Ruth and Harry Roman Emergency Department, Department of Emergency Medicine, Center for Healthcare Ethics, Burns and Allen Research Institute, Cedars-Sinai Medical Center, Los Angeles, CA, United States of America.
Department of Emergency Medicine, Wright State University Boonshoft School of Medicine, Dayton, OH, United States of America.
Am J Emerg Med. 2019 May;37(5):942-946. doi: 10.1016/j.ajem.2019.01.046. Epub 2019 Jan 26.
Emergency Physicians are frequently called upon to treat family members, friends, colleagues, subordinates or others with whom they have a personal relationship; or they may elect to treat themselves. This may occur in the Emergency Department (ED), outside of the ED, as an informal, or "curbside" consultation, long distance by telecommunication or even at home at any hour. In surveys, the vast majority of physicians report that they have provided some level of care to family members, friends, colleagues or themselves, sometime during their professional career. Despite being common, this practice raises ethical concerns and concern for the welfare of both the patient and the physician. This article suggests ethical and practical guidance for the emergency physician as to how to approach these situations.
急诊医生经常需要治疗他们有私人关系的家庭成员、朋友、同事、下属或其他人；或者他们可能选择自己治疗。这可能发生在急诊科 (ED) 内或之外，作为非正式的或“路边”咨询，通过远程通讯，甚至在任何时间在家里。在调查中，绝大多数医生报告说，他们在职业生涯中的某个时候曾为家庭成员、朋友、同事或自己提供过一定程度的医疗服务。尽管这种做法很常见，但它引起了伦理问题的关注，并对患者和医生的福利都产生了担忧。本文为急诊医生提供了一些关于如何处理这些情况的伦理和实际指导。
