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dc.contributor.authorCampbell, Iain
dc.date.accessioned2020-12-11T13:21:05Z
dc.date.available2020-12-11T13:21:05Z
dc.date.issued2020-10-30
dc.identifier.citationCampbell, I., 2020. Paramedic delivery of bad news: a novel dilemma during the COVID-19 crisis. Journal of Medical Ethics, Oct. 30.en_US
dc.identifier.issn0306-6800
dc.identifier.issn1473-4257
dc.identifier.doi10.1136/medethics-2020-106710
dc.identifier.urihttp://hdl.handle.net/20.500.12417/944
dc.description.abstractAs a result of the COVID-19 global pandemic, paramedics in the UK face unprecedented challenges in the care of acutely unwell patients and their family members. This article will describe and discuss a new ethical dilemma faced by clinicians in the out-of-hospital environment during this time, namely the delivery of bad news to family members who are required to remain at home and self-isolate while the critically unwell patient is transported to hospital. I will discuss some failings of current practice and reflect on some of the ethical and practical challenges confronting paramedics in these circumstances. I conclude by making three recommendations: first, that dedicated pastoral outreach teams ought to be set up during pandemics to assist family members of patients transported to hospital; second, I offer a framework for how bad news can be delivered during a lockdown in a less damaging way; and finally, that a new model of bad news delivery more suited for unplanned, time-pressured care should be developed. https://jme.bmj.com/content/early/2020/10/30/medethics-2020-106710 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. http://creativecommons.org/licenses/by-nc/4.0/ DOI http://dx.doi.org/10.1136/medethics-2020-106710
dc.language.isoenen_US
dc.subjectEmergency Medical Servicesen_US
dc.subjectEmergency Medicineen_US
dc.subjectParamedicen_US
dc.subjectCOVID-19en_US
dc.subjectEthicsen_US
dc.titleParamedic delivery of bad news: a novel dilemma during the COVID-19 crisisen_US
dc.typeJournal Article/Review
dc.source.journaltitleJournal of Medical Ethicsen_US
dcterms.dateAccepted2020-12-04
rioxxterms.versionNAen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserveden_US
rioxxterms.licenseref.startdate2020-12-04
refterms.panelUnspecifieden_US
refterms.dateFirstOnline2020-10-30
html.description.abstractAs a result of the COVID-19 global pandemic, paramedics in the UK face unprecedented challenges in the care of acutely unwell patients and their family members. This article will describe and discuss a new ethical dilemma faced by clinicians in the out-of-hospital environment during this time, namely the delivery of bad news to family members who are required to remain at home and self-isolate while the critically unwell patient is transported to hospital. I will discuss some failings of current practice and reflect on some of the ethical and practical challenges confronting paramedics in these circumstances. I conclude by making three recommendations: first, that dedicated pastoral outreach teams ought to be set up during pandemics to assist family members of patients transported to hospital; second, I offer a framework for how bad news can be delivered during a lockdown in a less damaging way; and finally, that a new model of bad news delivery more suited for unplanned, time-pressured care should be developed. https://jme.bmj.com/content/early/2020/10/30/medethics-2020-106710 This is an Open Access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. http://creativecommons.org/licenses/by-nc/4.0/ DOI http://dx.doi.org/10.1136/medethics-2020-106710en_US


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