Evidence map›Paper›PMID 40900162›Full record

ArticleMedizinische Klinik, Intensivmedizin und Notfallmedizin2026

[Sustainability in preclinical emergency medicine : What is the influence of ethical considerations on sustainable and resource-saving practices in prehospital emergency medicine?]

Julia Johanna Grannemann, Martin Deicke, Eugen Latka, Bernd Strickmann, Gerrit Jansen

Abstract readEnglish Abstract
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In one paragraph

Article in Medizinische Klinik, Intensivmedizin und Notfallmedizin, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. 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

5 authors.

Julia Johanna GrannemannAbt. Bevölkerungsschutz, Ärztliche Leitung Rettungsdienst, Kreis Gütersloh, Gütersloh, Deutschland. j.grannemann@kreis-guetersloh.de.ORCID http://orcid.org/0000-0002-5098-8702
Martin DeickeÄrztliche Leitung Rettungsdienst, Landkreis Osnabrück, Osnabrück, Deutschland.
Eugen LatkaFachbereich Medizin und Rettungswesen, Studieninstitut Westfalen-Lippe, Bielefeld, Deutschland.
Bernd StrickmannAbt. Bevölkerungsschutz, Ärztliche Leitung Rettungsdienst, Kreis Gütersloh, Gütersloh, Deutschland.
Gerrit JansenUniversitätsklinik für Anästhesiologie, Intensivmedizin, Notfallmedizin und Schmerzmedizin, Johannes Wesling Klinikum Minden, Minden, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesSustainability in prehospital emergency medicine has received little attention, unlike in the hospital sector, where climate change and resource conservation are increasingly addressed. Ecological sustainability holds ethical significance within the Georgetown Mantra, as individual health must be viewed within the broader context of public health. The World Health Organization considers climate change the greatest threat to human health in the 21st century.

methodsAn online survey of 23 questions was conducted among emergency medical personnel. This study focuses on three specific questions related to ethical considerations of sustainable practices in emergency medicine. Subgroup analyses were performed.

resultsA total of 387 respondents (73% men, 27% women, aged 18-65 years, 17% physicians) participated. Most acknowledged climate change as a major health threat, but the 18-24 age group considered waste management less important in emergencies and prioritized individual health over public health. This age group also showed the lowest concern for climate change.

conclusionThe low concern about climate change among 18- to 24-year-old emergency medical staff, along with their lower prioritization of waste separation, highlights the need for targeted education. This study is the first to show age- and profession-specific differences in the prioritization of individual versus public health, sustainable behavior, and the perceived relevance of climate change. Sustainable practices in emergency medicine could contribute to global public health and promote intergenerational justice. Ethical considerations play a critical role in balancing acute care with long-term sustainability.

Indexed as

Climate ChangeConservation of Natural ResourcesEmergency Medical ServicesEmergency MedicineAdolescentAdultAgedFemaleGermanyHumansMaleMiddle AgedSurveys and QuestionnairesYoung AdultClimate changeGeorgetown MantraIntergenerational justiceMedical ethicsWaste management

Identifiers

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.