49 found
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  1. The Toughest Triage — Allocating Ventilators in a Pandemic.Robert D. Truog, Christine Mitchell & George Q. Daley - 2020 - New England Journal of Medicine.
    The Covid-19 pandemic has led to severe shortages of many essential goods and services, from hand sanitizers and N-95 masks to ICU beds and ventilators. Although rationing is not unprecedented, never before has the American public been faced with the prospect of having to ration medical goods and services on this scale.
     
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  2.  14
    The Problems With Fixating on Consciousness in Disorders of Consciousness.David Fischer & Robert D. Truog - 2017 - American Journal of Bioethics Neuroscience 8 (3):135-140.
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  3.  35
    Changing the Conversation About Brain Death.Robert D. Truog & Franklin G. Miller - 2014 - American Journal of Bioethics 14 (8):9-14.
    We seek to change the conversation about brain death by highlighting the distinction between brain death as a biological concept versus brain death as a legal status. The fact that brain death does not cohere with any biologically plausible definition of death has been known for decades. Nevertheless, this fact has not threatened the acceptance of brain death as a legal status that permits individuals to be treated as if they are dead. The similarities between “legally dead” and “legally blind” (...)
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  4.  78
    Is It Time to Abandon Brain Death?Robert D. Truog - 1997 - Hastings Center Report 27 (1):29-37.
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  5.  65
    Brain Death - Too Flawed to Endure, Too Ingrained to Abandon.Robert D. Truog - 2007 - Journal of Law, Medicine and Ethics 35 (2):273-281.
    The concept of brain death has become deeply ingrained in our health care system. It serves as the justification for the removal of vital organs like the heart and liver from patients who still have circulation and respiration while these organs maintain viability. On close examination, however, the concept is seen as incoherent and counterintuitive to our understandings of death. In order to abandon the concept of brain death and yet retain our practices in organ transplantation, we need to either (...)
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  6.  42
    Rethinking the Ethics of Vital Organ Donations.Franklin G. Miller & Robert D. Truog - 2008 - Hastings Center Report 38 (6):38-46.
  7.  17
    Microethics: The Ethics of Everyday Clinical Practice.Robert D. Truog, Stephen D. Brown, David Browning, Edward M. Hundert, Elizabeth A. Rider, Sigall K. Bell & Elaine C. Meyer - 2015 - Hastings Center Report 45 (1):11-17.
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  8.  13
    Brain Death — Too Flawed to Endure, Too Ingrained to Abandon.Robert D. Truog - 2007 - Journal of Law, Medicine and Ethics 35 (2):273-281.
    The concept of brain death was recently described as being “at once well settled and persistently unresolved.” Every day, in the United States and around the world, physicians diagnose patients as brain dead, and then proceed to transplant organs from these patients into others in need. Yet as well settled as this practice has become, brain death continues to be the focus of controversy, with two journals in bioethics dedicating major sections to the topic within the last two years.By way (...)
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  9. Moral Fictions and Medical Ethics.Franklin G. Miller, Robert D. Truog & Dan W. Brock - 2010 - Bioethics 24 (9):453-460.
    Conventional medical ethics and the law draw a bright line distinguishing the permitted practice of withdrawing life-sustaining treatment from the forbidden practice of active euthanasia by means of a lethal injection. When clinicians justifiably withdraw life-sustaining treatment, they allow patients to die but do not cause, intend, or have moral responsibility for, the patient's death. In contrast, physicians unjustifiably kill patients whenever they intentionally administer a lethal dose of medication. We argue that the differential moral assessment of these two practices (...)
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  10.  29
    Withholding and Withdrawing Life-Sustaining Treatment and the Relevance of the Killing Versus Letting Die Distinction.Robert D. Truog & Andrew McGee - 2019 - American Journal of Bioethics 19 (3):34-36.
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  11.  15
    Conscientious of the Conscious: Interactive Capacity as a Threshold Marker for Consciousness.David B. Fischer & Robert D. Truog - 2013 - American Journal of Bioethics Neuroscience 4 (4):26-33.
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  12.  20
    The Incoherence of Determining Death by Neurological Criteria: A Commentary on Controversies in the Determination of Death, A White Paper by the President's Council on Bioethics.Franklin G. Miller & Robert D. Truog - 2009 - Kennedy Institute of Ethics Journal 19 (2):185-193.
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  13.  4
    Brain Death at Fifty: Exploring Consensus, Controversy, and Contexts.Robert D. Truog, Nancy Berlinger, Rachel L. Zacharias & Mildred Z. Solomon - 2018 - Hastings Center Report 48 (S4):S2-S5.
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  14.  8
    Is ‘Best Interests’ the Right Standard in Cases Like That of Charlie Gard?Robert D. Truog - 2020 - Journal of Medical Ethics 46 (1):16-17.
    Savulescu and colleagues have provided interesting insights into how the UK public view the ‘best interests’ of children like Charlie Gard. But is best interests the right standard for evaluating these types of cases? In the USA, both clinical decisions and legal judgments tend to follow the ‘harm principle’, which holds that parental choices for their children should prevail unless their decisions subject the child to avoidable harm. The case of Charlie Gard, and others like it, show how the USA (...)
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  15.  5
    Lessons From the Case of Jahi McMath.Robert D. Truog - 2018 - Hastings Center Report 48 (S4):S70-S73.
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  16.  37
    Medically Inappropriate or Futile Treatment: Deliberation and Justification.Cheryl J. Misak, Douglas B. White & Robert D. Truog - 2016 - Journal of Medicine and Philosophy 41 (1):90-114.
    This paper reframes the futility debate, moving away from the question “Who decides when to end what is considered to be a medically inappropriate or futile treatment?” and toward the question “How can society make policy that will best account for the multitude of values and conflicts involved in such decision-making?” It offers a pragmatist moral epistemology that provides us with a clear justification of why it is important to take best standards, norms, and physician judgment seriously and a clear (...)
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  17.  35
    Are Organs Personal Property or a Societal Resource?Robert D. Truog - 2005 - American Journal of Bioethics 5 (4):14 – 16.
  18.  5
    Of Slide Rules and Stethoscopes: AI and the Future of Doctoring.Robert D. Truog - 2019 - Hastings Center Report 49 (5):3-3.
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  19.  19
    Futility - From Hospital Policies to State Laws.Robert D. Truog & Christine Mitchell - 2006 - American Journal of Bioethics 6 (5):19 – 21.
  20.  22
    An Apology for Socratic Bioethics.Franklin G. Miller & Robert D. Truog - 2008 - American Journal of Bioethics 8 (7):3 – 7.
    Bioethics is a hybrid discipline. As a theoretical enterprise it stands for untrammeled inquiry and argument. Yet it aims to influence medical practice and policy. In this article we explore tensions between these two dimensions of bioethics and examine the merits and perils of a “Socratic” approach to bioethics that challenges “the conventional wisdom.”.
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  21.  51
    Brain Death: Justifications and Critiques.Robert D. Truog & Franklin G. Miller - 2012 - Clinical Ethics 7 (3):128-132.
    Controversies about the diagnosis and meaning of brain death have existed as long as the concept itself. Here we review the historical development of brain death, and then evaluate the various attempts to justify the claim that patients who are diagnosed as brain dead can be considered dead for all legal and social purposes, and especially with regard to procuring their vital organs for transplantation. While we agree with most commentators that death should be defined as the loss of integration (...)
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  22.  18
    Neonatal Decision-Making: Beyond the Standard of Best Interests.Robert D. Truog & Sadath A. Sayeed - 2011 - American Journal of Bioethics 11 (2):44 - 45.
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  23.  38
    When Does a Nudge Become a Shove in Seeking Consent for Organ Donation?Robert D. Truog - 2012 - American Journal of Bioethics 12 (2):42-44.
    The American Journal of Bioethics, Volume 12, Issue 2, Page 42-44, February 2012.
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  24.  21
    Brain Death and the Anencephalic Newborn.Robert D. Truog & John C. Fletcher - 1990 - Bioethics 4 (3):199–215.
  25.  17
    "The Truth About" Donation After Cardiac Death".Robert D. Truog & Thomas I. Cochrane - 2006 - Journal of Clinical Ethics 17 (2):133.
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  26.  11
    Forgoing Medically Provided Nutrition and Hydration in Pediatric Patients.Lawrence J. Nelson, Cindy Hylton Rushton, Ronald E. Cranford, Robert M. Nelson, Jacqueline J. Glover & Robert D. Truog - 1995 - Journal of Law, Medicine and Ethics 23 (1):33-46.
    Discussion of the ethics of forgoing medically provided nutrition and hydration tends to focus on adults rather than infants and children. Many appellate court decisions address the legal propriety of forgoing medically provided nutritional support of adults, but only a few have ruled on pediatric cases that pose the same issue.The cessation of nutritional support is implemented most commonly for patients in a permanent vegetative state ). An estimated 4,000 to 10,000 American children are in the permanent vegetative state, compared (...)
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  27.  11
    The Conversation Around CPR/DNR Should Not Be Revived—At Least for Now.Robert D. Truog - 2010 - American Journal of Bioethics 10 (1):84-85.
  28. The Incoherence of Determining Death by Neurological Criteria: Reply to John Lizza.G. Miller Franklin & D. Truog Robert - 2009 - Kennedy Institute of Ethics Journal 19 (4):397-399.
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  29.  12
    Case Study: Mistrust, Racism, and End-of-Life Treatment.Eric L. Krakauer & Robert D. Truog - 1997 - Hastings Center Report 27 (3):23.
  30.  1
    Medically Inappropriate or Futile Treatment: Deliberation and Justification.Cheryl J. Misak, Douglas B. White & Robert D. Truog - 2015 - Journal of Medicine and Philosophy:jhv035.
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  31.  10
    Going All the Way: Ethical Clarity and Ethical Progress.Franklin G. Miller & Robert D. Truog - 2012 - American Journal of Bioethics 12 (6):10-11.
    The American Journal of Bioethics, Volume 12, Issue 6, Page 10-11, June 2012.
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  32.  9
    Triage in the ICU.Robert D. Truog - 1992 - Hastings Center Report 22 (3):13-17.
  33.  9
    A Bridge to Nowhere.Christine Mitchell & Robert D. Truog - 2003 - Journal of Clinical Ethics 14 (3):189.
  34.  9
    Progress in the Futility Debate.Robert D. Truog - 1995 - Journal of Clinical Ethics 6 (2):128.
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  35.  3
    Beyond Futility: Commentary.Robert D. Truog - 1992 - Journal of Clinical Ethics 3 (2):143.
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  36.  9
    Reflections on Love, Fear, and Specializing in the Impossible.David M. Browning, Elaine C. Meyer, Dara Brodsky & Robert D. Truog - 2007 - Journal of Clinical Ethics 18 (4):373.
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  37.  13
    Life Support, Suicide, and Euthanasia in Disorders of Consciousness.Thomas I. Cochrane, Robert D. Truog & Joseph T. Giacino - 2016 - American Journal of Bioethics Neuroscience 7 (1):44-45.
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  38.  26
    Physicians and Execution: Highlights From a Discussion of Lethal Injection.Atul Gawande, Deborah W. Denno, Robert D. Truog & David Waisel - manuscript
    This article constitutes excerpts of a videotaped discussion hosted by the New England Journal of Medicine on January 14, 2008, concerning a range of topics on lethal injection prompted by the United States Supreme Court's January 7 oral arguments in Baze v. Rees. Dr. Atul Gawande moderated the roundtable that included two anesthesiologists - Dr. Robert Truog and Dr. David Waisel - as well as law professor Deborah Denno. The discussion focused on the drugs used in lethal injection executions, whether (...)
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  39.  16
    Treating the Patient to Benefit Others.Howard Klepper & Robert D. Truog - 1997 - Cambridge Quarterly of Healthcare Ethics 6 (3):306.
    ‘Treatment’ from which the patient cannot benefit is sometimes administered to a patient so that the comfort of the patient's family or caregivers may be increased. Is this permissible? To answer that question we will explore the interests of the permanently unconscious patient and the potential for such a patient's interests to conflict with those of her family and healthcare providers. We will conclude that in the likely absence of a specific advance directive from the patient providing for such circumstances, (...)
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  40.  2
    Ethical Climate in Contemporary Paediatric Intensive Care.Katie M. Moynihan, Lisa Taylor, Liz Crowe, Mary-Claire Balnaves, Helen Irving, Al Ozonoff, Robert D. Truog & Melanie Jansen - forthcoming - Journal of Medical Ethics:medethics-2020-106818.
    Ethical climate has been broadly described as how well institutions respond to ethical issues. Developing a tool to study and evaluate EC that aims to achieve sustained improvements requires a contemporary framework with identified relevant drivers. An extensive literature review was performed, reviewing existing EC definitions, tools and areas where EC has been studied; ethical challenges and relevance of EC in contemporary paediatric intensive care ; and relevant ethical theories. We surmised that existing EC definitions and tools designed to measure (...)
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  41.  28
    Are There Some Things Doctors Just Shouldn't Do?Robert D. Truog - 2011 - Hastings Center Report 41 (3):3-3.
    It is hard to imagine two precepts that enjoy more uniform support among the international medical community than the ethical prohibitions against physician participation in capital punishment and torture. Yet the two articles in this issue of the Hastings Center Report challenge these sacred assumptions, arguing that the ethics of these issues are more complicated than they may seem, and that each deserves more nuanced consideration than it has received in the past.I have personally written in opposition to the participation (...)
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  42.  3
    Commentary: Defining Death: Definitions, Criteria, and Tests.Robert D. Truog - 2019 - Cambridge Quarterly of Healthcare Ethics 28 (4):642-647.
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  43.  19
    Dying Patients as Research Subjects.Robert D. Truog - 2003 - Hastings Center Report 33 (1):3.
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  44.  3
    Expanding the Horizon of Our Obligations in the Clinician‐Patient Relationship.Robert D. Truog - 2017 - Hastings Center Report 47 (4):40-41.
    Johan Brännmark's article “Patients as Rights Holders,” in this issue of the Hastings Center Report, squarely identifies some important problems with the way we in clinical practice conceive of our obligations to our patients. As a solution, he helpfully suggests augmenting our focus on autonomy and informed consent with a broader menu of considerations drawn from the literature on human rights. Respect for autonomy is, of course, one of the hallowed principles of bioethics. In our traditional understanding, our patients deserve (...)
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  45.  4
    Locked-in Syndrome and Ethics Committee Deliberation.Robert D. Truog - 1992 - Journal of Clinical Ethics 3 (3):209.
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  46.  41
    Organ Donation Without Brain Death?Robert D. Truog - 2005 - Hastings Center Report 35 (6):3-3.
  47.  5
    Patient Autonomy and Professional Expertise in Decisions Near the End of Life: Commentary on Francis Kamm.Robert D. Truog - 2017 - Journal of Medical Ethics 43 (9):587-588.
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  48.  11
    To Breathe or Not to Breathe.Robert D. Truog & Jeffrey P. Burns - 1993 - Journal of Clinical Ethics 5 (1):39-41.
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  49.  5
    The Concept of Futility: Recognizing the Importance of Context.Robert D. Truog - 2018 - Perspectives in Biology and Medicine 60 (3):428-432.
    As a member of the committee that authored the Multiorganization Policy Statement under discussion, I fully endorse the response of Bosslet and my colleagues to the provocative article by Schneiderman, Jecker, and Jonson. In addition, I would like to offer some thoughts about how the different positions reflected here may be at least partially reconciled by considering the different contexts in which the word and the concept of futility may be invoked. The main thrust of the classic paper by Schneiderman, (...)
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