Evidence map›Paper›PMID 34989820›Full record

ReviewMedizinische Klinik, Intensivmedizin und Notfallmedizin2022

[Ad hoc ethical decision-making in clinical acute and emergency medicine : Position paper of the Ethics Section of the German Interdisciplinary Association of Critical Care and Emergency Medicine (DIVI) in collaboration with the Ethics Section of the German Society of Medical Intensive Care and Emergency Medicine (DGIIN)].

Guido Michels, Jochen Dutzmann, Gunnar Duttge, Annette Rogge, Susanne Jöbges, Steffen Grautoff, Stefan Meier, Uwe Janssens, Andrej Michalsen, Sektion Ethik der DIVI e.V. and 1 more

Open access · greenAbstract readReviewConsensus Statement
PubMed Publisher
In one paragraph

Review in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.

  1. Guideline
  2. [Core curriculum of intensive care and emergency medicine in internal medicine].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Review
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 8 institutions in 1 country.

Guido MichelsKlinik für Akut- und Notfallmedizin, St.-Antonius-Hospital gGmbH, Akademisches Lehrkrankenhaus der RWTH Aachen, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland. guido.michels@sah-eschweiler.de.
Jochen DutzmannUniversitätsklinik und Poliklinik für Innere Medizin III, Kardiologie, Angiologie und Internistische Intensivmedizin, Universitätsklinikum Halle (Saale), Halle (Saale), Deutschland.
Gunnar DuttgeZentrum für Medizinrecht, Georg-August-Universität Göttingen, Göttingen, Deutschland.
Annette RoggeInstitut für Experimentelle Medizin, Medizinethik, Christian-Albrechts-Universität zu Kiel (CAU), Universitätsklinikum Schleswig-Holstein Campus Kiel, Kiel, Deutschland.
Susanne JöbgesMedizinethik, Institut für Biomedizinische Ethik und Medizingeschichte (IBME), Zürich, Schweiz.
Steffen GrautoffSicherheit und Ordnung, Gefahrenabwehr, Kreis Herford, Herford, Deutschland.
Stefan MeierKlinik für Anästhesiologie, Universitätsklinikum Düsseldorf, Düsseldorf, Deutschland.
Uwe JanssensKlinik für Innere Medizin und Internistische Intensivmedizin, St.-Antonius-Hospital Eschweiler, Dechant-Deckers-Str. 8, 52249, Eschweiler, Deutschland.
Andrej MichalsenKlinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerztherapie, Klinikum Konstanz, Konstanz, Deutschland.
Sektion Ethik der DIVI e.V.
Sektion Ethik der DGIIN e.V.
Sankt-Antonius-Hospital Eschweiler · DEHeinrich Heine University Düsseldorf · DEHerford Hospital · DEKlinikum Dortmund · DEKlinikum Konstanz · DEUniversity Hospital in Halle · DEUniversity Hospital Schleswig-Holstein · DEUniversity of Göttingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Decisions with considerable medical and ethical implications are made in emergency departments every day. Despite time pressure and high workloads, they have to be arrived at in an expert manner in all dimensions. For immediate ethical decisions, structuring the decision-making process in the form of standard procedures can be helpful, provided that they are trained and practiced in an interdisciplinary and interprofessional manner. The support for ad hoc ethical decisions presented here recommends an "ethical team time out" for the evaluation of treatment choices, in a framework where the patient's will and medical indication are examined and completed in a structured manner. Further experts (ideally, an ad hoc clinical ethics consultation) should be consulted if the treatment measure is of questionable medical benefit and/or of questionable patient consent.

Indexed as

Critical CareEmergency MedicineEthics, MedicalHumansEmergency roomGuidelineMoral distressTeamTraining

Identifiers

PMID34989820
OpenAlexW4205678571

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.