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Critical Care Ethics: A Practice Guide from the ACCM Ethics Committee
The second edition of Critical Care Ethics: a Practice Guide is now available in print. To submit questions for future revisions of the guide, please email Trish Glover, Ethics Committee Staff Partner at pglover@sccm.org. Browse the table of contents below or order the book from the SCCM online catalog.
To read a sample chapter from the second edition of Critical Care Ethics: a Practice Guide, click here.
EDITORS
Heidi B. Kummer, MD, MPH
Carlisle, MA
Dan R. Thompson, MD, MA, FCCM
Albany Medical College
Albany, NY
CONTRIBUTORS
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Martha E. Billings, MD
University of Washington
Seattle, WA |
David C. Kaufman, MD, FCCM
University of Rochester Medical Center
Rochester, NY |
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David W. Crippen, MD, FCCM
University of Pittsburgh Medical Center
Pittsburgh, PA |
Alexander A. Kon, MD, FCCM
University of California, Davis
Sacramento, CA |
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J. Randall Curtis, MD, MPH
Harborview Medical Center
University of Washington
Seattle, WA |
Mohamed Y. Rady, MD, PhD, FCCM
Mayo Clinic Hospital
Phoenix, AZ
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Achal M. Dhupa, MD, MBBS
Scripps Memorial Hospital
La Jolla, CA |
Stanley H. Rosenbaum, MD
Yale University
New Haven, CT |
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Brenda G. Fahy, MD, FCCM
University of Kentucky
Lexington, KY |
David M. Rothenberg, MD, FCCM
Rush University Medical Center
Chicago, IL |
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John R. Hall, MD, FCCM
East Tennessee State University
Johnson City, TN |
Steven J. Schwartz, MD
Johns Hopkins University
Baltimore, MD |
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April Howard, RN, CCRN, CCRC
Wake Forest University
School of Medicine
Winston-Salem, NC |
Kathryn L. Weise, MD
Cleveland Clinic Foundation
Cleveland, OH
| TABLE OF CONTENTS
- What are the ethical principles I need to know?
- What is the rule of double effect?
- How can I organize the process of making ethical decisions?
- What are some of the important legal cases in bioethics?
- What is euthanasia and how is this distinguished from withdrawal of therapy, assisted suicide, and homicide?
- Is there a difference between withholding and withdrawing therapy? (click on the title to read the chapter)
- Why are nutrition and hydration given by artificial means considered to be something that can be withdrawn or foregone?
- How do we manage and control pain at the end of life?
- How does futility fit into discussions at the end of life?
- What do I need to know about advance directives, living wills, and healthcare proxies?
- What is the persistent vegetative state and is it different from brain death?
- What do I need to know about decision making for the incompetent patient?
- How can we optimize the informed consent process for research in the intensive care unit?
- What are the ethical implications of emergency consent?
- What do I need to know about the differences in end-of-life care in different religions?
- What should I know when dealing with an observant religious family?
- How do I deal with the patient who asks for nontraditional, complementary, or alternative therapies?
- How do I get the ethics committee to help me when I think I need it?
- What unique pediatric and neonatal considerations need to be addressed?
- What are the ethical implications of giving hope to parents of critically ill infants and children?
- What should I do about family presence at a cardiac arrest?
- What is the role of palliative care in the intensive care unit?
- Am I, as a clinician, required to provide therapy that I find to be inappropriate or unethical?
- How can I help with conflict resolution between members of the healthcare team and the patient's family?
- What do I need to know about the issue of conflict of interest?
- What do I need to know about rationing in the intensive care unit?
- What do I need to know about being an expert witness in a medical malpractice proceeding?
- What is the do-not-resuscitate order and how does it apply to patients undergoing anesthesia and surgery?
- What are the ethical issues surrounding organ donation?
- Why should I be interested in the concept of a humanistic approach to end-of-life care?
- What are the ethical implications of using ventricular assist devices?
- What resources should I use to learn about bioethics?
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