Chamsi-Pasha Hassan, Chamsi-Pasha Majed, Albar Mohammed A
Department of Cardiology, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia.
Department of Medicine, International Medical Center, Jeddah, Saudi-Arabia.
Avicenna J Med. 2020 Jul 3;10(3):102-105. doi: 10.4103/ajm.ajm_119_20. eCollection 2020 Jul-Sep.
The coronavirus disease 2019 (COVID-19) pandemic placed an extraordinary demand on health systems and healthcare providers all over the world. The pandemic presented a number of unprecedented challenging ethical issues. Across the globe, hospitals are being challenged by a large number of patients presenting to the emergency room for treatment, creating scarcities of critical care resources, and uncovering the need for formal crisis standards of care. Difficult life and death decisions, which may create severe moral distress to the physicians, have to be made in emergency rooms and intensive care units. Other ethical issues, such as that related to conducting clinical trials during the pandemic, and the increase in domestic violence during the quarantine period, will be also discussed.
2019年冠状病毒病（COVID-19）大流行给世界各地的卫生系统和医疗服务提供者带来了巨大需求。这场大流行带来了一些前所未有的具有挑战性的伦理问题。在全球范围内，医院面临着大量患者前往急诊室求治的挑战，导致重症监护资源短缺，并凸显了制定正式危机护理标准的必要性。在急诊室和重症监护病房，必须做出艰难的生死抉择，这可能会给医生带来严重的道德困扰。还将讨论其他伦理问题，例如与在大流行期间进行临床试验相关的问题，以及隔离期间家庭暴力的增加。
