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The Space of the Ethical Practice of Emergency Medicine

Published online by Cambridge University Press:  26 September 2008

Michael Kelly  and
Ricardo Sanchez
Michael Kelly
Affiliation:
Department of PhilosophyColumbia University (M. K.)
Ricardo Sanchez
Affiliation:
Harvard Medical School (R. S.)
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Abstract

Emergency medicine, a new medical specialty in the United States, is an ethical practice that has developed through its interaction with the spaces in which it is situated. We discuss this claim in two steps followed by a demonstration. First we examine the historical evolution of the hospital, to provide the background for a lengthier account of the historical transformation of the emergency room. We then introduce Foucault's approach to ethics, to explain the sense in which emergency medicine is an ethical practice constituted, in part, by its space(s) of operation. The preliminaries of the application of our historico-ethical framework to emergency medicine, are presented, focusing on cardiopulmonary resuscitation. Our intention is to provide a framework for the newest clinical specialty as an ethical practice in order to understand how to individuate its emerging ethical problems. The emphasis on space throughout enables us to integrate the historical development of emergency medicine with its present concrete setting, and to establish a basis for analyzing emergency medicine that does not rely uncritically on either a preferred ethical perspective or the perspective of its practitioners.

Type
Article
Information
Science in Context , Volume 4 , Issue 1 , Spring 1991 , pp. 79 - 100
Copyright
Copyright © Cambridge University Press 1991

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References

Beauchamp, T., and Childress, J.. 1989. Principles of Biomedical Ethics, 3rd ed. Oxford: Oxford University Press.Google Scholar
Brody, B. 1988. Life and Death Decision Making. Oxford: Oxford University Press.Google Scholar
Foucault, M. 1973. The Birth of the Clinic: An Archaeology of Medical Perception, translated by Smith, A. M. Sheridan. New York: Pantheon.Google Scholar
Foucault, M. 1980. Michel Foucault, Power/Knowledge: Selected Interviews and Other Writings, 1972–1977, translated and edited by Gordon, Colin. New York: Pantheon.Google Scholar
Foucault, M. 1982. “On the Genealogy of Ethics: An Overview of Work in Progress” (an interview with Michel Foucault). In Michel Foucault: Beyond Structuralism and Hermeneutics, 2nd ed., Dreyfus, H. and Rabinow, P.. Chicago: University of Chicago Press.Google Scholar
Foucault, M. 1985. The Use of Pleasure: The History of Sexuality, vol. 2, translated by Hurley, Robert. New York: Pantheon.Google Scholar
Gibson, G. 1978. “Patterns and Trends of Utilization of Emergency Medical Services.” In Principles and Practices of Emergency Medicine, edited by Schwartz, G.. Philadelphia: Saunders.Google Scholar
Hillier, B., and Hanson, J.. 1984. The Social Logic of Space. Cambridge: Cambridge University Press.Google Scholar
Iserson, K., Sanders, A. B., Mathieu, D. R., and Buchanan, A. E.. 1986. Ethics in Emergency Medicine. Baltimore: Williams and Wilkins.Google Scholar
Jonsen, Albert R., and Toulmin, Stephen. 1988. The Abuse of Casuistry: A History of Moral Reasoning. Berkeley: University of California Press.Google Scholar
O'Neill, O. 1988. “How Can We Individuate Moral Problems?” In Applied Ethics and Ethical Theory, edited by Rosenthal, D. and Shedhadi, F.. Salt Lake City: University of Utah Press.Google Scholar
Rawlinson, M., ed. 1987. Journal of Medicine and Philosophy 12.Google Scholar
Sanders, A. 1986. “Unique Aspects of Ethics in Emergency Medicine.” In Ethics in Emergency Medicine, edited by Iserson, K. et al. Baltimore: Williams and Wilkins.Google Scholar
Schaffner, K. 1985. Logic of Discovery and Diagnosis in Medicine. Berkeley: University of California Press.Google Scholar
Starr, P. 1982. The Social Transformation of American Medicine. New York: Basic Books.Google Scholar
Thompson, John, and Goldin, Grace. 1975. The Hospital: A Social and Architectural History. New Haven: Yale University Press.Google Scholar
Toulmin, Stephen. 1986. “How Medicine Saved the Life of Ethics.” In New Directions in Ethics: The Challenge of Applied Ethics, edited by DeMarco, J. P. and Fox, R. M.. London: Routledge and Kegan Paul.Google Scholar
Veatch, R. 1981. A Theory of Medical Ethics. New York: Basic Books.Google Scholar
Vogel, Morris. 1980. The Invention of the Modern Hospital: Boston, 1870–1930. Chicago: University of Chicago Press.Google Scholar