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Bioethical Issues in Antarctica

Published online by Cambridge University Press:  29 December 2020

KENNETH V. ISERSON
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Abstract

This paper describes the Antarctic environment, the mission and work setting at the U.S. research stations, the general population and living conditions, and the healthcare situation. It also dispels some common misconceptions that persist about this environment and about the scope and quality of medicine practiced there. The paper then describes specific ethical issues that arise in this environment, incorporating examples drawn from both the author’s experiences and those of his colleagues. The ethics of providing healthcare in resource-poor environments implies two related questions. The first is: What can we do with the available resources? This suggests that clinicians must not only know how to use all available equipment and supplies in the standard manner, but also that they must be willing and able to go beyond standard procedures and improvise, when necessary. The second question is: Of all the things we can do, which ones should we do? This paper addresses both questions in relation to Antarctic medical care. It describes the wide range of activities required of healthcare providers and some specific ethical issues that arise. Finally, it suggests some remedies to ameliorate some of those issues.

Keywords

resource-poor environmentsimprovised medicineAntarctic medicinedisaster team trainingpublic health ethicsevacuating patients
Type
Bioethics Beyond Borders
Information
Cambridge Quarterly of Healthcare Ethics , Volume 30 , Issue 1 , January 2021 , pp. 136 - 145
Copyright
© The Author(s), 2020. Published by Cambridge University Press

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References

Notes

1. Iserson, KV. Providing ethical healthcare in resource-poor environments. HEC Forum, in press.Google Scholar

2. Iserson, KV. Improvised Medicine: Providing Care in Extreme Environments. 2nd ed. New York: McGraw-Hill Publishing; 2016.Google Scholar

3. Iserson, KV. Medical planning for extended remote expeditions. Wilderness & Environmental Medicine 2013;24:366–77.CrossRefGoogle ScholarPubMed

4. United States Antarctic Program, available at https://www.usap.gov/ (last accessed 16 Sept 2017).Google Scholar

5. United States Antarctic Program. 2016–2018 Participant Guide, available at www.usap.gov/usapgov/travelAndDeployment/contentHandler.cfm?id=541 (last accessed 16 Sept 2017).Google Scholar

6. Iserson, KV. Dental extractions using improvised equipment. Wilderness & Environmental Medicine 2013;24(4):384–9.CrossRefGoogle ScholarPubMed

7. Allen, M. The myth of drug expiration dates. 2017 July 18, available at www.propublica.org/article/the-myth-of-drug-expiration-dates (last accessed 12 Sept 2017).Google Scholar

8. Iserson, KV. Improvised Medicine: Providing Care in Extreme Environments. 2nd ed. New York: McGraw-Hill Publishing; 2016, at 558.Google Scholar

9. Lam, RW, Levitt, AJ, Levitan, RD, Enns, MW, Morehouse, R, Michalak, EE, Tam, EM. The CAN-SAD study: A randomized controlled trial of the effectiveness of light therapy and fluoxetine in patients with winter seasonal affective disorder. The American Journal of Psychiatry 2006;163:805–12.CrossRefGoogle ScholarPubMed