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Presentation at a training program ‘Applying
the Principles of Ethics to Clinical Practice’ held at Aramco
Dhahran April 6, 2015 by Professor Omar Hasan Kasule Sr. MB ChB (MUK), MPH
(Harvard), DrPH (Harvard) Chairman of the Ethics Committee King Fahad Medical
City.
Ethical
issues in emergency care (by Dr Abdulaziz Kabba PEER SCHS 2014)
·
Privacy and confidentiality
·
Informed consent
·
Standards of care
·
Triage, prioritization and resource allocation
·
Higher rate of medical errors
Case
scenario 1 (by
Dr Abdulaziz Kabba PEER SCHS 2014)
A
30 year-old female came to the Emergency Department at midnight with a history
of severe right lower abdominal pain for three days with vomiting and low grade
fever. She asks to be seen by a female physician in the ED where there are no
females available and she shouts that she should only be examined by a female physician.
How do we deal with this?
Case
scenario 2
(by Dr Abdulaziz Kabba PEER SCHS 2014)
Three
men were in a recent road traffic accident and were brought to the Emergency
Department into the triage area, with no privacy cloths .Two of the men were
stable with minor injuries and bruises, the third one was in a bad situation (A
25 year-old man with difficulty in breathing, severe bleeding and a low blood
pressure). When they were brought to the ED it was crowded with other patients
and there were no beds available .How would you handle this situation?