{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T06:21:26Z","timestamp":1782454886718,"version":"3.54.5"},"reference-count":27,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,4,10]],"date-time":"2021-04-10T00:00:00Z","timestamp":1618012800000},"content-version":"am","delay-in-days":340,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#am"},{"start":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T00:00:00Z","timestamp":1588636800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000923","name":"Australian Research Council","doi-asserted-by":"publisher","award":["Linkage project grant LP0989662"],"award-info":[{"award-number":["Linkage project grant LP0989662"]}],"id":[{"id":"10.13039\/501100000923","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Emerg Medicine Australasia"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>EDs fulfil a frontline function during public health emergencies (PHEs) and will play a pivotal role during the COVID\u201019 pandemic. This perspective article draws on qualitative data from a longitudinal, ethnographic study of an Australian tertiary ED to illustrate the clinical and ethical challenges faced by EDs during PHEs. Interview data collected during the 2014 Ebola Virus Disease PHE of International Concern suggest that ED clinicians have a strong sense of professional responsibility, but this can be compromised by increased visibility of risk and sub\u2010optimal engagement from hospital managers and public health authorities. The study exposes the tension between a healthcare worker's right to protection and a duty to provide treatment. Given the narrow window of opportunity to prepare for a surge of COVID\u201019 presentations, there is an immediate need to reflect and learn from previous experiences. To maintain the confidence of ED clinicians, and minimise the risk of moral injury, hospital and public health authorities must urgently develop processes to support ethical healthcare delivery and ensure adequate resourcing of EDs.<\/jats:p>","DOI":"10.1111\/1742-6723.13514","type":"journal-article","created":{"date-parts":[[2020,4,10]],"date-time":"2020-04-10T17:25:04Z","timestamp":1586539504000},"page":"520-524","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":28,"title":["Clinical and ethical challenges for emergency departments during communicable disease outbreaks: Can lessons from Ebola Virus Disease be applied to the <scp>COVID<\/scp>\u201019 pandemic?"],"prefix":"10.1111","volume":"32","author":[{"given":"Alexandra","family":"Markwell","sequence":"first","affiliation":[{"name":"Emergency and Trauma Centre Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"},{"name":"Clinical Senate Queensland Health  Brisbane Queensland Australia"},{"name":"School of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6422-3348","authenticated-orcid":false,"given":"Rob","family":"Mitchell","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Centre Alfred Hospital  Melbourne Victoria Australia"},{"name":"School of Public Health and Preventive Medicine Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"April L","family":"Wright","sequence":"additional","affiliation":[{"name":"Business School The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony FT","family":"Brown","sequence":"additional","affiliation":[{"name":"Emergency and Trauma Centre Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"},{"name":"School of Medicine The University of Queensland  Brisbane Queensland Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1177\/0001839220916401"},{"key":"e_1_2_9_3_1","unstructured":"World Health Assembly.Resolution 72.16. Emergency Care Systems for Universal Health Coverage: Ensuring Timely Care for the Acutely Ill and Injured. [Cited 20 Jan 2020.] Available from URL:https:\/\/apps.who.int\/gb\/ebwha\/pdf_files\/WHA72\/A72_R16-en.pdf"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/acem.12642"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0131196"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e31827da8ea"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)60313-4"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.5694\/mja15.00168"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2007.07.024"},{"key":"e_1_2_9_10_1","unstructured":"World Health Organization.Ebola Virus Disease. [Cited 3 Mar 2020.] Available from URL:https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/ebola-virus-disease"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.5465\/amj.2013.0870"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.12438"},{"key":"e_1_2_9_13_1","volume-title":"The Qualitative Researcher's Companion","author":"Miles M","year":"2002"},{"key":"e_1_2_9_14_1","first-page":"5","article-title":"Ebola and medical ethics\u2010ethical challenges in the management of contagious infectious diseases","volume":"15","author":"Blais CM","year":"2015","journal-title":"Ochsner J."},{"key":"e_1_2_9_15_1","first-page":"145","article-title":"The epidemiological characteristics of an outbreak of 2019 novel coronavirus diseases (COVID\u201019) in China","volume":"41","author":"Novel Coronavirus Pneumonia Emergency Response Epidemiology Team","year":"2020","journal-title":"Zhonghua Liuxingbingxue Zazhi"},{"key":"e_1_2_9_16_1","first-page":"10","article-title":"COVID\u201019 and Italy: what next?","volume":"2","author":"Remuzzi A","year":"2020","journal-title":"Lancet"},{"key":"e_1_2_9_17_1","unstructured":"NSW Health.COVID\u201019 Contacts Closely Monitored. [Cited 6 Mar 2020.] Available from URL:https:\/\/www.health.nsw.gov.au\/news\/Pages\/20200305_01.aspx"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1093\/cid\/ciaa227"},{"key":"e_1_2_9_19_1","unstructured":"Australian Government Department of Health.Australian Health Sector Emergency Response Plan for Novel Coronavirua (COVID\u201019). Cited 29 Feb 2020.] Available from URL:https:\/\/www.health.gov.au\/sites\/default\/files\/documents\/2020\/02\/australian\u2010health\u2010sector\u2010emergency\u2010response\u2010plan\u2010for\u2010novel\u2010coronavirus\u2010covid\u201019_1.pdf"},{"key":"e_1_2_9_20_1","unstructured":"The Guardian.Coronavirus: Australian Doctors Report \u201cUnacceptable\u201d Shortages of Protective Equipment. [Cited 17 Mar 2020.] Available from URL:https:\/\/www.theguardian.com\/world\/2020\/mar\/17\/coronavirus-australian-doctors-report-unacceptable-shortages-of-protective-equipment"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1467-8519.2005.00448.x"},{"key":"e_1_2_9_22_1","unstructured":"Australian Government Department of Health.National Medical Stockpile. [Cited 5 Mar 2020.] Available from URL:https:\/\/www1.health.gov.au\/internet\/main\/publishing.nsf\/Content\/health-pubhlth-strateg-bio-factsht_stckpile.htm"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.5055\/ajdm.2016.0220"},{"key":"e_1_2_9_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/1742-6723.13328"},{"key":"e_1_2_9_25_1","unstructured":"Australasian College for Emergency Medicine.ACEM Statement on Planning and Emergency Responses to COVID\u201019. [Cited 6 Mar 2020.] Available from URL:https:\/\/acem.org.au\/News\/March-2020\/ACEM-statement-on-planning-and-emergency-responses"},{"key":"e_1_2_9_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2018.09.025"},{"key":"e_1_2_9_27_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.14-0742"},{"key":"e_1_2_9_28_1","unstructured":"Australian and New Zealand Intensive Care Society.COVID\u201019 Guidelines. [Cited 17 Mar 2020.] Available from URL:https:\/\/www.anzics.com.au\/coronavirus\/"}],"container-title":["Emergency Medicine Australasia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2F1742-6723.13514","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.13514","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1742-6723.13514","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/am-pdf\/10.1111\/1742-6723.13514","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1742-6723.13514","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T13:10:21Z","timestamp":1694005821000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/1742-6723.13514"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,5]]},"references-count":27,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1111\/1742-6723.13514"],"URL":"https:\/\/doi.org\/10.1111\/1742-6723.13514","archive":["Portico"],"relation":{},"ISSN":["1742-6731","1742-6723"],"issn-type":[{"value":"1742-6731","type":"print"},{"value":"1742-6723","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,5]]},"assertion":[{"value":"2020-03-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-02","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-05","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}