SCCM Resource Library-The Ethical Way to Say No: Resource Rationing in the ICU

Video Transcription

Video Summary

In this video, the speaker discusses the ethical allocation of scarce intensive care unit (ICU) resources. They first highlight two unethical strategies: private hospitals refusing to accept patients from overwhelmed hospitals, and a physician refusing ICU care based on a patient's disability. They then present four recommendations for ethically allocating resources: load balancing across hospitals to transfer patients, developing triage criteria that respect patients' rights and community values, ensuring procedural fairness in how triage criteria are applied, and providing basic medical care and palliation to patients denied ICU care. The speaker emphasizes the importance of public engagement and involvement in developing triage criteria and the need for hospitals to be guided by public values. The speaker also provides examples of load balancing being successfully implemented in Arizona during the pandemic. Overall, the recommendations aim to promote population health outcomes and fairness in resource allocation.

Asset Subtitle

Crisis Management, 2023

Asset Caption

Type: one-hour concurrent | When the Answer Is No: Ethical Considerations for Rationing of Scarce Resources in the ICU (SessionID 1175012)

Meta Tag

Content Type Presentation

Knowledge Area Crisis Management

Membership Level Professional

Membership Level Select

Tag Resource Allocation

Year 2023

Keywords

ethical allocation

scarce ICU resources

load balancing

triage criteria

public engagement

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