ArticleEmergency medicine Australasia : EMA2020
Clinical and ethical challenges for emergency departments during communicable disease outbreaks: Can lessons from Ebola Virus Disease be applied to the COVID-19 pandemic?
Article in Emergency medicine Australasia : EMA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.
- Key Influencing Factors and Optimization Strategy of Epidemic Resilience in Urban Communities-A Case Study of Nanjing, China.International journal of environmental research and public health · 2022Pooled it
- Nipah virus and the lessons of COVID-19: are we prepared for the next pandemic threat?Infectious medicine · 2026Review
- The impact of the COVID-19 pandemic on critical care healthcare professionals' work practices and wellbeing: A qualitative study.Australian critical care : official journal of the Confederation of Australian Critical Care Nurses · 2023Article
- Lessons from the frontline: Documenting the experiences of Pacific emergency care clinicians responding to the COVID-19 pandemic.The Lancet regional health. Western Pacific · 2022Review
- "When all else fails you have to come to the emergency department": Overarching lessons about emergency care resilience from frontline clinicians in Pacific Island countries and territories during the COVID-19 pandemic.The Lancet regional health. Western Pacific · 2022Review
- Lessons from the frontline: Documenting the pandemic emergency care experience from the Pacific region - Infrastructure and equipment.The Lancet regional health. Western Pacific · 2022Article
- Article
- Emergency Medical Technicians' Experiences of the Challenges of Prehospital Care Delivery During the COVID-19 Pandemic: A Qualitative Study.Ethiopian journal of health sciences · 2021Article
- Host-Pathogen Adhesion as the Basis of Innovative Diagnostics for Emerging Pathogens.Diagnostics (Basel, Switzerland) · 2021Review
- Rising to the challenge: The emergency nursing response to COVID-19 in the Pacific.Australasian emergency care · 2021Article
- A rapid review of the impact of COVID-19 on the mental health of healthcare workers: implications for supporting psychological well-being.BMC public health · 2021Review
- Academics in the Pandemic: Early Impact of COVID-19 on Plastic Surgery Training Programs.Plastic and reconstructive surgery. Global open · 2020Article
- Epidemiology and clinical features of emergency department patients with suspected COVID-19: Results from the first month of the COVID-19 Emergency Department Quality Improvement Project (COVED-2).Emergency medicine Australasia : EMA · 2020Article
- Management of adult cardiac arrest in the COVID-19 era: consensus statement from the Australasian College for Emergency Medicine.The Medical journal of Australia · 2020Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
Abstract
EDs fulfil a frontline function during public health emergencies (PHEs) and will play a pivotal role during the COVID-19 pandemic. This perspective article draws on qualitative data from a longitudinal, ethnographic study of an Australian tertiary ED to illustrate the clinical and ethical challenges faced by EDs during PHEs. Interview data collected during the 2014 Ebola Virus Disease PHE of International Concern suggest that ED clinicians have a strong sense of professional responsibility, but this can be compromised by increased visibility of risk and sub-optimal engagement from hospital managers and public health authorities. The study exposes the tension between a healthcare worker's right to protection and a duty to provide treatment. Given the narrow window of opportunity to prepare for a surge of COVID-19 presentations, there is an immediate need to reflect and learn from previous experiences. To maintain the confidence of ED clinicians, and minimise the risk of moral injury, hospital and public health authorities must urgently develop processes to support ethical healthcare delivery and ensure adequate resourcing of EDs.
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