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Illuminating the Art of Medicine

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Featured Content

Case and Commentary
Apr 2025

¿Cómo deberían proteger los miembros del equipo de cirugía a los pacientes que están privados de libertad de la vigilancia o intrusión de los oficiales del centro penitenciario?

Anna Lin, MD and Mallory Williams, MD, MPH
Case and Commentary
Feb 2025

¿Cómo se debe describir y tratar el dolor causado por la colocación del DIU?

Veronica Hutchison, MD and Eve Espey, MD, MPH

Articles

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  • Case and Commentary
    Jul 2025

    When Is It Acceptable to Terminate Resuscitation in Prehospital Settings?

    Christopher Libby, MD, MPH and Scott H. Pasichow, MD, MPH
    Ethics and science inform EMTs’ and paramedics’ decisions to initiate, continue, or terminate resuscitation.
    AMA J Ethics. 2025;27(7):E484-490. doi: 10.1001/amajethics.2025.484.
  • Policy Forum
    Jul 2025

    How Should Rural EMS Funding Streams Be Improved?

    James Small, MJA, CPM
    EMS responses are critical functions of local governments, yet, in rural areas, many EMS systems are staffed by licensed volunteers.
    AMA J Ethics. 2025;27(7):E518-524. doi: 10.1001/amajethics.2025.518.
  • Medical Education
    Jul 2025

    How Should We Fund and Reimagine EMS to Support Sustainable Rural Health Infrastructure?

    Michael Levy, MD
    EMS care in rural areas of the United States has suffered from being chronically under-resourced and understaffed.
    AMA J Ethics. 2025;27(7):E503-509. doi: 10.1001/amajethics.2025.503.
  • Personal Narrative
    Jul 2025

    I Pressed Down

    David M. Sine, DBioethics
    Situational awareness means that good care might not only be about the patient.
    AMA J Ethics. 2025;27(7):E537-540. doi: 10.1001/amajethics.2025.537.
  • Case and Commentary
    Jul 2025

    According to Which Criteria Should a Return EMS Trip of Long Duration and Distance Be Deemed Ethically Justifiable?

    Casey Patrick, MD
    Assessing and adequately documenting a patient’s decision-making capacity is a responsibility and skill required of all EMS personnel.
    AMA J Ethics. 2025;27(7):E491-496. doi: 10.1001/amajethics.2025.491.
  • Medicine and Society
    Jul 2025

    EMS Service Integration in American Indian and Native Alaskan Rural Communities

    Chelsea Tsasse and John Shufeldt, MD, JD, MBA
    Cultural humility, cost-effectiveness, equity, and tribal sovereignty are key to improving EMS responsiveness in AI/NA rural communities.
    AMA J Ethics. 2025;27(7):E525-529. doi: 10.1001/amajethics.2025.525.
  • From the Editor
    Jul 2025

    What Makes Rural EMS in the US a Health Equity Concern?

    Molly Nguyen, MD and Tanya Shenoy, MD
    Despite their essential functions, rural EMS systems are often underfunded and understaffed to the point at which health equity is severely compromised.
    AMA J Ethics. 2025;27(7):E481-483. doi: 10.1001/amajethics.2025.481.
  • State of the Art and Science
    Jul 2025

    Which Technologies Should Be Used to Improve Prehospital Emergency Services?

    Sophia Görgens, MD
    Barriers to maintaining EMS in rural areas include personnel shortages, long travel times, and austere settings.
    AMA J Ethics. 2025;27(7):E510-517. doi: 10.1001/amajethics.2025.510.
  • Case and Commentary
    Jul 2025

    When Is It Justifiable for an Inexperienced but Licensed Clinician to Perform a High-Risk but Low-Frequency Procedure on a Patient in a Prehospital Setting?

    Elizabeth Reiche, DO, Shaila Coffey, MD, and Emma Zeratsky, NRP, FP-C
    In prehospital settings, clinicians make difficult decisions that need to be made quickly and be within their scope of practice and skill set.
    AMA J Ethics. 2025;27(7):E497-502. doi: 10.1001/amajethics.2025.497.
  • History of Medicine
    Jul 2025

    What Might the Past Suggest About Rural Emergency Services Amidst Critical Access Hospitals’ Decline?

    Siân Lewis-Bevan, MD, MPH, EMT-B and Stephen Powell, MD
    Recent rural hospital closures influence clinical and ethical dimensions of emergency care.
    AMA J Ethics. 2025;27(7):E530-536. doi: 10.1001/amajethics.2025.530.

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Illuminating the Art of Medicine

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