Intensive care triage: Priority should be independent of whether patients are already receiving intensive care
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
Bioethics 26 (5):259-266 (2010)
Intensive care units (ICUs) are not always able to admit all patients who would benefit from intensive care. Pressure on ICU beds is likely to be particularly high during times of epidemics such as might arise in the case of swine influenza. In making choices as to which patients to admit, the key US guidelines state that significant priority should be given to the interests of patients who are already in the ICU over the interests of patients who would benefit from intensive care but who have not been admitted. We examine four reasons that in principle might justify such a prioritization rule and conclude that none is convincing. We argue that the current location of patients should not, in principle, affect their priority for intensive care. We show, however, that under some but not all circumstances, maximizing lives saved by intensive care might require continuing to treat in the ICU a patient already admitted rather than transferring that patient out of the unit in order to admit a sicker patient who would also benefit more from intensive care. We conclude that further modelling is required in order to clarify what practical policies would maximize lives saved by intensive care
|Keywords||priority setting resource allocation triage ethics microallocation justice intensive care|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Laura Hawryluck, William Harvey, Louise Lemieux-Charles & Peter Singer (2002). Consensus Guidelines on Analgesia and Sedation in Dying Intensive Care Unit Patients. BMC Medical Ethics 3 (1):1-9.
Louise C. Stayt, 'I've Never Been Surrounded by so Many People and Felt so Alone' : A Heideggerian Phenomenological Study Investigating Patients' Experiences of Technology in Adult Intensive Care.
Kath M. Melia (2004). Health Care Ethics: Lessons From Intensive Care. Sage Publications.
F. Cheng, Mary Ip, K. K. Wong & W. W. Yan (1998). Critical Care Ethics in Hong Kong: Cross-Cultural Conflicts as East Meets West. Journal of Medicine and Philosophy 23 (6):616 – 627.
John D. Lantos & William L. Meadow (2011). Costs and End-of-Life Care in the NICU: Lessons for the MICU? Journal of Law, Medicine and Ethics 39 (2):194-200.
Dominic Wilkinson & Julian Savulescu (2014). A Costly Separation Between Withdrawing and Withholding Treatment in Intensive Care. Bioethics 28 (3):127-137.
E. J. O. Kompanje (2009). Ethical Decision-Making in Two Patients with Locked-in Syndrome on the Intensive Care Unit. Clinical Ethics 4 (2):98-101.
Hanne Irene Jensen, Jette Ammentorp, Helle Johannessen & Helle Ørding (2013). Challenges in End-of-Life Decisions in the Intensive Care Unit: An Ethical Perspective. [REVIEW] Journal of Bioethical Inquiry 10 (1):93-101.
Michael Gill, Picu Prometheus: Ethical Issues in the Treatment of Very Sick Children in Paediatric Intensive Care.
Dominic Wilkinson & Julian Savulescu (2012). Should We Allow Organ Donation Euthanasia? Alternatives for Maximizing the Number and Quality of Organs for Transplantation. Bioethics 26 (1):32-48.
Yoshinori Nakata, Takahisa Goto & Shigeho Morita (1998). Serving the Emperor Without Asking: Critical Care Ethics in Japan. Journal of Medicine and Philosophy 23 (6):601 – 615.
Douglas N. Walton (1983). Ethics of Withdrawal of Life-Support Systems: Case Studies on Decision-Making in Intensive Care. Greenwood Press.
Dominic Wilkinson (2009). The Self-Fulfilling Prophecy in Intensive Care. Theoretical Medicine and Bioethics 30 (6):401-410.
Chris Kaposy & Sarah Khraishi (2012). A Relational Analysis of Pandemic Critical Care Triage Protocols. International Journal of Feminist Approaches to Bioethics 5 (1):70-90.
Added to index2010-12-08
Total downloads9 ( #156,922 of 1,100,838 )
Recent downloads (6 months)2 ( #176,557 of 1,100,838 )
How can I increase my downloads?