AMA Journal of Ethics. May 2018
This month in Journal of Ethics
Trauma Surgery Ethics
Trauma changes a life forever. Trauma professionals’ decisions can, too. High-stakes clinical decisions—whether to give blood, go to the operating room, amputate or try to salvage a mangled extremity—are often made quickly and without knowledge of a patient’s name, age, or history. Such decisions are also almost always made without knowledge of a patient’s goals, values, or advanced directives. Not always, but commonly and of necessity, action must outpace deliberation. The May 2018 issue of the AMA Journal of Ethics will explore the ethics of urgent decision making in trauma care settings, what it means for clinicians to approach these kinds of decisions responsibly, and what it means for patients and their loved ones to have the aftermaths of those decisions communicated with clarity and compassion. This issue will also explore what trauma care policies can mean for public health, community planning, and resource allocation.
What Is the Institutional Duty of Trauma Systems to Respond to Gun Violence? Sara Scarlet, MD, and Selwyn O. Rogers, Jr., MD, MPH Pervasive and recurrent gun violence compels health care organizations to integrate violence prevention, intervention, and recidivism reduction as critical dimensions of good trauma care.
The Evolving Surgeon Image Heather J. Logghe, MD, Tyler Rouse, MD, Alec Beekley, MD, and Rajesh Aggarwal, MD, PhD Modern surgeons are diverse, socially adept, and differ in other important ways from the stereotype of a technically gifted white male with poor bedside manner.
Does Family Presence in the Trauma Bay Help or Hinder Care? Benny L. Joyner, Jr., MD, MPH Family presence during resuscitation of a child remains controversial and disagreement persists about whether and when potential benefits outweigh risks.
Memento Mori and Photographic Perspective of Roadside Trauma Artwork by David B. Nance, JD, and captions by David B. Nance, JD, Sara Scarlet, MD, and Elizabeth B. Dreesen, MD Images of roadside memorials offer alternatives to representing patients in a trauma bay “scene.”
June Ethics in Burn Care
July Religion and Spirituality in Health Care Practice
August Ethics, Policy, and the Roles of Physicians in Care of the Dying
September Ethics in Precision Health
October Health and Food Ethics
November False Beliefs in Health Care
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