Many hospitals are putting together triage committees made up of doctors and ethicists who can help individual frontline doctors and nurses make on-the-spot decisions about where a needed ventilator should go, according to a leading medical ethicist.
Most hospitals typically operate at close to full capacity in order to remain profitable, said Jonathan Moreno, a University of Pennsylvania professor of medical ethics and health policy. As a result, many hospitals lack key supplies, particularly ventilators. So now, frontline medical staff are having to decide who lives and who dies, an unprecedented experience for most modern American doctors, and one that Moreno said has led to the creation of triage committees in many hospitals.
Moreno’s comments come just as a National Academies of Sciences committee has issued new guidelines for dealing with patient care amid the COVID-19 pandemic, which could lead to decisions on which patients get access to lifesaving ventilators. “We were the leader in public health for the world until this, and I’m not so sure that people will look to us now,” Moreno said.Medical experts have long warned that the relatively low number of Americans who suffered from H1N1 and SARS in previous years should be considered “lucky breaks,” Moreno said.
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