Context-Dependent Principle Prioritization in Emergency Medicine.
The article examines the ethical framework guiding emergency medicine, emphasizing that the four principles of biomedical ethics—non-maleficence, beneficence, autonomy, and justice—must be weighted differently in this clinical context due to its unique temporal pressures and patient vulnerabilities....
| Publicado en: | American Journal of Bioethics Vol. 26; no. 3; pp. 57 - 61 |
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| Formato: | commentary Journal Article |
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Taylor & Francis Ltd
Mar2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=192252853&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 192252853 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15265161 FKZ jtl: American Journal of Bioethics issn: 15265161 maglogo: N pubinfo: dt: Mar2026 vid: 26 iid: 3 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 192252853 192252853 192252853 10.1080/15265161.2026.2623837 192252853 ppf: 57 ppct: 4 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Context-Dependent Principle Prioritization in Emergency Medicine. aug: au: Iserson, Kenneth Victor affil: Emergency Medicine, University of Arizona Medical Center—University Campus sug: subj: Emergency Medicine Primary Health Care Ethical Issues Physicians Psychosocial Factors Ethics, Medical Autonomy Triage Ethical Issues Beneficence Occupational Justice Resource Allocation Bioethics ab: The article examines the ethical framework guiding emergency medicine, emphasizing that the four principles of biomedical ethics—non-maleficence, beneficence, autonomy, and justice—must be weighted differently in this clinical context due to its unique temporal pressures and patient vulnerabilities. It argues that non-maleficence (avoiding harm) and beneficence (actively promoting health) take precedence during acute emergencies where rapid decisions are necessary, often limiting patient autonomy temporarily. Autonomy is respected through advance directives, surrogate decision-making, and restored once patients stabilize, while justice primarily functions at the systemic level via triage and equitable access mandates like the Emergency Medical Treatment and Labor Act (EMTALA). The article concludes that this context-dependent prioritization reflects sophisticated ethical reasoning rather than a rejection of principlism’s core architecture. pubtype: Academic Journal doctype: commentary Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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