The Right to Emergency Medical Treatment in Kenya

Author(s):  
Maurice Oduor ◽  
Dan Wafula Simiyu
2016 ◽  
Vol 41 (9) ◽  
pp. 2-4
Author(s):  
Steven Pace ◽  

The Washington State POLST (physician orders for life- sustaining treatment) program was developed during the early 1990s in an effort to honor patients’ end-of-life treatment plans, specifically, to prevent emergency medicine technicians and emergency room personnel from administering excessive, harmful emergency medical treatment. Consequently, unlike advance directives and living wills, a POLST provides legal authority for emergency medical personnel not to initiate CPR (cardiopulmonary resuscitation). POLST documents are designed to be universal and portable, regardless of the particular health care setting, and their directives must be followed as standing physician orders. Since then, the department, in conjunction with the state medical association, composed the POLST in use today. However, these two bodies extended the legislature’s intent beyond defining patient wishes for resuscitation during emergency medical treatment. Had the document remained limited to the legislature’s original, narrow focus, many of the problems we now encounter with POLST would not occur.


2016 ◽  
Vol 32 (8) ◽  
pp. 529-531
Author(s):  
William M. McDonnell ◽  
Maurice K. Lawton ◽  
Mark G. Roback

10.2196/19428 ◽  
2020 ◽  
Vol 8 (7) ◽  
pp. e19428
Author(s):  
Liheng Gong ◽  
Xiao Zhang ◽  
Ling Li

Background During cardiac emergency medical treatment, reducing the incidence of avoidable adverse events, ensuring the safety of patients, and generally improving the quality and efficiency of medical treatment have been important research topics in theoretical and practical circles. Objective This paper examines the robustness of the decision-making reasoning process from the overall perspective of the cardiac emergency medical system. Methods The principle of robustness was introduced into our study on the quality and efficiency of cardiac emergency decision making. We propose the concept of robustness for complex medical decision making by targeting the problem of low reasoning efficiency and accuracy in cardiac emergency decision making. The key bottlenecks such as anti-interference capability, fault tolerance, and redundancy were studied. The rules of knowledge acquisition and transfer in the decision-making process were systematically analyzed to reveal the core role of knowledge reasoning. Results The robustness threshold method was adopted to construct the robustness criteria group of the system, and the fusion and coordination mechanism was realized through information entropy, information gain, and mutual information methods. Conclusions A set of fusion models and robust threshold methods such as the R2CMIFS (treatment mode of fibroblastic sarcoma) model and the RTCRF (clinical trial observation mode) model were proposed. Our study enriches the theoretical research on robustness in this field.


2019 ◽  
pp. 87-89
Author(s):  
Shinobu Tsuge ◽  
Takahiro Shinagawa ◽  
Kumi Hara ◽  
Akio Aihara

Emergency medical treatment in Japan is subject to jurisdiction by the Fire Department. Triage, by definition, is a dynamic process, as the patient's status can change rapidly. Triage is very important for Japan, where emergency patients are on the rise. The role of triage nurse is also important. That will improve the life-saving rate of emergency patients and improve the reversion to society.


2001 ◽  
Vol 36 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Akira KOIZUMI ◽  
Satoshi FUKUDA ◽  
Yuji YAMADA ◽  
Haruzo IIDA ◽  
Michikuni SHIMO

Author(s):  
Mabrouk Shneeb Zarrouk Nafkha Mabrouk Shneeb Zarrouk Nafkha

Medical treatment is mutual consent between two parties, the doctor on the one hand, and the patient on the other, to conduct a therapeutic intervention, which is initially the main goal of this research. By adopting an analytical and descriptive methodology for legal texts, opinions of jurisprudence, and judicial jurisprudence, the physician is free, in principle, to select and contract with his patients. This is what the study aims to clarify. The physician has the right to consent to contracting with or rejecting a specific patient, regardless of the nature of the motive. A doctor, like other people, has complete freedom to practice his profession in the manner that he pleases. As he has the right to accept or reject the invitation for treatment, he is not obligated to answer the patient's request. A critical reading of these texts and a comprehensive look at the opinions reveal that the doctor's refusal of treatment could come as a result of professional reasons and/or personal reasons. Others add the cases of religious convictions and the inability resulting from his lack of specialization in treating the disease. However, considering the concept of social justice, the freedom to practice the medical profession is no longer an absolute freedom exercised in that traditional individual spirit that entitles those with free professions to practice it or refrain from practicing it as they please, which is what the researcher seeks to explain. Medicine in general is nothing but a social function in which the practitioner must seek the spirit of social solidarity. As a result of these social views, the physician must commit to performing them according to the best interests of society. The doctor is not entitled to refrain from helping or answering the call of a patient. On the other hand, the study aims to clarify that medical treatment requires the patient's consent as well. It was found that there was a difference of jurisprudence regarding this, but it does not prevent the doctor from making obligations towards the patient. While some jurists believe that the doctor or surgeon has the right to impose a medical decision whose necessity he assesses in the light of his conscience and experience, even against the will of the patient, others maintain that he cannot treat the patient without taking his free and enlightened consent. Still others see that the patient must be satisfied specifically in certain cases. In this sense, the doctor is allowed to tell white or open lies. The study concluded that the doctor must, at all stages, show the patient the feasibility of the required treatment and surgery and the extent of their success before each medical or surgical intervention. The result of the recognition of the patient’s right to maintain his physical sanctity must also work on the principle of the doctor’s obligation to provide the patient with this information and inquiries until the patient’s satisfaction comes enlightened or insightful despite the emergence of realistic problems related to obtaining the patient’s satisfaction The study generally recommends: 1- Enacting new laws that override the jurisprudential differences over consent, define its cases and arrange responsibility for it. 2- Assigning a substitute to the doctor to enlighten the patient and search for his consent in specific cases 3- Appraising the creative role of jurisprudence in the article of medical contracting and resolving the related problems.


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