‘Sophie’s Choice’ in the time of coronavirus: Deciding who gets the ventilator

Three otherwise healthy patients go to the emergency department with severe acute respiratory failure. Only one ventilator, required to sustain life until the worst of the coronavirus infection has passed, is available. Who gets the vent? That’s what “A Framework for Rationing Ventilators and Critical Care Beds During the COVID-19 Pandemic,” a Viewpoint just published in the Journal of the American Medical Association (JAMA), addresses. Douglas White, MD, MAS, Endowed Chair for Ethics in Critical Care Medicine at the University of Pittsburgh School of Medicine and Bernie Lo, MD, from the University of California, San Francisco, wrote the Viewpoint, which links to a full policy document that’s been in the works since 2009. It is being implemented in several states and can easily be adapted to any hospital, Dr. White said in a Webinar on March 27. The impending shortage of ventilators during a surge of viral infections evokes the scene in William Styron’s 1979 novel (and 1982 film) Sophie’s Choice. Upon arriving at Auschwitz, Meryl Streep’s character, a young Polish Catholic mother, must choose which of her two children would be gassed immediately and which would be allowed to live. The decision haunts her for the rest of her days. Intensivists – physicians trained in critical care medicine – now face the dilemma of choosing who gets the ventilator. There&rsquo...
Source: blog.bioethics.net - Category: Medical Ethics Authors: Tags: Health Care Author: Lewis syndicated Source Type: blogs

Related Links:

Publication date: Available online 30 May 2020Source: Life SciencesAuthor(s): Qi Fu, Zhenhai Yu
Source: Life Sciences - Category: Biology Source Type: research
Publication date: Available online 29 May 2020Source: Life SciencesAuthor(s): Nagesh Kishan Panchal, E.P. Sabina
Source: Life Sciences - Category: Biology Source Type: research
In this study, five machine learning algorithms and twelve types of molecular fingerprints were employed to generate QSAR discriminant models for mitochondrial toxicity. A threshold moving method was adopted to resolve the imbalance issue in the training data. Consensus of the models by an averaging probability strategy improved prediction performance. The best model has correct classification rates of 81.8% and 88.3% in ten-fold cross validation and external validation, respectively. Substructures such as phenol, carboxylic acid, nitro and arylchloride were found informative through analysis of information gain and freque...
Source: Chemosphere - Category: Chemistry Authors: Tags: Chemosphere Source Type: research
Publication date: 30 May 2020Source: New Scientist, Volume 246, Issue 3284Author(s): Adam Vaughan
Source: New Scientist - Category: Science Source Type: research
Donald Trump and Mike Pence witness launch in FloridaFirst attempt was cancelled minutes from blast-offA rocketship named Dragon breathed new fire into America ’s human spaceflight programme on Saturday, carrying two astronauts on a much-anticipated adventure.Related:Trump wants America looking at the stars as he drags it through the gutterContinue reading...
Source: Guardian Unlimited Science - Category: Science Authors: Tags: SpaceX Nasa Science Trump administration US news Florida Elon Musk Technology World news Source Type: news
Publication date: Available online 30 May 2020Source: Urology Case ReportsAuthor(s): Andrew Moe, Isaac Thyer, Rajalingam Sinniah, Dickon Hayne
Source: Urology Case Reports - Category: Urology & Nephrology Source Type: research
Publication date: Available online 29 May 2020Source: American Journal of Kidney DiseasesAuthor(s): Adrian Post, Edwin S.G. den Deurwaarder, Stephan J.L. Bakker, Robbert J. de Haas, Matijs van Meurs, Ron T. Gansevoort, Stefan P. Berger
Source: American Journal of Kidney Diseases - Category: Urology & Nephrology Source Type: research
The world has completely changed and so have we —in record time. The COVID-19 pandemic is not only causing immeasurable tragedy around the globe, but it has also hit the reset button on almost all aspects of daily life. News headlines decry the widesp...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Disaster Preparedness Source Type: news
This study aimed to describe the epidemiology of pediatric upper extremity injury secondary to nonballistic firearms in the United States. METHODS: The National Electronic Injury Surveillance Survey (NEISS) database was queried between ...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
In the United States, nearly 40,000 deaths per year are firearm related. Among these fatalities are approximately 1300 children. In addition, there are more than 20,000 unintentional firearm injuries per year. Osteopathic physicians have a unique opportuni...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Age: Adolescents Source Type: news
More News: American Medical Association (AMA) | Apples | Blogging | Cancer | Cancer & Oncology | Cardiology | Child Development | Children | Clinical Trials | Coronavirus | COVID-19 | Disability | Emergency Medicine | Epidemiology | Genetics | Health Management | Heart | Heart Attack | Heart Failure | Heart Transplant | Hospitals | International Medicine & Public Health | Italy Health | Kidney Transplant | Kidney Transplantation | Lung Transplant | Medical Ethics | Nurses | Nursing | Oranges | Pandemics | Poland Health | Respiratory Medicine | Transplant Surgery | Transplants | University of Washington | Urology & Nephrology | USA Health