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Left of bang interventions in trauma : ethical implications for military medical prophylaxis
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Eisenstein, Neil, Naumann, David N., Stapley, Sarah, Burns, Daniel and Draper, Heather (2017) Left of bang interventions in trauma : ethical implications for military medical prophylaxis. Journal of Medical Ethics . doi:10.1136/medethics-2017-104299 ISSN 0306-6800.
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Official URL: http://dx.doi.org/10.1136/medethics-2017-104299
Abstract
Advances in medical capability should be accompanied by discussion of their ethical implications. In the military medical context there is a growing interest in developing prophylactic interventions that will mitigate the effects of trauma and improve survival. The ethics of this novel capability are currently unexplored. This paper describes the concept of trauma prophylaxis (Left Of Bang Interventions in Trauma) and outlines some of the ethical issues that need to be considered, including within concept development, research and implementation. Trauma prophylaxis can be divided into interventions that do not (type 1) and those that do (type 2) have medical enhancement as an unintended side effect of their prophylactic action. We conclude that type 1 interventions have much in common with established military medical prophylaxis, and the potentially enhancing qualities of type 2 interventions raise different issues. We welcome further debate on both interventions.
| Item Type: | Journal Article | ||||||
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| Subjects: | U Military Science > U Military Science (General) | ||||||
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Medicine, Military -- Moral and ethical aspects -- Research, Soldiers -- Diseases -- Prevention -- Moral and ethical aspects | ||||||
| Journal or Publication Title: | Journal of Medical Ethics | ||||||
| Publisher: | BMJ Group | ||||||
| ISSN: | 0306-6800 | ||||||
| Official Date: | 16 August 2017 | ||||||
| Dates: |
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| DOI: | 10.1136/medethics-2017-104299 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access | ||||||
| Date of first compliant deposit: | 8 August 2017 | ||||||
| Date of first compliant Open Access: | 24 January 2018 |
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