La Puma J, Balskus M
Section of Clinical Ethics, Lutheran General Hospital, Park Ridge, Illinois 60068.
J Emerg Med. 1988 Mar-Apr;6(2):147-9. doi: 10.1016/0736-4679(88)90159-x.
Emergency aeromedical systems have become an integral part of the practice of critical care medicine. These systems provide specialized care to the severely injured, including transport to the nearest trauma center with the highest level. Aeromedical physicians and nurses called to care for injured indigent patients, however, may be placed at odds with the financial interests of their institution. "Patient dumping" in aeromedicine may lead to ethical, legal, professional, and regulatory dilemmas for emergency professionals and health care institutions. Institutional policy for aeromedical transport of severely injured patients must be instituted, regardless of their ability to pay.
空中医疗急救系统已成为重症监护医学实践中不可或缺的一部分。这些系统为重伤患者提供专业护理，包括将其转运至最近的最高级别的创伤中心。然而，被召唤去照顾受伤贫困患者的空中医疗医生和护士可能会与他们所在机构的经济利益产生冲突。空中医疗中的“患者遗弃”可能会给急救专业人员和医疗机构带来伦理、法律、专业和监管方面的困境。必须制定关于重伤患者空中医疗转运的机构政策，而不论其支付能力如何。
