发布求助
文献互助 智能选刊 最新文献

AMA journal of ethics最新文献

筛选
英文 中文
EMS Service Integration in American Indian and Native Alaskan Rural Communities. 美国印第安人和阿拉斯加土著农村社区的EMS服务整合。
AMA journal of ethics Pub Date : 2025-07-01 DOI: 10.1001/amajethics.2025.525
Chelsea Tsasse, John Shufeldt
{"title":"EMS Service Integration in American Indian and Native Alaskan Rural Communities.","authors":"Chelsea Tsasse, John Shufeldt","doi":"10.1001/amajethics.2025.525","DOIUrl":"10.1001/amajethics.2025.525","url":null,"abstract":"<p><p>This article outlines several initiatives to optimize and expand emergency medical services (EMS) in American Indian and Native Alaskan (AI/NA) rural communities. It highlights the significance of cultural humility, cost-effectiveness, equity, and tribal sovereignty in EMS licensure and describes key infrastructure improvements (eg, roads and communication systems) to EMS responsiveness in AI/NA rural communities. This article also examines practical and financial strategies for integrating telehealth and drone-based delivery of critical medicines into rural EMS response capacity.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E525-529"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545294","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Might the Past Suggest About Rural Emergency Services Amidst Critical Access Hospitals' Decline? 在关键医院数量下降的情况下，过去对农村急诊服务的建议是什么？
AMA journal of ethics Pub Date : 2025-07-01 DOI: 10.1001/amajethics.2025.530
Siân Lewis-Bevan, Stephen Powell
{"title":"What Might the Past Suggest About Rural Emergency Services Amidst Critical Access Hospitals' Decline?","authors":"Siân Lewis-Bevan, Stephen Powell","doi":"10.1001/amajethics.2025.530","DOIUrl":"https://doi.org/10.1001/amajethics.2025.530","url":null,"abstract":"<p><p>Critical access and other rural hospitals have struggled to remain open, which exacerbates inequity in rural residents' access to routine and emergency health services and strains already-taxed rural emergency medical services (EMS). This article discusses the recent history of rural hospital closures and their effects on rural emergency care. This article also suggests modifications to EMS policy and practice that could improve rural community members' access to health services and bolster EMS services in rural areas.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E530-536"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545299","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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? 一个没有经验但有执照的临床医生在院前对病人进行高风险但低频率的手术在什么情况下是合理的？
AMA journal of ethics Pub Date : 2025-07-01 DOI: 10.1001/amajethics.2025.497
Elizabeth Reiche, Shaila Coffey, Emma Zeratsky
{"title":"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?","authors":"Elizabeth Reiche, Shaila Coffey, Emma Zeratsky","doi":"10.1001/amajethics.2025.497","DOIUrl":"10.1001/amajethics.2025.497","url":null,"abstract":"<p><p>In prehospital settings, clinicians make difficult decisions that need to be made in short periods of time and be within their scope of practice, procedural skill set, and appropriate to their training and preparation. This commentary on a case offers a just culture approach to learning, especially after sentinel events.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E497-502"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Should We Fund and Reimagine EMS to Support Sustainable Rural Health Infrastructure? 我们应该如何资助和重新构想EMS以支持可持续的农村卫生基础设施？
AMA journal of ethics Pub Date : 2025-07-01 DOI: 10.1001/amajethics.2025.503
Michael Levy
{"title":"How Should We Fund and Reimagine EMS to Support Sustainable Rural Health Infrastructure?","authors":"Michael Levy","doi":"10.1001/amajethics.2025.503","DOIUrl":"https://doi.org/10.1001/amajethics.2025.503","url":null,"abstract":"<p><p>Emergency medical services (EMS) care in rural areas of the United States has suffered from being chronically under-resourced and understaffed for many years. Deficits, to a large extent, are due to how EMS is funded and due to shortfalls in staffing and equipment. Licensed volunteers often staff EMS units in rural areas, but recruitment and retention of skilled professional and volunteer caregivers is stifled by waning numbers. If further expansion of our nation's ambulance deserts is to be avoided, policy action must be taken to adequately fund, as well as to reimagine, rural EMS care.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E503-509"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
I Pressed Down. 我按了下去。
AMA journal of ethics Pub Date : 2025-07-01 DOI: 10.1001/amajethics.2025.537
David M Sine
{"title":"I Pressed Down.","authors":"David M Sine","doi":"10.1001/amajethics.2025.537","DOIUrl":"https://doi.org/10.1001/amajethics.2025.537","url":null,"abstract":"<p><p>In emergency medical services prehospital care, situational awareness means that not everything is in a textbook and that not all care is about the patient in front of you.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E537-540"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
According to Which Criteria Should a Return EMS Trip of Long Duration and Distance Be Deemed Ethically Justifiable? 根据什么标准，长时间和长距离的回程EMS应被认为是合乎道德的？
AMA journal of ethics Pub Date : 2025-07-01 DOI: 10.1001/amajethics.2025.491
Casey Patrick
{"title":"According to Which Criteria Should a Return EMS Trip of Long Duration and Distance Be Deemed Ethically Justifiable?","authors":"Casey Patrick","doi":"10.1001/amajethics.2025.491","DOIUrl":"https://doi.org/10.1001/amajethics.2025.491","url":null,"abstract":"<p><p>Assessing and adequately documenting a patient's decision-making capacity is a responsibility and skill required of all emergency medical services (EMS) personnel. However, emergency medical technicians' and paramedics' training in a patient's refusal of EMS transport is often limited to evaluating that patient's alertness and orientation. This commentary argues that this approach is too narrow and outlines the obligation of prehospital care personnel to examine the patient thoroughly, obtain a complete set of vital signs, explain prospective risks and benefits of EMS transport, determine capacity, and express support for the patient. Finally, the commentary outlines what it means to appropriately document a prehospital interaction with a patient and express respect for decisions of patients with capacity.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E491-496"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
How Should Rural EMS Funding Streams Be Improved? 如何改善农村医疗服务资金流？
AMA journal of ethics Pub Date : 2025-07-01 DOI: 10.1001/amajethics.2025.518
James Small
{"title":"How Should Rural EMS Funding Streams Be Improved?","authors":"James Small","doi":"10.1001/amajethics.2025.518","DOIUrl":"https://doi.org/10.1001/amajethics.2025.518","url":null,"abstract":"<p><p>This article considers how to reliably provide emergency medical services (EMS). EMS responses are critical functions of local governments, yet, in rural areas, many are staffed by licensed volunteers. As requests for emergency health services increase and the workforce decreases, transitioning to a paid workforce is critical to maintaining response capacity. This article discusses the need and mechanisms for more robustly funding rural EMS systems.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E518-524"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
When Is It Acceptable to Terminate Resuscitation in Prehospital Settings? 院前终止复苏何时可以接受？
AMA journal of ethics Pub Date : 2025-07-01 DOI: 10.1001/amajethics.2025.484
Christopher Libby, Scott H Pasichow
{"title":"When Is It Acceptable to Terminate Resuscitation in Prehospital Settings?","authors":"Christopher Libby, Scott H Pasichow","doi":"10.1001/amajethics.2025.484","DOIUrl":"https://doi.org/10.1001/amajethics.2025.484","url":null,"abstract":"<p><p>Given advances in resuscitation science that bring advanced cardiac life support (ACLS) to prehospital settings, emergency medical technicians (EMTs) and paramedics must make decisions about whether and when to terminate resuscitation and to transport a patient for whom ACLS is unsuccessful. Protocols for both vary across the United States. This article reviews ethical and scientific features of EMTs' and paramedics' decisions to initiate, continue, or terminate resuscitation.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E484-490"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Which Technologies Should Be Used to Improve Prehospital Emergency Services? 应该使用哪些技术来改善院前急救服务？
AMA journal of ethics Pub Date : 2025-07-01 DOI: 10.1001/amajethics.2025.510
Sophia Görgens
{"title":"Which Technologies Should Be Used to Improve Prehospital Emergency Services?","authors":"Sophia Görgens","doi":"10.1001/amajethics.2025.510","DOIUrl":"https://doi.org/10.1001/amajethics.2025.510","url":null,"abstract":"<p><p>Chief among the barriers to maintaining emergency medical services in rural areas are personnel shortages, long travel times, and austere settings in which clinicians must often provide care. These problems stem from a variety of sources, and some of those stemming from funding shortfalls might be remediable through technological innovation. This article examines how new technologies have recently been implemented and suggests how technology might be further integrated into prehospital emergency care.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E510-517"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What Makes Rural EMS in the US a Health Equity Concern? 是什么让美国农村医疗服务成为一个健康公平问题？
AMA journal of ethics Pub Date : 2025-07-01 DOI: 10.1001/amajethics.2025.481
Molly Nguyen, Tanya Shenoy
{"title":"What Makes Rural EMS in the US a Health Equity Concern?","authors":"Molly Nguyen, Tanya Shenoy","doi":"10.1001/amajethics.2025.481","DOIUrl":"https://doi.org/10.1001/amajethics.2025.481","url":null,"abstract":"","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 7","pages":"E481-483"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
下一页 尾页
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整，为了账户安全，请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们：info@booksci.cn Book学术提供免费学术资源搜索服务，方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号：604180095
Book学术官方微信