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尸体上重演手术过程的伦理问题。

Ethics of re-hearsing procedures on a corpse.

机构信息

Center for Medical Ethics and Health Policy, Baylor College of Medicine, Houston, Tex., USA.

出版信息

J Vasc Surg. 2011 Sep;54(3):879-80. doi: 10.1016/j.jvs.2011.07.033.

Abstract

You are the attending surgeon of a homeless pedestrian who sustained multiple injuries when struck by a car. He died soon after being brought to the emergency department. It is late in the evening. A first-year resident and a medical student have been helping with the failed attempt at resuscitation. The emergency department is empty, except for your case. A central line kit lies on the bed, opened but not used. The junior resident asks your permission for herself and the student to practice the technique of subclavian cauterization and tracheal intubation on the fresh cadaver to get a "feel" for the procedures. There is no medical simulation for these procedures at your medical center. The best ethical response is: A. Tell them to go ahead and practice. B. They can only practice intubation because it leaves no external wounds. C. You should supervise them yourself to assure educational benefit. D. They should wait until you get permission from the medical examiner. E. The present case is not appropriate for educational purposes.

摘要

你是一位无家可归的行人的主治外科医生,他被车撞后受了多处伤。他被带到急诊室后不久就去世了。已经是深夜了。一位一年级住院医生和一位医学生一直在协助进行复苏的失败尝试。急诊室除了你的病例外空无一人。中心静脉置管套件放在床上,打开但未使用。初级住院医生请求你允许她和学生在新鲜的尸体上练习锁骨下烧灼和气管插管技术,以便“感受”这些程序。你的医疗中心没有这些程序的医学模拟。最合适的伦理回应是:A. 告诉他们继续练习。B. 他们只能练习插管,因为它不会留下外部伤口。C. 你应该亲自监督他们,以确保教育收益。D. 他们应该等到你从法医那里获得许可。E. 目前的病例不适合用于教育目的。

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