For Whom the Sirens Toll: A Study on an Ethical Challenge in Prehospital Emergency Medicine

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dc.contributor.authorErbay, Hasan
dc.contributor.authorCan, Rana
dc.contributor.authorTurkan, Ayca Hatice
dc.date.accessioned2024-09-18T20:16:48Z
dc.date.available2024-09-18T20:16:48Z
dc.date.issued2018
dc.departmentHatay Mustafa Kemal Ãœniversitesien_US
dc.description.abstractAim: The main responsibility of an emergency medical dispatcher (EMD) is to determine the situation and location of an emergency and allocate emergency resources to the scene. However, in some cases, there might be more than one emergency calls at one time forcing an EMD to decide which call should be given priority. Triage, prioritization, and choosing are issues that may be influenced by the EMD's personal values and thus raise ethical challenges. The aim of the present study was to determine (theoretically) the triage decisions of dispatchers in equal emergency care situations and the factors influencing their thinking and decisions. Materials and Methods: A questionnaire containing two emergency scenarios was applied to 92 students who were candidate ambulance dispatchers in training. The distribution of the participants' response was analyzed and the Chi-square and Fisher's exact tests of independence were performed. Results: Most of the participants chose to direct the ambulance to the orphanage. Results showed that the number of victims was the main factor influencing priorities and resource allocation in an emergency. In the second survey, age of the injured person influenced the choices. Conclusion: In triage decisions, EMD students prioritize the age and the number of the victims while deciding the allocation of emergency resources. It includes many individual values that might influence the decision. The ethical conflict of principles in a triage decision is between justice and beneficence.en_US
dc.identifier.doi10.5152/eajem.2018.76476
dc.identifier.endpage128en_US
dc.identifier.issn2149-5807
dc.identifier.issn2149-6048
dc.identifier.issue3en_US
dc.identifier.startpage122en_US
dc.identifier.urihttps://doi.org/10.5152/eajem.2018.76476
dc.identifier.urihttps://hdl.handle.net/20.500.12483/9758
dc.identifier.volume17en_US
dc.identifier.wosWOS:000446896600010en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.language.isoenen_US
dc.publisherAvesen_US
dc.relation.ispartofEurasian Journal of Emergency Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectEmergency dispatch centeren_US
dc.subjectethicsen_US
dc.subjecttriageen_US
dc.subjectdecision-makingen_US
dc.titleFor Whom the Sirens Toll: A Study on an Ethical Challenge in Prehospital Emergency Medicineen_US
dc.typeArticleen_US

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