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Justice and triage in military medical ethics: A brief report
Marguerite W Spruce1, Megan K Applewhite, Matthew Martin
1From the United States Air Force (M.W.S.); Department of Surgery (M.W.S.), Washington University in St. Louis, St. Louis, Missouri; Department of Surgery (M.W.S.), Saint Louis University, St. Louis, Missouri; Department of Surgery (M.K.A.), University of Chicago, Chicago, Illinois; DoD Medical Ethics Center (M.K.A., F.C.L.), Uniformed Services University, Bethesda, Maryland; United States Army (M.M., J.M.G., F.C.L., J.B.H.); Department of Surgery (M.M.), University of Southern California, Keck Medical Center, Los Angeles, California; United States Army (J.M.G.); Joint Trauma System (J.M.G.), Joint Base San Antonio, Fort Sam Houston, Texas; United States Army (F.C.L.); Uniformed Services University (F.C.L., M.D.T., J.B.H.), Bethesda, Maryland; DoD Medical Ethics Center (F.C.L.), Uniformed Services University, Bethesda, Maryland; United States Navy (M.D.T.); Uniformed Services University (M.D.T.), Bethesda, Maryland; United States Army (J.B.H.); Department of Surgery (J.B.H.), University of Alabama at Birmingham, Birmingham, Alabama; and Uniformed Services University (J.B.H.), Bethesda, Maryland.
Background:
The American Association for the Surgery of Trauma Military Liaison Committee held the second Military Fallen Surgeons Educational Symposium in conjunction with the 2024 American Association for the Surgery of Trauma meeting, which once again included an ethics segment.
Methods:
This case-based session guided discussion of complex and unique ethical challenges that arise in military medical practice when in a deployed environment.
Results:
Central themes included justice in triage, beneficence versus nonbeneficial care, dual agency, and moral injury.
Conclusion:
In preparation for the conflicts of the future, we must both build on our collective experience and focus on education, innovation, and peer support for young providers who may experience similar situations. It is critical to learn from the problems that have been encountered in order to rise to the challenge of those we may not yet fathom.
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