Articles: emergency-medicine.
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This article discusses the art of medicine as it relates to effective teaching. Valuable contributions to such teaching are made through applying ethical considerations to situations unique to emergency medicine. The author includes several appendices for further information on this vital topic.
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A framework for the ethical conduct of research is constructed within this article. The historical developments and current state of ethical principles and regulations guiding ethical conduct of research are reviewed, while situations unique to emergency medicine research are highlighted. Also discussed are the related issues of scientific misconduct, conflict of interest, authorship guidelines, and publication ethics.
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Ethics is the application of values and moral rules to human activities. Bioethics is a subsection of ethics, actually a part of applied ethics, that uses ethical principles and decision making to solve actual or anticipated dilemmas in medicine and biology. This article focuses on the primary principles of biomedical ethics and their implications for physicians in the ED.
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Conflicts of interest have become prevalent in the daily practice of emergency medicine because physician relationships with patients, hospitals, insurers, and the medical industry have become increasingly complex. Conflict resolution requires both physician recognition and available resources to avoid engaging in a conflict that may jeopardize public confidence regarding patient advocacy. This article analyzes the essential characteristics of several conflicts of interest that apply to emergency physicians, and reviews rational ways to systematically avoid or curtail them.
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To determine whether the start of an Emergency Medicine (EM) training program affects the appropriateness, timeliness, and safety of Emergency Department (ED) intubations, all ED intubations performed 12 months before and after the start of an EM residency were reviewed. In addition, all patients intubated within 12 h after being admitted through the ED were reviewed. ⋯ There were no differences between the complication rates of these groups. We conclude that an EM residency program did not increase the number of inappropriate intubations or complications, and reduced the number of patients who required but did not receive intubation in the ED.