Doctors in Arms: Exploring the Legal and Ethical Position of Military Medical Personnel in Armed Conflicts

Author(s):  
Brigit Toebes
Social Law ◽  
2019 ◽  
pp. 94-98
Author(s):  
G. Gabrelyan

It has been proved that since the beginning of Russian aggression in the east of Ukraine the problems of international humanitarian law, in particular the protection of medical personnel in the context of armed conflict, have become particularly relevant. It is determined that, through its peaceful policy, Ukraine is not ready for armed aggression. The provisions of international normative legal acts regulating the protection of medical personnel and medical facilities during armed conflicts of international and international character are examined. The basics of implementation of the provisions of international humanitarian law by national legislation and peculiarities of criminal responsibility for violations and crimes against physicians in the area of ​​armed conflict are investigated.


1977 ◽  
Vol 17 (195) ◽  
pp. 299-302 ◽  
Author(s):  
Yves Sandoz

The fourth and last session of the Diplomatic Conference on the Reaffirmation and Development of International Humanitarian Law applicable in Armed Conflicts has just opened. The Conference is considering two Protocols additional to the Geneva Conventions of 1949. The first widens the scope of humanitarian law applicable in international armed conflicts, in particular by giving additional protection to civilians even when they are not in the enemy's power, and by extending to civilian medical personnel the protection which until now had been granted only to military medical personnel. The second Protocol develops the law applicable in non-international armed conflicts, which until now was restricted to a few principles contained in common article 3 of the four Conventions of 1949.


Author(s):  
M. Medvedieva ◽  
H. Habrelian

It has been proved that since the beginning of the Russian aggression in the east of Ukraine the problems of international humanitarian law, in particular the protection of medical personnel in the context of armed conflict, have become particularly relevant. It is determined that, through its peaceful policy, Ukraine is not ready for armed aggression. The provisions of international normative legal acts regulating the protection of medical personnel and medical facilities during armed conflicts of international and non-international character are examined. The basics of implementation of the provisions of international humanitarian law by national legislation and peculiarities of criminal responsibility for violations and crimes against physicians in the area of armed conflict are investigated.


2020 ◽  
Vol 7 (2) ◽  
pp. 127-134
Author(s):  
Wiktoria Kudła ◽  
Arkadiusz Trzos ◽  
Karol Łyziński

Introduction: The use of radiation sources in various areas of life generates the risk of accidents and radiation disasters. The increase in terrorist threats as well as the risk of an outbreak of new armed conflicts carries the risk of using radioactive materials by terrorist groups and the military. Exposure to high doses of radiation and absorbing above-threshold doses by victims may cause acute radiation syndrome (ARS), as well as some distant effects. Personnel of the State Emergency Medical System (EMS) will be the first professional medical team in the process of providing assistance to such victims. The effects of further medical treatment in the hospital will depend on EMS’s first response, radiological triage and initial interventions taken. The aim: To present pathophysiology and clinical symptoms of acute radiation syndrome in the context of the medical practice of the EMS. Material and methods: For the purpose of this publication, an analysis of literature on the subject of the mechanism of ionizing radiation and its effects on the human body was performed. The work is focused on the interpretation of research results and their presentation from the EMS’s perspective. Results: The publication presents the impact of ionizing radiation on the body, the mechanism of damage to cellular structures and its consequences for individual organs and systems. ARS’s clinical (hematopoietic, intestinal, cerebrovascular) syndromes were discussed in detail, paying attention to radiation doses, the sensitivity of individual systems and organs, the dynamics of individual phases, as well as the ability to recognize and assess the severity of their progression by EMS personnel. Conclusions: The knowledge of pathophysiology, and ARS’s symptoms and dynamics is important to respond correctly to radiation incidents. This knowledge allows for efficient organization and emergency management during rescue operations. The increase in the risk of radiation incidents and radiation disasters generates the need for appropriate preparation of emergency rescuers, in particular, of the medical personnel of the State Emergency Medical Services.


2020 ◽  
pp. 57-65
Author(s):  
N.N. Baranova ◽  
◽  
S.F. Goncharov ◽  
◽  
◽  
...  

Relevance of the study. The increase in the number of natural and man-made emergencies (ChS), terrorist acts, social and armed conflicts leads to an increase in the number of victims and suffered, a shortage of medical personnel, medicines and equipment, and a delay in the provision of medical care in the conditions of failure of medical organizations (LMO). Each disaster is usually prolonged in nature, poses a danger to the social infrastructure and requires organized medical and evacuation measures. The relevance of the problem of improving the quality and efficiency of medical care and medical evacuation of victims in ChS is confirmed by the data of state reports "On the state of protection of the population and territories from natural and man-made emergencies..." for 2018-2019. The purpose of the study is to analyze the organization and conduct of medical evacuation of victims in ChS in modern conditions. Materials and methods of research. Based on the analysis of experience in organizing and conducting medical evacuation measures in emergencies, analysis of the results of scientific research on various aspects of medical evacuation of patients and victims of natural disasters, man-made accidents, terrorist acts and armed conflicts, materials on the use of digital technologies, and many years of own experience, an information search was conducted for ways to improve the medical evacuation system using technical means. Research results and their analysis. Based on the experience of eliminating the medical and sanitary consequences of known emergencies, it is shown that insufficient attention was paid to the organization and conduct of medical evacuation of victims, taking into account the principles of routing and creating a three–level system of medical care. Transfer from the hearth of emergencies to nearby hospitals, the lack of monitoring of victims, unproper routing, lack of medical air transport, weak medico-technical equipment of vehicles, lack of training and a number of other circumstances have led to a growing number of different complications and increased fatality rate among the victims in an emergency. It is concluded that the organization and conduct of medical evacuation of victims in emergencies require: high – quality application of information technologies that allow predicting routing and monitoring of victims, including using telemedicine systems; development and use of new modular kits and other medical equipment, primarily for sanitary aviation evacuation.


Author(s):  
Kumar Nilendra

This chapter examines the protection of religious personnel and legal issues of religious tolerance in armed conflicts. The presence of religious personnel in armed conflict is a reflection of the most basic sentiments of humanity and respect for the individual. Military ‘chaplains assigned to the armed forces’ are, in accordance with Article 24 GC I, protected in the same way as medical personnel. Article 8, lit. d, AP I uses the term ‘religious personnel’, which is more neutral than the Christian term ‘chaplain’. Religious personnel shall not be the object of discrimination by the adversary with regard to their particular religion. Moreover, religious personnel must not be hindered in pursuing their religious duties, even if the national regulations of the state in which they are working prohibit it. These protections are applicable to all religious personnel irrespective of their age or length of experience or military rank that they carry.


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