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Practicing procedures on the recently dead.

C J Denny1, D Kollek

  • 1McMaster University Medical School, Hamilton, Ontario, Canada.

The Journal of Emergency Medicine
|December 14, 1999
PubMed
Summary
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Practicing procedures on recently deceased patients, such as intubation, is less common than previously thought. Crucially, no consent was obtained from patients before these medical procedures.

Area of Science:

  • Medical Education
  • Emergency Medicine
  • Bioethics

Background:

  • Procedures on recently deceased patients are performed in emergency departments.
  • Previous reports suggest a higher prevalence of these practices.

Purpose of the Study:

  • To measure the prevalence of performing medical procedures on recently deceased patients in emergency departments.
  • To assess consent practices for such procedures.

Main Methods:

  • Surveys were distributed to medical students, interns, residents, emergency physicians, and trauma team leaders in a city's teaching hospitals.
  • A response rate of 49% (222 of 447 surveys) was achieved.
  • Participants were categorized as either learners or teachers.

Main Results:

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  • 4% of learners and 27% of teachers reported practicing intubation on recently deceased patients.
  • 3% of learners and 13% of teachers reported practicing pericardiocentesis.
  • None of the participants obtained consent before performing procedures.

Conclusions:

  • The prevalence of practicing procedures on recently deceased patients appears lower than previously reported.
  • Intubation is the most frequent procedure performed.
  • A significant ethical concern is the consistent lack of consent.