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Type: Journal article
Title: The ethics of ambulance ramping
Author: Perry, M.
Carter, D.
Citation: Emergency Medicine Australasia, 2017; 29(1):116-118
Publisher: Wiley
Issue Date: 2017
ISSN: 1742-6731
Statement of
Matthew Perry and Drew Carter
Abstract: Ramping is the practice of requiring paramedics to continue to care for patients rather than hand over clinical responsibility to the ED. It arose as an alternative to admitting patients to EDs that are deemed to be already operating at or beyond capacity. This paper analyses the ethics of ramping. Ramping has been embraced by some ED practitioners and policymakers as a solution to the problem of ED patients suffering increased risks of harm as a result of waiting times within ED. However, this perspective fails to adequately consider the implications, especially the opportunity cost of requiring paramedics to remain at the hospital rather than make themselves available for other patients. From this perspective, ramping negatively impacts the wider provision of emergency medical services, with potentially serious consequences for people’s health. Advocates of ramping must consider people in the community who require a medical emergency response.
Keywords: Ambulance; emergency departmenet; ethics; paramedic; ramping
Rights: © 2016 Australasian College for Emergency Medicine and Australasian Society for Emergency Medicine
RMID: 0030052502
DOI: 10.1111/1742-6723.12625
Appears in Collections:Public Health publications

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