Bein Thomas
Deutsche Allianz Klimawandel und Gesundheit, Fakultät für Medizin, Universität Regensburg, 93042, Regensburg, Deutschland.
Med Klin Intensivmed Notfmed. 2023 Jun;118(5):358-361. doi: 10.1007/s00063-023-01012-z. Epub 2023 Apr 29.
Climate change and global warming are facts, and actually they are a hot topic for politics, economics, and societies. Global healthcare contributes approximately 5% of worldwide anthropogenic emissions, and this fact might produce an ethical dilemma between the Hippocratic principles of 'beneficence' (promotion of health) and of 'non-maleficence' (avoiding reinforcement of the climate crisis). Intensive care medicine has continuous high staff activity, resource use, and energy demands, and it is clear that intensive care medicine must become green to commence with practical measures to reduce their intensive care unit (ICU) carbon footprint. In this article several strategies are introduced, beginning with the creation of green teams on the ICUs from the bottom. Furthermore, systematic recycle programs, and the assessment and control of energy use are required to make ICUs more sustainable. Strategies for avoiding futile treatment combined with a choose wisely philosophy might contribute to such projects. Immediate engagement of all healthcare staff, particularly those who work in the ICU, is necessary to join the 'race to zero carbon emissions'.
气候变化和全球变暖是事实，实际上它们是政治、经济和社会领域的热门话题。全球医疗保健约占全球人为排放的5%，这一事实可能会在希波克拉底誓言中的“行善”（促进健康）和“不伤害”（避免加剧气候危机）原则之间产生伦理困境。重症监护医学持续有着高人员活动、资源使用和能源需求，显然重症监护医学必须走向绿色，从采取切实措施减少其重症监护病房（ICU）的碳足迹开始。本文介绍了几种策略，首先是从基层在重症监护病房创建绿色团队。此外，还需要系统的回收计划以及能源使用的评估和控制，以使重症监护病房更具可持续性。避免无效治疗的策略与明智选择理念相结合，可能有助于此类项目。所有医护人员，尤其是在重症监护病房工作的人员，必须立即参与进来，加入“零碳排放竞赛”。
