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Table 2 Values and considerations that may come into conflict

From: Ethical challenges experienced by prehospital emergency personnel: a practice-based model of analysis

Values in the context of caring for patients

• Preventing harm and doing good for patients and relatives

• Respect for patient autonomy and right to self-determination in consideration of the cognitive ability of the patient

• Providing equal and fair treatment to patients, irrespective of age, gender, religion, and social status

• Respect for the contributions and needs of relatives in consideration of their cognitive abilities, their intents, and relation to the patient

Values in the context of the prehospital emergency unit

• Acting in accordance with the duty to help, clinical guidelines and legal requirements

• Forming a treatment alliance with patients as individuals

• Providing equal and fair treatment to patients, irrespective of age, gender, religion, and social status

• Respecting hierarchical structures and the line of command of the organisation

• Guarding the safety of patient, self, colleagues and others involved

• Evaluating potential cost and benefit of alternative uses of medical expertise

Values in the context of external collaboration

• Respect for non-prehospital healthcare professionals and external collaborators, including their professional assessment of the situation, their tasks and areas of responsibility

• Preventing harm and doing good for bystanders

• Respecting bystander views and needs, in light of their cognitive abilities, their intents and relationship to a patient

Values pertaining to prehospital emergency personnel

• Acting in accordance with the value system of their specific health profession (EMT, PM, physician)

• Acting in accordance with their personal value system