Bioethics Blog Posts Tagged blood

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Advance Care Planning and its Detractors

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Source: bioethics.net, a blog maintained by the editorial staff of The American Journal of Bioethics.

Excerpt:

The default mode of our technologically advanced medicine is to use our technology. Nowhere is this more true than close to the end of life. And our technology is really impressive; with it, we can keep chests going up and down and hearts beating for a long, long time.

The troubling thing is that there are many people who would rather not have lots of machines keeping their bodies going, thank you, maybe you could just give me some oxygen and pain medicine and let me die at home with my family? But they never get a chance to talk about it with their doctors, mostly due to doctors’ lack of time or comfort in addressing such questions. And, unlike every other procedure in medicine, doctors don’t need your permission to do one of the most invasive procedures of all to you: CPR. Of course, CPR is generally performed on someone who is indisposed and unable to give their informed consent to the procedure. And CPR is often the first step on the technological path of ventilators, tubes, dialysis, medications to support the blood pressure, machines that keep the heart pumping, and all of those wonderful interventions that are life-saving when used appropriately and death-prolonging when used indiscriminately. Treatments that treat . . . nothing.

Ideally, doctors take time to discuss patient preferences about such treatments with patients and their families before the occasion to intervene arises; however, the factors noted above make such discussions rare.

Read more at blogs.tiu.edu
The views, opinions and positions expressed by these authors / blogs are theirs and do not necessarily represent that of the Bioethics Research Library and Kennedy Institute of Ethics or Georgetown University.

BioethicsTV: Mass Casualties & Triage

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Source: bioethics.net, a blog maintained by the editorial staff of The American Journal of Bioethics.

Excerpt:

by Craig Klugman, Ph.D.

Chicago Med (Season 2; Episode 14). Over the last few years I have been working in the area of crisis standards of care. In fact, just today I presented the conclusion of 3 years of work on an ethics white paper to the state of Illinois crisis standards of care task force leadership. Serendipitously, tonight’s episode of Chicago Med dealt with a limited mass casualty situation: A multiple car pile-up on a freeway brings a large number of patients to the hospital. However, there is a major snowstorm and there is no chance of additional personnel or supplies coming to the hospital. How do they deal? First, they moved all able-bodied patients in the ED to the waiting room. Second, they canceled all non-emergency surgeries and reassigned staff to the ED. Both are good moves and follow what most crisis guidelines to prepare for the influx of crisis patient.

One of the patients brought to the ED suffered third degree burns over 90% of his body when his car caught on fire. Dr. Latham declares the patient to be “black tag.” In a mass casualty incidence, triage comes into play to determine which patients to treat and in what order. There are those who seem okay, those who need treatment but can wait, those who need treatment quickly and have a good chance of survival, and those who require massive resources in their intervention and have a low likelihood of survival.

Read more at www.bioethics.net
The views, opinions and positions expressed by these authors / blogs are theirs and do not necessarily represent that of the Bioethics Research Library and Kennedy Institute of Ethics or Georgetown University.