Grannemann Julia Johanna, Deicke Martin, Latka Eugen, Strickmann Bernd, Jansen Gerrit
Abt. Bevölkerungsschutz, Ärztliche Leitung Rettungsdienst, Kreis Gütersloh, Gütersloh, Deutschland.
Ärztliche Leitung Rettungsdienst, Landkreis Osnabrück, Osnabrück, Deutschland.
Med Klin Intensivmed Notfmed. 2025 Sep 3. doi: 10.1007/s00063-025-01322-4.
Sustainability in prehospital emergency medicine has received little attention, unlike in the hospital sector, where climate change and resource conservation are increasingly addressed. Ecological sustainability holds ethical significance within the Georgetown Mantra, as individual health must be viewed within the broader context of public health. The World Health Organization considers climate change the greatest threat to human health in the 21st century.
An online survey of 23 questions was conducted among emergency medical personnel. This study focuses on three specific questions related to ethical considerations of sustainable practices in emergency medicine. Subgroup analyses were performed.
A total of 387 respondents (73% men, 27% women, aged 18-65 years, 17% physicians) participated. Most acknowledged climate change as a major health threat, but the 18-24 age group considered waste management less important in emergencies and prioritized individual health over public health. This age group also showed the lowest concern for climate change.
The low concern about climate change among 18- to 24-year-old emergency medical staff, along with their lower prioritization of waste separation, highlights the need for targeted education. This study is the first to show age- and profession-specific differences in the prioritization of individual versus public health, sustainable behavior, and the perceived relevance of climate change. Sustainable practices in emergency medicine could contribute to global public health and promote intergenerational justice. Ethical considerations play a critical role in balancing acute care with long-term sustainability.
与医院领域不同，院前急救医学的可持续性很少受到关注，在医院领域，气候变化和资源保护越来越受到重视。生态可持续性在乔治敦宣言中具有伦理意义，因为个人健康必须在更广泛的公共卫生背景下看待。世界卫生组织认为气候变化是21世纪对人类健康的最大威胁。
对急救医疗人员进行了一项包含23个问题的在线调查。本研究聚焦于与急救医学可持续实践的伦理考量相关的三个具体问题。进行了亚组分析。
共有387名受访者（73%为男性，27%为女性，年龄在18 - 65岁之间, 17%为医生）参与。大多数人承认气候变化是主要的健康威胁，但18 - 24岁年龄组认为在紧急情况下废物管理不太重要，且将个人健康置于公共健康之上。该年龄组对气候变化的关注度也最低。
18至24岁的急救医疗人员对气候变化的关注度较低，以及他们对垃圾分类的优先级较低，凸显了针对性教育的必要性。本研究首次表明在个人与公共健康的优先级、可持续行为以及气候变化的感知相关性方面存在年龄和职业特定差异。急救医学中的可持续实践有助于全球公共卫生并促进代际公平。伦理考量在平衡急性护理与长期可持续性方面起着关键作用。
