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Curbside Ethics

By: Steven Bradley MD
  • Summary

  • Welcome to Curbside Ethics. I’m Dr. Steven Bradley an Anesthesiologist and Clinical Medical Ethicist. As clinicians we are frequently faced with complex medical decision making related to medical ethics, health equity or culturally competent care. There is little formal education related to making these difficult decision. It is hard to learn and stay current with information on these social aspects of care. Curbside Ethics fills this void. Short, weekly episodes provide valuable tools for clinicians invested in providing ethical, equitable, culturally competent care to their patients. Weekly episodes will help you learn to navigate ethical dilemmas. You will learn how to be considerate of other cultures and perspectives that our patients may have. You will be empowered to provide the most current ethical and equitable care to your patients. Subscribe, listen to and share Curbside Ethics. If you have any specific topics or issues contact me directly on my website where I provide individualized consultations.

    Hosted on Acast. See acast.com/privacy for more information.

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Episodes
  • Best Practices for Managing Perioperative DNR/DNI
    Nov 25 2021

    Management of patients with Do Not Resuscitate/Do Not Intubate orders in the acute or perioperative phase of care is an extremely complex issue. In this episode I discuss how clinicians can manage these often challenging situations. 

    • Automatic suspension of DNR/DNI orders is morally questionable
    • Learn how to navigate these complex discussions with patients
    • Learn how to navigate these complex discussions with fellow clinicians
    • How do we prioritize patient autonomy in this situations 

    AMA Journal of Ethics: Perioperative Do-Not-Resuscitate Orders 

    Weekly episodes will help you learn to navigate ethical dilemmas. You will learn how to be considerate of other cultures and perspectives that our patients may have. You will be empowered to provide the most current ethical and equitable care to your patients.

    Subscribe, listen to and share Curbside Ethics. If you have any specific topics or issues contact me directly on my website where I provide individualized consultations.


    Hosted on Acast. See acast.com/privacy for more information.

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    26 mins
  • Requiring COVID-19 Vaccination Prior To Organ Transplantation
    Nov 2 2021

    Is it ethical to require COVID-19 Vaccination prior to organ transplantation? This concept blew up in the news recently after several viral headlines. Lets dig a little deeper and look beneath the politics and the fake news. What are some of the actual requirements to be listed for transplant?

    • Learn about the requirements to be listed for transplant.
    • Did you know that family members of transplant patients may be required to be vaccinated prior to listing for transplant?
    • How does this requriement line up with other requirements?

    Welcome to Curbside Ethics. So happy you tuned in. Please share with your fellow clinicians and leave a rating or comment on iTunes. Visit www.StevenBradleyMD.com to request a personalized ethics consultation from our host.


    Hosted on Acast. See acast.com/privacy for more information.

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    15 mins
  • Triaging ICU Beds Based On Vaccination Status
    Sep 2 2021

    As the COVID-19 pandemic peaks once again and the Delta variant fills hospitals across the country, there has been some talk of triaging patients based upon their vaccination status. Obviously this raises many ethical issues.

    In this episode I review some of the implications raised by this potential contingency. Fundamentally, it is unethical to triage based upon vaccination status. At the moment, there is limited data regarding morbidity and mortality of matched cohort patients when comparing critically ill vaccinated vs unvaccinated. This data is being gathered, but at this point there is not enough to support triaging on this basis. Additionally there are some patients that are unable to be vaccinated due to medical comorbidities or status as a minor. Concessions would have to be made for each of these various circumstances.

    What are your thoughts on triaging care based upon a patient's vaccination status?

    Welcome to Curbside Ethics. So happy you tuned in. Please share with your fellow clinicians and leave a rating or comment on iTunes. Visit www.StevenBradleyMD.com to request a personalized ethics consultation from our host.


    Hosted on Acast. See acast.com/privacy for more information.

    Show more Show less
    19 mins

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