Iserson K V
Arizona Bioethics Program, University of Arizona College of Medicine, Tucson.
Emerg Med Clin North Am. 1993 May;11(2):531-43.
Clinicians use ethical decision making in their practice by applying professional and societal values in an organized way to solve moral dilemmas. Moral dilemmas are those situations in which a decision must be made between conflicting goods or evils or rights or wrongs. Clinicians must understand the medical profession's and society's values and be able to apply them within ethical systems. This article describes those values, basic ethical systems, a rapid ethical decision-making model, and specific ethical dilemmas faced by emergency physicians who treat patients with hematologic and oncologic emergencies.
临床医生在实践中通过以有组织的方式应用专业和社会价值观来解决道德困境，从而进行道德决策。道德困境是指必须在相互冲突的善与恶、权利与错误之间做出决定的情况。临床医生必须理解医学专业和社会的价值观，并能够在道德体系中应用它们。本文描述了这些价值观、基本道德体系、快速道德决策模型，以及治疗血液学和肿瘤学急症患者的急诊医生所面临的具体道德困境。
