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2020 ; 32
(3
): 520-524
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Clinical and ethical challenges for emergency departments during communicable
disease outbreaks: Can lessons from Ebola Virus Disease be applied to the
COVID-19 pandemic?
#MMPMID32275805
Markwell A
; Mitchell R
; Wright AL
; Brown AF
Emerg Med Australas
2020[Jun]; 32
(3
): 520-524
PMID32275805
show ga
EDs fulfil a frontline function during public health emergencies (PHEs) and will
play a pivotal role during the COVID-19 pandemic. This perspective article draws
on qualitative data from a longitudinal, ethnographic study of an Australian
tertiary ED to illustrate the clinical and ethical challenges faced by EDs during
PHEs. Interview data collected during the 2014 Ebola Virus Disease PHE of
International Concern suggest that ED clinicians have a strong sense of
professional responsibility, but this can be compromised by increased visibility
of risk and sub-optimal engagement from hospital managers and public health
authorities. The study exposes the tension between a healthcare worker's right to
protection and a duty to provide treatment. Given the narrow window of
opportunity to prepare for a surge of COVID-19 presentations, there is an
immediate need to reflect and learn from previous experiences. To maintain the
confidence of ED clinicians, and minimise the risk of moral injury, hospital and
public health authorities must urgently develop processes to support ethical
healthcare delivery and ensure adequate resourcing of EDs.