Traylor Matthew
AMA J Ethics. 2018 May 1;20(5):455-463. doi: 10.1001/journalofethics.2018.20.5.ecas5-1805.
This essay explores how some of the arguments advanced for and against family presence during cardiopulmonary resuscitation might apply to the question of whether family should be permitted in the trauma bay. While the first section suggests that many of the proposed benefits might apply to family presence during trauma resuscitations, the second section contends that family presence in the trauma bay could detract from the quality of patient care, violate patient privacy, and be psychologically damaging for the witnessing family. The essay concludes by proposing a chaperoning system that could mitigate some of the proposed concerns with a family presence policy and by analyzing some of the ethical commitments that underlie the discussion of family in the trauma bay.
本文探讨了支持和反对心肺复苏期间家属在场的一些论点如何适用于家属是否应被允许进入创伤急救室这一问题。第一部分表明,许多所提出的益处可能适用于创伤复苏期间家属在场的情况,而第二部分则认为家属在创伤急救室可能会降低患者护理质量、侵犯患者隐私,并对在场的家属造成心理伤害。本文最后提出了一种陪护制度,该制度可以减轻一些与家属在场政策相关的担忧,并分析了创伤急救室中关于家属讨论背后的一些伦理承诺。