Imagine a tramp is in intensive care with COVID. All other intensive care beds are full. A young doctor is in urgent need of care. Do you remove the tramp to die or leave the doctor to die?
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COVID19 Intensive care choices
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Remove the tramp. I ain't no socialist!bloggoth
If everything isn't black and white, I say, 'Why the hell not?'
John Wayne (My guru, not to be confused with my beloved prophet Jeremy Clarkson) -
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The ambulance doesn't take that doctor to that hospital in the first place as they know they don't have any beds."You’re just a bad memory who doesn’t know when to go away" JRComment
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Typically untrue if you are talking about ICU beds. The patient will be brought to ED and ventilated in ED while an ICU bed is found or opened, or exceptionally an alternative location found like a theatre suite. The patient may ultimately be conveyed ventilated to another hospital where an ICU bed is available.Originally posted by SueEllen View PostThe ambulance doesn't take that doctor to that hospital in the first place as they know they don't have any beds.Comment
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Leave the young doctor to die.Originally posted by BrilloPad View PostDo you remove the tramp to die or leave the doctor to die?Down with racism. Long live miscegenation!Comment
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The ethical response if the alternative is murdering someone else. But in practice, the tricky ethical decisions tend to be more on deciding which patients to admit to ICU. Denial of admission to ICU on the grounds of futility is common enough in the UK, more so than in countries with more ICU beds per capita. It is one of the reasons why the UK has had comparatively low deceased organ donation rates - patients who are likely to die with the potential for organ donation are less likely to be admitted to ICU (denial being on the grounds of futility).Originally posted by NotAllThere View PostLeave the young doctor to die.
If things get bad, decisions may need to be made as to which patient would benefit more from the ‘last’ ICU bed.Comment
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