Mouth to Mouth respiration on streets
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Medical ethics
Mouth to Mouth respiration on streets
Discuss ethical issues with the Medical Ethics department of the BMA and the Institute of Medical Ethics. Please note, the views posted here do not necessarily represent the views of the BMA or the IME
Today I have to attend to the ER as a consultant a boy injuried by a horse with an open craneofacial, and possible cervical trauma , in respiratory arrest . The boy arrrived from the
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Forums » Open clinical » Medical ethics » Mouth to Mouth respiration on streets
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Mouth to Mouth respiration on streets
posted at 27/8/2012 2:01 AM BST
on bmj.com
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Posts: 5
First: 5/4/2012 Last: 30/8/2012 |
Today I have to attend to the ER as a consultant a boy injuried by a horse with an open craneofacial, and possible cervical trauma , in respiratory arrest . The boy arrrived from the site of the event asisted for her father with mouth to mouth respiration . Father's face was plenty of children's blood . Inmediately after the arrival to the ER , was intubated and assisted . My daugther, a recent new physician, ask me what happen if any doctor is circunstancially at the crash scene, in a similar situation with any people in respiratory arrest , with blood from wounds in face, mouth or whenever ,and without any device to protect her or himself to provide mouth to mouth respiration . Beyond his- her security , physicians most to provide this life support ? The first answer will be Yes , But thinking again I`m not sure about the ethics and legal issues if a doctor think first in his her own security in a similar case |
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Re: Mouth to Mouth respiration on streets
posted at 27/8/2012 3:29 PM BST
on bmj.com
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Posts: 607
First: 8/6/2011 Last: 17/6/2013 |
All the guide lines say that the doctor must control his own security first. I think an important factor to decide to do it or not is and the general aspect of the victim. A boy has very small probabilities to carry something contagious and dangerous for life . But if from the general aspect i would understood that i am dealing with a junkie ' then propably i wouldn't do it. Or If had in front of me a woman who appears helthy i don't find the reason why not do do it . Although always there is a risk , i consider that this can be a small risk which i could take . But aproaches can differ from doctor to doctor . I am curious what the rest of the doc2doc members has to say on this issue. |
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Re: Mouth to Mouth respiration on streets
posted at 27/8/2012 3:42 PM BST
on bmj.com
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Posts: 156
First: 29/11/2010 Last: 19/6/2013 |
Your security and safety comes first.That's the absolute principle.I have learnt it the hard way unfortunately.Faced it & dealt with it. Whoever is reading this always try to be on the safer side.Your life is as important as that of the person in misery you are trying to help.
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Re: Mouth to Mouth respiration on streets
posted at 27/8/2012 10:23 PM BST
on bmj.com
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Posts: 2139
First: 12/3/2010 Last: 19/6/2013 |
In the UK, the British Heart Foundation has been concerned that the General Public is also reluctant to use the "Kiss of Life", and that this has hampered rapid and effective resuscitation. On good evidence, they now advocate that if the patient is unconscious and not breathing, you move directly to chest compressions. It's called "Hands-only CPR" They employed the 'notorious' Vinnie Jones, footballer, hard man and actor, to publicise this message: http://www.youtube.com/watch?v=BGZAX8EX9gM OK, Knuckles? Sorted! John |
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Re: Mouth to Mouth respiration on streets
posted at 28/8/2012 10:02 AM BST
on bmj.com
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Posts: 1216
First: 19/4/2010 Last: 19/6/2013 |
I remember being taught CPR at St John Ambulance, many years ago. A story was told that a woman sued a man who gave her CPR on the street, alleging that he molested her, and she won. Crazy, if it's true. What was the question? Oh yes - I don't think anyone is ethically in the wrong for protecting their own safety first. If the unconcious person was in a puddle, with a live electricity cable in the puddle, would you wade in to help? The only thing worse that a tragic accident, is two tragic accidents...
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Re: Mouth to Mouth respiration on streets
posted at 28/8/2012 2:08 PM BST
on bmj.com
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Posts: 65
First: 24/10/2011 Last: 19/6/2013 |
I must admit that I am surprised by all your comments! We have chosen a career where we dedicate ourselves to helping oythers. While the general public do not know the risk, we as doctors should know and not be put off. If doing mouth to mouth is likely to save the person's life, we should do it. If there is a real risk, there is always PEP |
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Re: Mouth to Mouth respiration on streets
posted at 28/8/2012 5:27 PM BST
on bmj.com
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Posts: 607
First: 8/6/2011 Last: 17/6/2013 |
In Response to Re: Mouth to Mouth respiration on streets: I must admit that I am surprised by all your comments! We have chosen a career where we dedicate ourselves to helping oythers. While the general public do not know the risk, we as doctors should know and not be put off. If doing mouth to mouth is likely to save the person's life, we should do it. If there is a real risk, there is always PEP Posted by doctorg And i am surprised by your answer to our comments , doctorg. Also I suggest you to remember that ,most of us , we are not alone in this life ' we have and a family for whom we carry a responsibility also . If you don't understand what i'm talking about ask your sexual partner if you should do respiration mouth to mouth on junkies who have blood all over their face ...and after you get the answer ' ...come back on doc2doc and we will be here to discuss again with you., |
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Re: Mouth to Mouth respiration on streets
posted at 28/8/2012 5:28 PM BST
on bmj.com
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Posts: 607
First: 8/6/2011 Last: 17/6/2013 |
In Response to Re: Mouth to Mouth respiration on streets: I must admit that I am surprised by all your comments! We have chosen a career where we dedicate ourselves to helping oythers. While the general public do not know the risk, we as doctors should know and not be put off. If doing mouth to mouth is likely to save the person's life, we should do it. If there is a real risk, there is always PEP Posted by doctorg And i am surprised by your answer to our comments , doctorg. Also I suggest you to remember that ,most of us , we are not alone in this life ' we have and a family for whom we carry a responsibility also . If you don't understand what i'm talking about ask your sexual partner if you should do respiration mouth to mouth on junkies who have blood all over their face ...and after you get the answer ' ...come back on doc2doc and we will be here to discuss again with you., |
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Re: Mouth to Mouth respiration on streets
posted at 28/8/2012 6:31 PM BST
on bmj.com
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Posts: 2139
First: 12/3/2010 Last: 19/6/2013 |
Nao ven! Nao ven! |
Forums » Open clinical » Medical ethics » Mouth to Mouth respiration on streets
