Flashcards on Medical Ethics of ICU Resource Allocation
Medical Ethics of ICU Resource Allocation: A Student Guide
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ICU resource allocation
52 cards
Card 1
Question: What is a core ethical principle stated regarding judgments about treating patients based on age or expected quality of life?
Answer: One can judge that a treatment is not useful, but one ought never to judge that the age or expected quality of the life of a person makes it not a use
Card 2
Question: Which Italian society produced recommendations for ICU admission and suspension of treatments during resource imbalance?
Answer: Società Italiana di Anestesia, Analgesia, Rianimazione e Terapia Intensiva (SIAARTI).
Card 3
Question: What concern is noted about the SIAARTI guidelines in relation to age as an allocation factor?
Answer: The SIAARTI guidelines generally adhere to ethical principles but suggest age could be a criterion for allocation rather than just one factor among ma
Card 4
Question: According to the text, what caution is given about translating ethical guidance across languages?
Answer: Translation is always perilous; translating subtle ethical distinctions requires special care.
Card 5
Question: Name two types of documents or guidelines referenced that address allocation of scarce medical resources in emergencies.
Answer: Maryland framework for allocation of scarce life-sustaining medical resources; New York State ventilator allocation guidelines (also Pennsylvania inte
Card 6
Question: What is a recommended focus beyond ventilators and saving lives during a pandemic, as mentioned in the references?
Answer: Pandemic palliative care: addressing needs beyond ventilators and saving lives.
Card 7
Question: What is a criticism mentioned about altering standards of care in disasters?
Answer: Altering the standard of care in disasters is described as unnecessary and dangerous.
Card 8
Question: Which ethical question regarding therapy withholding vs withdrawing is cited in the references?
Answer: Are withholding and withdrawing therapy always morally equivalent? (Sulmasy DP, Sugarman J.)
Card 9
Question: What type of study did Biddison et al. perform related to scarce resource allocation?
Answer: A mixed-method community engagement study on scarce resource allocation during disasters.
Card 10
Question: List one topic covered by the referenced guidelines and studies related to ICU resource allocation.
Answer: Admission to and discharge from intensive care units and limitation of treatment in intensive care (triage and allocation decisions).