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A Qualitative Study of Paramedic Duty to Treat During Disaster Response

Published online by Cambridge University Press:  10 April 2018

Erin Smith Open the ORCID record for Erin Smith [Opens in a new window] ,
Frederick Burkle Jr ,
Kristine Gebbie ,
David Ford  and
Cécile Bensimon
Erin Smith*
Affiliation:
School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia Division of Tropical Health and Medicine, College of Public Health, Medical and Veterinary Sciences, James Cook University, Cairns, Australia
Frederick Burkle Jr
Affiliation:
Harvard Humanitarian Initiative, Harvard T.H. Chan School of Public Health, Harvard University, Cambridge, Massachusetts Woodrow Wilson International Center for Scholars, Washington, District of Columbia
Kristine Gebbie
Affiliation:
College of Nursing and Health Sciences, Flinders University, Adelaide, Australia
David Ford
Affiliation:
School of Medical and Health Sciences, Edith Cowan University, Joondalup, Western Australia, Australia
Cécile Bensimon
Affiliation:
CMA, Ottawa, Canada
*
Correspondence and reprint requests to Dr Erin Smith, School of Medical and Health Sciences, Edith Cowan University, 270 Joondalup Drive, Joondalup, Western Australia 6027, Australia. (e-mail:Erin.Smith@ecu.edu.au)
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Abstract

Objectives

Disasters place unprecedented demands on emergency medical services and can test paramedics personal commitment as health care professionals. Despite this challenge, guidelines and codes of ethics are largely silent on the issue, providing little to no guidance on what is expected of paramedics or how they ought to approach their duty to treat in the face of risk. The objective of this research is to explore how paramedics view their duty to treat during disasters.

Methods

The authors employed qualitative methods to gather Australian paramedic perspectives.

Results

Our findings suggest that paramedic decisions around duty to treat will largely depend on individual perception of risk and competing obligations. A code of ethics for paramedics would be useful, but ultimately each paramedic will interpret these suggested guidelines based on individual values and the situational context.

Conclusions

Coming to an understanding of the legal issues involved and the ethical-social expectations in advance of a disaster may assist paramedics to respond willingly and appropriately. (Disaster Med Public Health Preparedness. 2019;13:191–196)

Keywords

paramedicdisasterduty to treatprofessional obligationscode of ethics
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 13 , Issue 2 , April 2019 , pp. 191 - 196
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2018 

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