Rosner Fred
Elmhurst Hospital Center, Elmhurst, NY, USA.
Isr Med Assoc J. 2010 Mar;12(3):133-5.
During times of war, physicians are sometimes faced with the conflict of their professional duties to ensure the ethical principles of beneficence, non-maleficence, patient autonomy, and self-determination, within the framework of the proper ethical conduct in the practice of medicine, and the obligation and duties placed upon the physician by the state in times of war. Many ethical dilemmas may occur for the physician on the battlefield or elsewhere in the war region, including the treatment of detainees and the priority of treating wounded enemy soldiers or civilians first. When physicians are faced with a conflict between following state or national policies and following international principles of humanitarian law and medical ethics, the physician should opt for the latter. Physicians should not participate in any way in human rights abuses of detainees or prisoners when deployed in a war zone. Physicians must maintain the principles and standards and ethical considerations of their noble profession at all times.
在战争时期，医生有时会面临职业职责的冲突，即在医学实践中遵循正当伦理行为框架内确保行善、不伤害、患者自主和自我决定等伦理原则，与国家在战时赋予医生的义务和职责之间的冲突。在战场或战区其他地方，医生可能会面临许多伦理困境，包括对被拘留者的治疗以及优先治疗受伤的敌人士兵或平民。当医生面临遵循国家或民族政策与遵循国际人道主义法和医学伦理原则之间的冲突时，医生应选择后者。医生在被部署到战区时，不应以任何方式参与对被拘留者或囚犯的人权侵犯行为。医生必须始终维护其崇高职业的原则、标准和伦理考量。
