The toughest triage — Allocating ventilators in a pandemic

New England Journal of Medicine

Volumn 382, Issue 21, 2020, Pages 1973-1975

  Truog, Robert D ^a,b   Mitchell, Christine ^a   Daley, George Q ^a  

^a HARVARD MEDICAL SCHOOL   (United States)

^b BOSTON CHILDREN S HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

HAND SANITIZER;

ARTIFICIAL VENTILATION; CLINICAL DECISION MAKING; COOPERATION; CORONAVIRUS DISEASE 2019; DETERIORATION; DISEASE BURDEN; EMERGENCY HEALTH SERVICE; EMOTIONAL SUPPORT; HEALTH CARE PLANNING; HIGH RISK POPULATION; HOSPITALIZATION; HUMAN; INTENSIVE CARE UNIT; ITALY; MEDICAL CARE; MORTALITY; OUTCOME ASSESSMENT; PALLIATIVE THERAPY; PANDEMIC; PRIORITY JOURNAL; PSYCHOLOGICAL ASPECT; REVIEW; SEQUENTIAL ORGAN FAILURE ASSESSMENT SCORE; SPIRITUAL CARE; TERMINAL CARE; TOTAL QUALITY MANAGEMENT; UNITED STATES; WELFARE; CORONAVIRUS INFECTION; ETHICS; HEALTH CARE ORGANIZATION; MECHANICAL VENTILATOR; PROCEDURES; PROFESSIONAL STANDARD; RESOURCE ALLOCATION; TREATMENT WITHDRAWAL; VIRUS PNEUMONIA;

CORONAVIRUS INFECTIONS; ETHICS COMMITTEES, CLINICAL; HEALTH CARE RATIONING; HUMANS; PANDEMICS; PNEUMONIA, VIRAL; RESOURCE ALLOCATION; TRIAGE; UNITED STATES; VENTILATORS, MECHANICAL; WITHHOLDING TREATMENT;

EID: 85083103921     PISSN: 00284793     EISSN: 15334406     Source Type: Journal    
DOI: 10.1056/NEJMp2005689     Document Type: Review

References (5)

1. Ventilator stockpiling and availability in the US. Baltimore: Johns Hopkins Bloom-berg School of Public Health, Center for Health Security, February 14, 2020 (http://www.centerforhealthsecurity.org/resources/COVID-19/200214-VentilatorAvailability -factsheet.pdf).
2. Italian Society of Anesthesia, Analgesia, Resuscitation and Intensive Care (Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva [SIAARTI]). Clinical ethics recommendations for the allocation of intensive care treatments, in exceptional, resource-limited circumstances (http://bit.ly/ 2x5mZ6Q).
3. Kliff S, Satariano A, Silver-Greenberg J, Kulish N. There aren’t enough ventilators to cope with the coronavirus. New York Times. March 18, 2020 (https://www.nytimes.com/2020/03/18/business/coronavirus-ventilator -shortage.html).
4. Ventilator allocation guidelines. Albany: New York State Task Force on Life and the Law, New York State Department of Health, November 2015 (https://www.health.ny.gov/regulations/task_force/reports_publications/ docs/ventilator_guidelines.pdf).
5. Ferraresi M. A coronavirus cautionary tale from Italy: don’t do what we did. Boston Globe. March 13, 2020 (https://www.bostonglobe.com/2020/03/13/opinion/coronavirus -cautionary-tale-italy-dont-do-what-we-did/).