TC Beirne School of Law, University of Queensland, Brisbane, Queensland, Australia.
Erik Castrén Institute of International Law and Human Rights, Faculty of Law, University of Helsinki, Helsinki, Finland.
J Med Ethics. 2018 Jul;44(7):509-510. doi: 10.1136/medethics-2017-104584. Epub 2018 Feb 13.
In the context of military medical care, Eisenstein and colleagues have introduced the notion 'left of bang intervention in trauma', which refers to interventions administered before trauma to reduce morbidity and mortality after injury. This paper responds to Eisenstein and colleagues' ethical analysis of such interventions, highlighting the difficulty in distinguishing between purely prophylactic and enhancing interventions. This response also addresses legal issues that arise from left of bang interventions under human rights law and the law of armed conflict, in particular the questions as to whether the consent of service members would need to be obtained and whether the adversary would as a consequence be authorised to resort to more injurious weapons.
在军事医疗保健方面,Eisenstein 和同事们提出了“创伤前‘bang 之前’干预”的概念,是指在创伤发生前进行干预,以降低伤害后的发病率和死亡率。本文回应了 Eisenstein 和同事们对这种干预的伦理分析,强调了区分纯粹预防性干预和增强性干预的困难。本文还讨论了根据人权法和武装冲突法对 bang 之前干预产生的法律问题,特别是是否需要获得服务人员的同意,以及对手是否因此被授权使用更具伤害性的武器的问题。