Brattebø G, Wisborg T
Anestesiavdelingen, Hammerfest sykehus.
Tidsskr Nor Laegeforen. 1990 Apr 30;110(11):1380-1.
The need for medical personnel to be able to perform certain emergency medical procedures, such as endotracheal intubation, intravascular acess, defibrillation, and tracheotomy cannot be questioned. However, it is difficult to practise these techniques on patients and mannequins. Using newly deceased persons is an alternative which allows the procedures to be performed under nearly realistic circumstances, but this educational approach could raise certain ethical objections among staff who are not adequately informed about the educational objectives. A survey of the ten largest Norwegian hospitals revealed that only two had adopted this practice. The rest had considered it, but had decided not to start this routine. None of the hospitals had refrained from it after thoroughly analysing the ethical issues involved. Six hospitals used cadavers for other instruction. The practice represents a unique opportunity for training, and the ethical implications are justifiable provided that the training is conducted with respect and compassion for the deceased.
医疗人员能够执行某些紧急医疗程序，如气管插管、血管通路建立、除颤和气管切开术，这一点毋庸置疑。然而，在患者和人体模型上练习这些技术存在困难。使用刚去世的人作为替代方案，可以让这些程序在几乎真实的情况下进行，但这种教育方法可能会在那些未充分了解教育目标的工作人员中引发某些伦理方面的反对意见。对挪威最大的十家医院进行的一项调查显示，只有两家采用了这种做法。其余医院虽曾考虑过，但决定不启动这一常规做法。在全面分析所涉及的伦理问题后，没有一家医院放弃这一做法。有六家医院将尸体用于其他教学。这种做法为培训提供了独特的机会，只要在培训过程中对死者怀有尊重和同情，其伦理影响就是合理的。
