ID | 65994 |
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Yumoto, Tetsuya
Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University
ORCID
Kaken ID
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Hongo, Takashi
Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University
Koide, Yasuhiro
Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University
Obara, Takafumi
Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University
Tsukahara, Kohei
Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University
publons
Naito, Hiromichi
Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University
ORCID
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Nakao, Atsunori
Department of Emergency, Critical Care, and Disaster Medicine, Faculty of Medicine, Dentistry, and Pharmaceutical Sciences, Okayama University
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Abstract | Background Each individual's unique health-related beliefs can greatly impact the patient-clinician relationship. When there is a conflict between the patient's preferences and recommended medical care, it can create a serious ethical dilemma, especially in an emergency setting, and dramatically alter this important relationship.
Case presentation A 56-year-old man, who remained comatose after out-of-hospital cardiac arrest, was rushed to our hospital. The patient was scheduled for emergency coronary angiography when his adolescent daughter reported that she and her father held sincere beliefs against radiation exposure. We were concerned that she did not fully understand the potential consequences if her father did not receive the recommended treatment. A physician provided her with in depth information regarding the risks and benefits of the treatment. While we did not want to disregard her statement, we opted to save the patient's life due to concerns about the validity of her report. Conclusions Variations in beliefs regarding medical care force clinicians to incorporate patient beliefs into medical practice. However, an emergency may require a completely different approach. When faced with a patient in a life-threatening condition and unconscious, we should take action to prioritize saving their life, unless we are highly certain about the validity of their advance directives. |
Keywords | Emergency service
Informed consent
Radiation
Treatment refusal
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Note | The version of record of this article, first published in BMC Medical Ethics, is available online at Publisher’s website: http://dx.doi.org/10.1186/s12910-023-00962-5
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Published Date | 2023-10-04
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Publication Title |
BMC Medical Ethics
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Volume | volume24
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Issue | issue1
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Publisher | BMC
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Start Page | 80
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ISSN | 1472-6939
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Content Type |
Journal Article
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language |
English
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OAI-PMH Set |
岡山大学
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Copyright Holders | © The Author(s) 2023.
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File Version | publisher
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Related Url | isVersionOf https://doi.org/10.1186/s12910-023-00962-5
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License | http://creativecommons.org/licenses/by/4.0/
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Citation | Yumoto, T., Hongo, T., Koide, Y. et al. Radiation in an emergency situation: attempting to respect the patient’s beliefs as reported by a minor. BMC Med Ethics 24, 80 (2023). https://doi.org/10.1186/s12910-023-00962-5
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