Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Ethics review: Position papers and policies – are they really helpful to front-line ICU teams? | Available online http content 10 6 242 Review Ethics review Position papers and policies - are they really helpful to front-line ICU teams Laura Hawryluck Critical Care Medicine University health Network - Toronto General Hospital University Ave Toronto Ontario M5G 2N2 Canada Correspondence Laura Hawryluck Published 8 December 2006 This article is online at http content 10 6 242 2006 BioMed Central Ltd Critical Care 2006 10 242 doi cc5095 Abstract During the past few years the ethics sections of critical care societies have proposed a number of policies describing the goals of intensive care unit ICU care and providing broad guidance on the diagnoses and physiological criteria that would mandate using the specialized skill and technologies of an ICU environment. Discussions on what constitutes appropriate use of such scarce resources incorporating cultural and religious beliefs and exploring how they interact with these medical criteria remain vague. To date these policies do not provide any definitive guidance in the difficult decision making faced by clinicians. Some argue that they were never meant to do so and yet they have served to guide the development of local hospital policies. Many have explored how critical care services are allocated without achieving consensus on the best way to achieve fair and equitable access to life-sustaining interventions. A consensus is needed though one that is reflective of both individual and societal values and goals. Otherwise increasing pressure to provide treatments with marginal benefits at best will threaten the ability of others to access treatments that may offer them very real benefits. Introduction During the past few years the ethics sections of European Canadian and American Critical Care Societies have issued position statements and proposed a variety of position papers and policies describing the appropriate use of critical care services 1-3 . All of .
