First Do No Harm

First do no harm is a prevailing principle to protect.

In a medical emergency our role as doctors is first to do no harm or prevent harm, then to protect and to treat.

It is essential to ask questions regarding ethics, human rights, children’s rights during all recommendations and clinical initiatives; we have to first do no harm.

Initiatives put in place to protect the public must be weighed, taking a systemic approach, considering all of the relevant bio-psycho-social risk and protective factors and consequences with updated statistics recently published by organisations such as the WHO, UNICEF, NSPCC.

A systemic approach or management plan, with a focus on well established evidence-based risk and protective factors, including normalcy, liberty and autonomy, is essential, considering recent statistics.  Clinical outcome is often affected most by simple measures to prevent harm and to protect.  

All initiatives to protect the public in every context and medical discipline must be evidence-based to prevent harm and to protect, leading to improved statistics relating to general health and mental health morbidity and mortality.

First do no harm must be a prevailing principle that leads clinicians in complexity, chaos and clinical emergencies.

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