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• W3136193639 abstract "Part of the vernacular during the COVID-19 pandemic, this phrase encapsulates slowing the spread of COVID -19 through preventative measures, such as stay-at-home orders, social distancing, and face masks 1 Flattening the curve is necessary to prevent the overwhelming of medical staff, facilities, and resources 2 If COVID-19 overwhelms emergency departments, medical professionals will have to make difficult triage decisions about whom to admit, whom to treat, and whom to surrender;and more people will die 3 in early March 2020, reports out of Lombardy, italy, said that because hospitals were so overwhelmed there, doctors were already at the point of deciding to forego treating older patients in favor of treating younger patients more likely to survive 4 Some Italian officials and doctors disputed such reports,5 but the Italian College of Anesthesia, Analgesia, Resuscitation and intensive Care (SIAARTI) quickly issued triage guidelines to prioritize treatment of younger patients for hospitals at capacity 6 Italy became a grim glimpse of what awaits countries if they cannot slow the spread, showing that even hospitals in developed countries with the world's best health care risk becoming triage wards, forcing ordinary doctors and nurses to make extraordinary decisions about who may live and who may die 7 Triage is the process of assigning patients a priority level for treatment 8 Ordinarily, hospitals and healthcare professionals triage patients to prioritize treating those with more serious injuries or illnesses 9 However, when disasters overwhelm hospitals and healthcare resources, emergency circumstances pressure hospitals to adopt a more triage system, prioritizing those who are most likely to survive and abandoning those who are less likely to survive 10 Other factors may also affect the prioritization -such as the patient's age and quality of life, and the decisionmakers' prejudices and biases A triage officer under this model would categorize patients as (1) immediate, (2) delayed, (3) minimal, or (4) expectant, or in some other similar fashion 28 Under most circumstances, treatment would go first to the immediate patients -those who face an urgent threat but who have a reasonable chance of recovery 29 However, minimal patients may be prioritized if after their treatment they would be able to help address the threat at hand 30 For instance, prioritizing treatment of an injured healthcare professional triaged as minimal may be beneficial because, following treatment, the healthcare professional could help others 31 of all the utilitarian triage categories, expectant is the most dreaded 33 When there are enough resources, this expectant category is not used 34 Instead, all resources and heroic measures are deployed to help the patient 35 Professor Steve Calandrillo has argued that utilitarianism through cost-benefit analysis should be applied in health policies more broadly 36 Not writing about triage specifically, he opined that the reality of limited public resources, America must efficiently reformulate its health regulatory policies in order to save and improve the most lives possible given the accompanying costs" @default.
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• W3136193639 date "2021-01-01" @default.
• W3136193639 modified "2023-09-26" @default.
• W3136193639 title "Utilitarian Triage in Disasters" @default.
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