Resource allocation after a nuclear detonation incident: Unaltered standards of ethical decision making

Disaster Medicine and Public Health Preparedness

Volumn 5, Issue SUPPL. 1, 2011, Pages

  Caro, J Jaime ^a,e   DeRenzo, Evan G ^b   Coleman, C Norman ^c   Weinstock, David M ^d   Knebel, Ann R ^c  

^a MCGILL UNIVERSITY   (Canada)

^b WASHINGTON HOSPITAL CENTER   (United States)

^c U S DEPARTMENT OF HEALTH AND HUMAN SERVICES   (United States)

^d HARVARD MEDICAL SCHOOL   (United States)

^e UNITED BIOSOURCE CORPORATION   (United States)

Author keywords

Efficiency; Ethics; Need; Nuclear detonation; Priority setting; Resource allocation

Indexed keywords

ARTICLE; ATOMIC BOMB; DECISION MAKING; EMERGENCY HEALTH SERVICE; ETHICS; HEALTH CARE QUALITY; HEALTH SERVICE; HOSPITALIZATION; HUMAN; NUCLEAR ACCIDENT; RESOURCE ALLOCATION; TERRORISM; TREATMENT OUTCOME;

DECISION MAKING; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; NUCLEAR WEAPONS; RADIOACTIVE HAZARD RELEASE; RESOURCE ALLOCATION; SEVERITY OF ILLNESS INDEX; STANDARD OF CARE; TERRORISM; TREATMENT OUTCOME; TRIAGE;

EID: 79953020685     PISSN: 19357893     EISSN: 1938744X     Source Type: Journal    
DOI: 10.1001/dmp.2011.14     Document Type: Article

References (54)

1. Brock D. Ethical issues in recipient selection for organ transplantation. In: Mathieu D, ed. Organ Substitution Technology: Ethical, Legal, and Public Policy Issues. Boulder, CO: Westview Press; 1988.
2. Burkle FM Jr. Mass casualty management of a large-scale bioterrorist event: An epidemiological approach that shapes triage decisions. Emerg Med Clin North Am. 2002;20(2):409-436. (Pubitemid 34753117)
3. Devereaux A, Christian MD, Dichter JR, Geiling JA, Rubinson L; Task Force for Mass Critical Care. Summary of suggestions from the task force for mass critical care summit, January 26-27, 2007. Chest. 2008;133(5) (Suppl):1S-7S. (Pubitemid 351680048)
4. Fink S. The deadly choices at memorial. New York Times Magazine; August 30, 2009; 28-46.
5. Gostin LO, Sapsin JW, Teret SP, et al. The Model State Emergency Health Powers Act: Planning for and response to bioterrorism and naturally occurring infectious diseases. JAMA. 2002;288(5):622-628. (Pubitemid 34847709)
6. Institute of Medicine. Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report. http://www.iom.edu/Reports /2009/DisasterCareStandards.aspx. Published 2009. Accessed April 2, 2010.
7. Kraus CK, Levy F, Kelen GD. Lifeboat ethics: Considerations in the discharge of inpatients for the creation of hospital surge capacity. Disaster Med Public Health Prep. 2007;1(1):51-56.
8. Merin O, Ash N, Levy G, Schwaber MJ, Kreiss Y. The Israeli field hospital in Haiti-ethical dilemmas in early disaster response. N Engl J Med. 2010;362(11):e38.
9. Pesik N, Keim ME, Iserson KV. Terrorism and the ethics of emergency medical care. Ann Emerg Med. 2001;37(6):642-646. (Pubitemid 32521684)
10. Rubinson L, Nuzzo JB, Talmor DS, O'Toole T, Kramer BR, Inglesby TV. Augmentation of hospital critical care capacity after bioterrorist attacks or epidemics: Recommendations of the Working Group on Emergency Mass Critical Care. Crit Care Med. 2005;33(10):2393-2403. (Pubitemid 41437496)
11. Stroud C, Altevogt BM, Nadig L, et al. Crisis Standards of Care: Summary of a Workshop Series, Forum on Medical and Public Health Preparedness for Catastrophic Events. http://iom.edu/Reports/2009/Crisis-Standards-of-Care -Summary-of-a-Workshop-Series.aspx. Published September 2009. Accessed February 5, 2011.
12. Thompson AK, Faith K, Gibson JL, Upshur RE. Pandemic influenza preparedness: An ethical framework to guide decision-making.BMCMed Ethics. 2006;7:E12.
13. Ventilator Guidance Workgroup for the Ethics Subcommittee, Centers for Disease Control and Prevention. Ethical Considerations for Decision Making Regarding Allocation of Mechanical Ventilators During a Severe Influenza Pandemic [draft guidance]. http://s3.amazonaws.com/propublica/assets/docs/Vent- Guidance-.draftoc2008pdf.pdf. Published October 30, 2009. Accessed February 5, 2011.
14. Powell T, Christ KC, Birkhead GS. Allocation of ventilators in a public health disaster. Disaster Med Public Health Prep. 2008;2(1):20-26.
15. Knebel AR, Coleman CN, Cliffer KD, et al. Allocation of scarce resources after a nuclear detonation: Setting the context. Disaster Med Public Health Prep. 2011;5(Suppl 1):S20-S31.
16. Casagrande R, Wills N, Kramer E, et al. Using the model of resource and time-based triage (MORTT) to guide scarce resource allocation in the aftermath of a nuclear detonation. Disaster Med Public Health Prep. 2011; 5(Suppl 1):S98-S110.
17. Coleman CN, Knebel AR, Hick JL, et al. Scarce resources for nuclear detonation: Project overview and challenges. Disaster Med Public Health Prep. 2011;5(Suppl 1):S13-S19.
18. Dodgen D, Norwood AE, Becker SM, et al. Social, psychological and behavioral responses to a nuclear detonation in a US city: Implications for health care planning and delivery. Disaster Med Public Health Prep. 2011; 5(Suppl 1):S54-S64.
19. Hick JL, Weinstock DM, Coleman CN, et al. Health care system planning for and response to a nuclear detonation. Disaster Med Public Health Prep. 2011;5(Suppl 1):S73-S88.
20. Murrain-Hill P, Coleman CN, Hick JL, et al. Medical response to a nuclear detonation: Creating a playbook for state and local planners and responders. Disaster Med Public Health Prep. 2011;5(Suppl 1):S89-S97.
21. Sherman SE. Legal considerations in a nuclear detonation. Disaster Med Public Health Prep. 2011;5(Suppl 1):S65-S72.
22. ColemanCN,WeinstockDM,Casagrande R, et al. Triageandtreatment tools for use in a scarce resources-crisis standards of care setting after a nuclear detonation. Disaster Med Public Health Prep. 2011;5(Suppl 1):S98-S110.
23. DiCarlo AL, Maher C, Hick JL, et al. Radiation injury after a nuclear detonation: Medical consequences and the need for scarce resources allocation. Disaster Med Public Health Prep. 2011;5(Suppl 1):S32-S44.
24. Coleman CN, Hrdina C, Bader JL, et al. Medical response to a radiologic/ nuclear event: Integrated plan from the Office of the Assistant Secretary for Preparedness and Response, Department of Health and Human Services. Ann Emerg Med. 2009;53(2):213-222.
25. Casagrande R, MacKinney J, Bader J, et al. Federal nuclear preparedness and response measures reflect new modeling paradigms. Homeland Secur Aff. 2010;6:1-7.
26. Buddemeier BR, Dillion M. Key Response Planning Factors for the Aftermath of a Nuclear Detonation. LLNL-TR-410067.: Http://www.remm.nlm gov/IND-ResponsePlanning-LLNL-TR-410067.pdf. Published August 2009. Accessed June 28, 2010.
27. Sandel M. Justice: What's the Right Thing to Do? New York: Farrar, Straus and Giroux; 2009.
28. Fink SL. Worst case: Rethinking tertiary triage protocols in pandemics and other health emergencies. Crit Care. 2010;14(1):103.
29. Guest T, Tantam G, Donlin N, Tantam K, McMillan H, Tillyard A. An observational cohort study of triage for critical care provision during pandemic influenza: 'clipboard physicians' or 'evidenced based medicine'? Anaesthesia. 2009;64(11):1199-1206.
30. Khan Z, Hulme J, Sherwood N. An assessment of the validity of SOFA score based triage in H1N1 critically ill patients during an influenza pandemic. Anaesthesia. 2009;64(12):1283-1288.
31. Gebbie KM, Peterson CA, Subbarao I, White KM. Adapting standards of care under extreme conditions. Disaster Med Public Health Prep. 2009; 3(2):111-116.
32. Christian MD, Hawryluck L, Wax RS, et al. Development of a triage protocol for critical care during an influenza pandemic. CMAJ. 2006;175 (11):1377-1381. (Pubitemid 44876555)
33. Gostin LO. Medical countermeasures for pandemic influenza: Ethics and the law. JAMA. 2006;295(5):554-556. (Pubitemid 43200350)
34. Tabery J, MackettCWIII; University of Pittsburgh Medical Center Pandemic Influenza Task Force's Triage Review Board. Ethics of triage in the event of an influenza pandemic. Disaster Med Public Health Prep. 2008; 2(2):114-118.
35. Soanes C, Stevenson A. Concise Oxford English Dictionary. 11th ed. New York: Oxford University Press; 2009.
36. Kramer MS. Section 7. 5.1 efficacy vs effectiveness. In: Kramer MS, ed. Clinical Epidemiology and Biostatistics: A Primer for Clinical Investigators and Decision-Makers. New York: Springer-Verlag; 1988.
37. Hick JL, Koenig KL, Barbisch D, Bey TA. Surge capacity concepts for health care facilities: The CO-S-TR model for initial incident assessment. Disaster Med Public Health Prep. 2008;2(Suppl 1):S51-S57.
38. Kaji A, Koenig KL, Bey T. Surge capacity for healthcare systems: A conceptual framework. Acad Emerg Med. 2006;13(11):1157-1159. (Pubitemid 44636261)
39. Dolan P, Shaw R, Tsuchiya A, WilliamsA. QALY maximisation and people's preferences: A methodological review of the literature. Health Econ. 2005;14(2):197-208. (Pubitemid 40253634)
40. Garoon JP, Duggan PS. Discourses of disease, discourses of disadvantage: A critical analysis of National Pandemic Influenza Preparedness Plans. Soc Sci Med. 2008;67(7):1133-1142.
41. Williams A. Intergenerational equity: An exploration of the 'fair innings' argument. Health Econ. 1997;6(2):117-132. (Pubitemid 27199138)
42. Johri M, Damschroder LJ, Zikmund-Fisher BJ, Ubel PA. The importance of age in allocating health care resources: Does intervention-type matter? Health Econ. 2005;14(7):669-678. (Pubitemid 40960223)
43. Kanter RK, Cooper A. Mass critical care: Pediatric considerations in extending and rationing care in public health emergencies. Disaster Med Public Health Prep. 2009;3(Suppl 2):S166-S171.
44. Public Engagement Project on Medical Service Prioritization During an Influenza Pandemic. Seattle: Public Health-Seattle & King County; 2009.
45. US Department of Veterans Affairs. Meeting the Challenge of Pandemic Influenza: Ethical Guidelines for Leaders and Health Care Professionals in the Veterans Health Administration. http://www.ethics.va.gov/activities/pandemic- influenza-preparedness.asp. Published July 2010. Accessed November 15, 2010.
46. Levin D, Cadigan RO, Biddinger PD, Condon S, Koh HK; Joint Massachusetts Department of Public Health-Harvard Altered Standards of Care Working Group. Altered standards of care during an influenza pandemic: Identifying ethical, legal, and practical principles to guide decision making. Disaster Med Public Health Prep. 2009;3(Suppl 2):S132-S140.
47. Beekley AC, Starnes BW, Sebesta JA. Lessons learned from modern military surgery. Surg Clin North Am. 2007;87(1):157-184, vii. (Pubitemid 44791381)
48. Brook RH. Health policy and public trust. JAMA. 2008;300(2):211-213. (Pubitemid 351969306)
49. Rogers DE. On trust: A basic building block for healing doctor-patient interactions. J R Soc Med. 1994;87(Suppl 22):2-5. (Pubitemid 24173407)
50. Groopman JE. How Doctors Think. Boston: Houghton Mifflin; 2007.
51. Kass NE, Otto J, O'Brien D, Minson M. Ethics and severe pandemic influenza: Maintaining essential functions through a fair and considered response. Biosecur Bioterror. 2008;6(3):227-236.
52. Agency for Healthcare Research and Quality. Mass Medical Care With Scarce Resources: A Community Planning Guide. http://www.ahrq.gov/research /mce. February 2007. Accessed February 4, 2011.
53. Holt GR. Making difficult ethical decisions in patient care during natural disasters and other mass casualty events. Otolaryngol Head Neck Surg. 2008;139(2):181-186. (Pubitemid 352010412)
54. Repine TB, Lisagor P, Cohen DJ. The dynamics and ethics of triage: Rationing care in hard times. Mil Med. 2005;170(6):505-509. (Pubitemid 40814240)