tailieunhanh - Báo cáo y học: "Clinical review: Influenza pandemic – physicians and their obligations"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Influenza pandemic – physicians and their obligations. | Available online http content 12 3 217 Review Clinical review Influenza pandemic - physicians and their obligations Devanand Anantham1 Wendy McHugh2 Stephen O Neill2 and Lachlan Forrow2 1 Department of Respiratory and Critical Care Medicine Singapore General Hospital Duke-NUS Graduate Medical School Outram Road Singapore 169608 Singapore 2Ethics Support Service Beth Israel Deaconess Medical Center Harvard Medical School Boston MA 02215 USA Corresponding author Devanand Anantham Published 24 June 2008 This article is online at http content 12 3 217 2008 BioMed Central Ltd Critical Care 2008 12 217 doi cc6918 Abstract An influenza pandemic threatens to be the most lethal public health crisis to confront the world. Physicians will have critical roles in diagnosis containment and treatment of influenza and their commitment to treat despite increased personal risks is essential for a successful public health response. The obligations of the medical profession stem from the unique skills of its practitioners who are able to provide more effective aid than the general public in a medical emergency. The free choice of profession and the societal contract from which doctors derive substantial benefits affirm this commitment. In hospitals the duty will fall upon specialties that are most qualified to deal with an influenza pandemic such as critical care pulmonology anesthesiology and emergency medicine. It is unrealistic to expect that this obligation to treat should be burdened with unlimited risks. Instead risks should be minimized and justified against the effectiveness of interventions. Institutional and public cooperation in logistics remuneration and psychological legal support may help remove the barriers to the ability to treat. By stepping forward in duty during such a pandemic physicians will be able to reaffirm the ethical center of the profession and lead the rest of the healthcare team in overcoming .

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