. This group includes those who have metastatic cancer, those in cardiac arrest and those with severe and moderate cognitive impairment caused by a progressive illness.
An ethicist involved in the development of a similar protocol, yet to be finalized, in New Brunswick, called Ontario’s guideline a bold model for other provinces as they move to “pandemic ethics.” The document offers doctors a script for how to talk to patients and their families about the new rules on who receives life-saving care.“Normally, when somebody develops critical illness, the medical team would offer them intensive care , provided that the medical team felt that they had a reasonable chance of survival," the document says."However, because of the COVID outbreak, we are currently unable to offer intensive care to everyone who is critically ill ...
Decisions on whether an individual receives care will involve the physician responsible for the patient’s care, a triage doctor and a hospital triage committee, which should include a doctor, an ethicist and an administrator responsible for bed allocation, the protocol says.The triage contains three levels.
Good. You shouldn’t be burdening your front line Doctor with making these decisions in the moment. It’s tough to talk about but it is the prudent approach
Sad reality.
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