警察战术小组中的医师——伦理考量。
Physicians in police tactical teams - ethical considerations.
机构信息
Department of Anaesthesia, The Royal London Hospital, Barts Health NHS Trust, London, UK.
Division of Emergency Medicine, Department of Anaesthesiology, Pharmacology, Intensive Care and Emergency Medicine, Geneva University Hospitals, Geneva, Switzerland.
出版信息
Scand J Trauma Resusc Emerg Med. 2023 Aug 29;31(1):42. doi: 10.1186/s13049-023-01110-z.
High-profile mass shootings, terrorist attacks, and experience acquired during recent conflicts have led to a shift in police tactics, who now follow an aggressive approach to immediately neutralize the threat in addition to providing early tactical medical care. A growing number of police tactical teams now include physicians in their ranks to increase the level of forward care. Many ethical questions arise from having physicians on police tactical teams, such as the notion of risk, the use of force, and the ultimate role the physician is expected to play. Having a physician in such a team may be an invaluable asset to increase the team's safety and allow for advanced forward care, however, this requires two important conditions. The first is that the role of the physician is clearly defined and that what is expected of him is in line with medical ethics, while the second is extensive tactical training with the team to collaborate flawlessly in this complex, high-stress environment.
备受瞩目的大规模枪击事件、恐怖袭击以及近期冲突中的经验教训，促使警方战术发生转变，他们现在采取积极主动的方法，除了提供早期战术医疗护理外，还立即消除威胁。越来越多的警察战术小组现在在其队伍中包括医生，以提高前线护理水平。在警察战术小组中配备医生会引发许多伦理问题，例如风险观念、使用武力以及医生预期扮演的最终角色。在这样的团队中拥有一名医生可能是提高团队安全性并允许进行高级前线护理的宝贵资产，但是，这需要两个重要条件。第一个条件是明确界定医生的角色，并且对他的期望符合医学伦理，第二个条件是与团队进行广泛的战术培训，以便在这种复杂、高压力的环境中完美协作。
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