Unaltered ethical standards for individual physicians in the face of drastically reduced resources resulting from an improvised nuclear device event.

J. Jaime Caro, C. Norman Coleman, Ann Knebel, Evan G. DeRenzo

Research output: Contribution to journalArticlepeer-review

Abstract

When disaster disrupts healthcare and other systems, the ethical allocation of resources should follow principles of justice, defined as fairness, established for normal clinical practice. Standards of clinical practice may be altered during disaster, but ethical standards must remain centered on prioritizing the treatment of patients according to need and the effectiveness of treatment. Should resources become extremely limited, it is fair to restrict their use to patients who have the highest needs, provided that the intervention is effective. When resources become more available, patients with lower priority can be increasingly accommodated.

Original languageEnglish (US)
Pages (from-to)33-41
Number of pages9
JournalThe Journal of clinical ethics
Volume22
Issue number1
StatePublished - Mar 1 2011

ASJC Scopus subject areas

  • Issues, ethics and legal aspects
  • Health(social science)
  • Health Policy

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