Evidence map›Paper›PMID 41820956›Full record

ArticleBMC medical informatics and decision making2026

Ethical, legal, and social issues of AI use in emergency healthcare: a scoping review.

James Edgar Lim, Fahad Javaid Siddiqui, Angela Ballantyne, Michael Dunn, Sinead Prince, Dominic Wilkinson, Jonathan Lewis, Sungwon Yoon, Julian Savulescu, G Owen Schaefer

Abstract readScoping Review
In one paragraph

Article in BMC medical informatics and decision making, 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. Review
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

10 authors.

James Edgar LimCentre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Dr, #02-03 MD 11, Singapore, 117597, Singapore.
Fahad Javaid SiddiquiPre-Hospital & Emergency Research Centre, Duke-NUS Medical School, 8 College Rd, Singapore, 169857, Singapore.
Angela BallantyneDepartment of Primary Health Care and General Practice, University of Otago, PO Box 7343, Wellington, Otago, New Zealand.
Michael DunnCentre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Dr, #02-03 MD 11, Singapore, 117597, Singapore.
Sinead PrinceCentre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Dr, #02-03 MD 11, Singapore, 117597, Singapore.
Dominic WilkinsonUehiro Oxford Institute, 16-17 Saint Ebbe's St, Oxford, OX1 1PT, United Kingdom.
Jonathan LewisSchool of Law, Faculty of Arts, Humanities, and Social Sciences, Ulster University, York St, Belfast, Belfast, BT15 1ED, UK.
Sungwon YoonHealth Services Research and Population Health, Duke-NUS Medical School, 8 College Rd, Singapore, 169857, Singapore.
Julian SavulescuCentre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Dr, #02-03 MD 11, Singapore, 117597, Singapore. julian.savulescu@uehiro.ox.ac.uk.
G Owen SchaeferCentre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, 10 Medical Dr, #02-03 MD 11, Singapore, 117597, Singapore.

Funding

National Research Foundation Singapore AISG3-GV-2023-012National University of Singapore NUHSRO/2022/078/Startup/13National University of Singapore NUHSRO/2025/002/ Startup/01Wellcome Trust 226801/Z/22/Z
6 · The paper itself

Abstract

backgroundAdvances in artificial intelligence (AI) systems suggest that they can be used to improve healthcare outcomes via diagnosis, prognostication, patient management, risk assessment, etc. AI systems could be particularly useful in emergency healthcare (EHC) by synthesizing data to generate accurate conclusions rapidly. But the use of AI in EHC raises ethical, legal, and social concerns.

objectiveThe present study undertakes a scoping review to collate, map, and synthesize existing literature on the ethical, legal and social issues (ELSIs) associated with AI in EHC. The aim was to assess which ELSI issues were recognized and analyzed in the current literature and which were under-explored. DESIGN/

methodsOnline databases were used to identify papers published on the identified topic. An initial search strategy of IEEE, Pubmed, and Scopus yielded 156 unique records; 40 records underwent textual review, after which another 7 were excluded due to scope. The final 33 were analysed for content.

resultsOverall, the literature was mostly positive towards AI applications on EHC, with key themes aligning with the general AI ethics literature: transparency, bias, benefit/harm, justice, accountability, privacy and trust. Analyses of these issues, however, were mostly superficial and did not substantially engage with some of the distinctive features of EHC like urgency and high-stakes decision-making. In particular, urgency and stakes were under-recognised or under-explored in the EHC AI literature. Arguably, urgency in some emergency scenarios could justify more flexible ethical/regulatory standards, while conversely high-stakes contexts might require more stringent standards.

conclusionLack of discussion of these contextual nuances suggests a significant gap in the literature of deeper research into the unique ethical, legal and social issues arising from AI use in EHC. This paper extends current knowledge by highlighting the need for deeper and more contextualized investigation of AI ethics in EHC.

trial registrationNot applicable.

Indexed as

Artificial IntelligenceEmergency Medical ServicesHumansAI ethicsArtificial intelligenceEmergency healthcareEthicsScoping review

Identifiers

PMID41820956
PMCPMC13097863

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.