没有类似的治疗规定，他们可以被称为非法战斗人员或无特权的交战方。本文提出了两个重伤恐怖分子的案例，旨在说明对治疗他们的医务人员所面临的困境。这表明需要制定国际法律和生物伦理准则，以界定医生和辅助医务人员对受伤恐怖分子的角色。在某些极端情况下，暴力行为的实施与捍卫人权之间可能会发生冲突，从而导致严重的伦理和心理上的不和谐。恐怖分子通过暴力手段制造恐惧，以推进其政治目标，在恐怖活动过程中受伤时，可能需要进行救生医疗护理。
