The Toughest Triage — Allocating Ventilators in a Pandemic

Of all the medical care that will have to be rationed during the Covid-19 pandemic, the most problematic will be mechanical ventilation. One strategy for avoiding debilitating distress over these decisions is to use a triage committee to buffer bedside clinicians.

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Bibliographische Detailangaben
Veröffentlicht in:	The New England journal of medicine 2020-05, Vol.382 (21), p.1973-1975
Hauptverfasser:	Truog, Robert D, Mitchell, Christine, Daley, George Q
Format:	Artikel
Sprache:	eng
Schlagworte:	Clinical decision making Committees Coronavirus Infections - epidemiology Coronavirus Infections - therapy COVID-19 Decision making Ethics Committees, Clinical General & Internal Medicine Health Care Rationing - ethics Health Care Rationing - methods Humans Life Sciences & Biomedicine Mechanical ventilation Medicine, General & Internal Palliative care Pandemics Patients Physicians Pneumonia, Viral - epidemiology Pneumonia, Viral - therapy Resource Allocation - ethics Science & Technology Shortages Triage - ethics Triage - methods United States - epidemiology Ventilators Ventilators, Mechanical - supply & distribution Withholding Treatment - ethics
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Beschreibung
Zusammenfassung:	Of all the medical care that will have to be rationed during the Covid-19 pandemic, the most problematic will be mechanical ventilation. One strategy for avoiding debilitating distress over these decisions is to use a triage committee to buffer bedside clinicians.
ISSN:	0028-4793 1533-4406
DOI:	10.1056/NEJMp2005689