Ethics
PHYSICIANS’ MORAL DUTIES DURING PANDEMICS

https://doi.org/10.1016/j.jemermed.2023.02.009Get rights and content

Abstract

Background

Pandemics with devastating morbidity and mortality have occurred repeatedly throughout recorded history. Each new scourge seems to surprise governments, medical experts, and the public. The SARS CoV-2 (COVID-19) pandemic, for example, arrived as an unwelcome surprise to an unprepared world.

Discussion

Despite humanity's extensive experience with pandemics and their associated ethical dilemmas, no consensus has emerged on preferred normative standards to deal with them. In this article, we consider the ethical dilemmas faced by physicians who work in these risk-prone situations and propose a set of ethical norms for current and future pandemics. As front-line clinicians for critically ill patients during pandemics, emergency physicians will play a substantial role in making and implementing treatment allocation decisions.

Conclusion

Our proposed ethical norms should help future physicians make morally challenging choices during pandemics.

Keywords

Pandemics
COVID-19
triage
crisis standards of care
professionalism
emerging infections
resource scarcity
health care equity

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