Emergency Preservation and Resuscitation Trial: A Philosophical Justification for Non-Voluntary Enrollment.
In a current clinical trial for Emergency Preservation and Resuscitation (EPR), Dr. Samuel Tisherman of the University of Maryland aims to induce therapeutic hypothermia in order to 'buy time' for operating on victims of severe exsanguination. While recent publicity has framed this controversial pro...
| Publicado en: | Bioethics Vol. 30; no. 5; pp. 344 - 353 |
|---|---|
| Autor principal: | |
| Formato: | Artículo |
| Publicado: |
Wiley-Blackwell
Jun2016
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=115267950&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 115267950 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 02699702 6PJ jtl: Bioethics issn: 02699702 maglogo: Y pubinfo: dt: Jun2016 vid: 30 iid: 5 pid: 480 pub: Wiley-Blackwell artinfo: ui: 115267950 10.1111/bioe.12231 ppf: 344 ppct: 9 formats: tig: atl: Emergency Preservation and Resuscitation Trial: A Philosophical Justification for Non-Voluntary Enrollment. aug: au: Tigard, Daniel su: Therapeutics Emergency medical services Critical care medicine Informed consent (Medical law) Ethics Human research subjects Clinical trials & ethics Hemorrhage prevention Induced hypothermia Cardiac arrest Resuscitation Decision making in clinical medicine sug: subj: Therapeutics Emergency medical services Critical care medicine Informed consent (Medical law) Ethics Human research subjects Municipal police services Emergency and Other Relief Services Clinical trials & ethics Hemorrhage prevention Induced hypothermia Cardiac arrest Resuscitation Decision making in clinical medicine keyword: critical care double‐effect double-effect emergency preservation and resuscitation Hans Jonas informed consent research ethics critical care double‐effect double-effect emergency preservation and resuscitation Hans Jonas informed consent research ethics ab: In a current clinical trial for Emergency Preservation and Resuscitation (EPR), Dr. Samuel Tisherman of the University of Maryland aims to induce therapeutic hypothermia in order to 'buy time' for operating on victims of severe exsanguination. While recent publicity has framed this controversial procedure as 'killing a patient to save his life', the US Army and Acute Care Research appear to support the study on the grounds that such patients already face low chances of survival. Given that enrollment in the trial must be non-voluntary, the study has received an exemption from federal standards for obtaining informed consent. How exactly, if at all, is non-voluntary enrollment morally justifiable? In this essay, I appeal to the notable work of Hans Jonas in an effort to defend the EPR trial's use of non-voluntary enrollment. It is often thought and, as I show, it may appear that Jonas has called for the end of experimental medical practice. Still, I derive from Jonas a principle of double-effect upon which physicians may be seen as morally permitted to pursue innovations in emergency medicine but only as a byproduct of pursuing therapeutic success. With this position, I argue that the EPR trial can be granted a stronger philosophical justification than simply waiving the requirement of obtaining informed consent. The double-effect justification would obtain, perhaps regardless of the success of such innovative procedures as therapeutic hypothermia. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|