This paper will examine a sample case encountered by ambulance staff in the context of the basic principles of medical ethics.An accident takes place on an intercity highway. Ambulance staff pick up the injured driver and medical intervention is initiated. The driver suffers from a severe stomach ache, which is also affecting his back. Evaluating the patient, the ambulance doctor suspects that he might be experiencing internal bleeding. For this reason, venous access, in the doctor's opinion, should be achieved and (...) the patient should be quickly started on an intravenous serum. The patient, however, who has so far kept his silence, objects to the administration of the serum. The day this is taking place is within the month of Ramadan and the patient is fasting. The patient states that he is fasting and that his fast will be broken and his religious practice disrupted in the event that the serum is administered. The ambulance doctor informs him that his condition is life-threatening and that the serum must be administered immediately. The patient now takes a more vehement stand. ‘If I am to die, I want to die while I am fasting. Today is Friday and I have always wanted to die on such a holy day,’ he says. The ambulance physician has little time to decide. How should the patient be treated? Which type of behaviour will create the least erosion of his values? (shrink)

Introduction:Prehospital emergency medicine is a specific field of emergency medicine. The basic approach of prehospital emergency medicine is to provide patients with medical intervention at the scene of the incident. This special environment causes health professionals to encounter various problems. One of the most important problems in this field is ethics, in particular questions involving refusal of treatment and the processes associated with it.Objective:The objective of this study is to identify emergency health professionals’ views regarding refusal of treatment.Methods:This study was (...) conducted with 356 health professionals who were on active duty in prehospital emergency health services. The data were collected through a form which included 10 statements. The participants were asked to indicate their level of agreement with the statements given by rating them between 0 and 10.Ethical considerations:Before conducting the research, permission was received from the local ethics committee. Participants were given written information about the purpose of the study. Participants were assured that their participation was voluntary.Results:The healthcare professionals with fewer years of experience in the profession and female participants adopted an attitude of giving priority to providing care. Young participants, in general, respected patient autonomy. However, paradoxically, when it comes to emergency medical cases, they expressed an opinion closer to paternalism.Conclusions:This study has found that prehospital emergency health professionals generally respect the patient’s right to refuse treatment; however, they do not prioritize this right when there is a life-threatening situation or when the person does not have decision-making capacity. In these cases, prehospital emergency health professionals tended to adopt a more paternalistic approach. (shrink)

‘Abdallāh al-Baṭṭāl is an important commander who undertook important duties in the Islamic conquests of the Umayyads (41-132/661-750). It is understood that he achieved remarkable success in these missions against the Byzantine (Eastern Roman) Empire, and this success led to him being mentioned as a hero in the chronicles. Aside from his historical personality, the fact that he is narrated based on the heroic tale is a critical component that strengthens the significance of the research subject. This article analyzes the (...) process by which the historical existence of 'Abdullāh al-Battāl, who planned an expedition to Anatolia (Bilād al-Rūm), was transformed into a heroic story and the basic elements that supported it. In this perspective, the focus is on Baṭṭāl’s life, which is the subject of historical information, and then on how he appears in the texts by transforming into myth and narrative. This study, which was carried out within the framework of the first period of Islamic history sources, Ibn Aʿt̲h̲am’s (d. 320/932) “Kitāb al-futūḥ” and Ibn ‘Asākir’s (d. 571/1176) “Tarīkh madīnat Dimashq” works are discussed through the narrative elements. It is worth noting that both authors presented Baṭṭāl as a hero outside of his historical personality, allowing for the construction of a new history. The political context of the time, sectarian identities, and the deciding roles of the relationship they built with authority in the authors' portrayals of Baṭṭāl will be addressed in this article. Examining the process of transforming a historical personality into a myth by removing the aforementioned actuality is significant in terms of the abilities of the chronicler authors in the writings they made during their lives. In this framework, the article focuses on Battal’s life, campaigns, and participation in jihad activities, followed by his transition into a story by becoming a hero. (shrink)