Guest Post by Ruth Stirton and Lindsay Stirton, University of Sheffield One of us – Ruth – was on Newsnight on Wednesday the 13th August talking about the PARAMEDIC2 trial. The trial is a double blind, individually randomised, placebo controlled trial of adrenaline v. normal saline injections in cardiac arrest patients treated outside hospital. In simpler terms, if […]
Category: clinical ethics
Advance Directives, Critical Interests, and Dementia Research
Guest post by Tom Buller, Illinois State University In my paper, “Advance Directives, Critical Interests, and Dementia Research”, I investigate whether advance directives can be applied in the context of dementia research. Consider, for the sake of argument, the following fictional case. William, a 77-year-old man who has moderate to severe dementia. When he was first […]
Paternalism up a Mountain
“Paternalism” is one of those words that has a hell of a lot of power. On several occasions, I’ve seen it used as a trump to shut down an argument: saying “But that’s paternalism” is, at least sometimes, treated as a way of showing that anyone arguing in favour of the allegedly paternalistic action is […]
Intentionally Exposing Patients to HIV: When Might it be Ethical?
Guest Post by Bram Wispelwey, Ari Zivotofsky, and Alan Jotkowitz Much has been made of the fact that over the last two decades HIV has transformed from an inevitable, agonising killer into a controllable chronic disease. But have we reached a point where infecting someone with HIV in order to avoid other, potentially worse health outcomes […]
Oh, and while we’re talking about media hype…
… there’s this, from last week’s Independent: Thousands of unborn foetuses incinerated to heat UK hospitals The bodies of more than 15,000 unborn foetuses have been incinerated in the UK, an investigation has found, with some treated as “clinical waste” and others burned to heat hospitals. The practice was carried out by 27 NHS trusts, […]
What should we Think about Belgium’s Child Euthanasia Law?
With any luck, the nuts real-world work schedule of the past few months* will begin to ease in a few days, so I should be able to start blogging more frequently soon; but I thought I’d take a moment out from writing jurisprudence lectures to do some thinking out loud about Belgium’s recent change to […]
Medical Information for Sale?
Reader Keith emailed me a week or so ago to tip me off about the government’s plans to allow private firms to access medical information. It’s a story that has subsequently been picked up by – inter alia – The Guardian. As with the last post I made here, I’m going to have to cry off from saying […]
Aintree University Hospital NHS Foundation Trust v James: Best Interests and Futility under the Judicial Microscope
Guest post by Daniel Sokol, barrister at 12 King’s Bench Walk / King’s College London. Eight years after coming into force, the Mental Capacity Act 2005 has finally reached the scrutiny of the Supreme Court in Aintree University Hospital NHS Foundation Trust v James [2013] UKSC 67. David James was a professional musician, and a family […]
Biases in Clinical Ethics Consultation
Guest post by Morten Magelssen, Reidar Pedersen, and Reidun Førde Read the full paper here. A difficult case involving a patient in an intensive care unit is brought to a clinical ethics consultant. The ethics consultant argues that intensive care is futile and should be withdrawn. The clinicians are grateful for the advice, and, with […]
How Magic can help Teach Students about Medical Ethics
Guest post by Daniel Sokol, KCL For some time, I have been interested in the relationship between magic and medical ethics. Five years ago, I gave a talk in Prague on how to use magic in medical ethics education. More recently, I held a workshop on Magic for Anaesthetists, which touched on ethical issues in […]