Triage in Disaster Medicine: Ethical Strategies in Various Scenarios

Barilan, Yechiel Michael; Brusa, Margherita; Halperin, Pinchas

doi:10.1007/978-94-007-3864-5_4

Cited by 17 publications

(13 citation statements)

References 13 publications

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“…A key example of prioritising scarce resources at the micro level is triage. Barilan et al 2 discuss the difficulty that triage presents for responders:conversations with rescue teams bring forth the agony of triage. Relief workers and healthcare professionals are troubled by “no treatment” decisions and are haunted by flashbacks of rejected victims… the special circumstances of disaster medicine render triage in disaster care a special sub-set of moral, clinical and psychological problems.[pp.…”

Section: Discussionmentioning

confidence: 99%

Ethical questions identified in a study of local and expatriate responders’ perspectives of vulnerability in the 2010 Haiti earthquake

et al. 2017

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The questions arise in light of an immense gap between available resources and widespread and elevated needs. This gap is likely unavoidable in large-scale crises and may be a source of ethical distress for both local and international responders. The analysis of ethical questions associated with crisis response can advance discussions about how relief efforts can best be designed and implemented to minimise ethical distress and improve assistance to local populations.

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Section: Discussionmentioning

confidence: 99%

Ethical questions identified in a study of local and expatriate responders’ perspectives of vulnerability in the 2010 Haiti earthquake

et al. 2017

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“…Los desastres también se pueden desglosar atendiendo a la severidad de sus impactos en las sociedades en que suceden o irrumpen. Según una clasiicación (Barilan et al, 2014), cabe dividir los escenarios de desastre en tres prototipos. Los "desastres bien circunscritos" son aquellos que afectan a sociedades que funcionan satisfactoriamente en términos de coordinación social, infraestructuras materiales y políticas públicas, por lo que la escasez sobrevenida en la provisión de ayuda y de cuidados a menudo puede ser de carácter temporal y tener solución desde el punto de vista técnico.…”

Section: Desastres: Tipos Y Ciclosunclassified

Triaje Y Ética De Desastres

Martín

2021

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En este artículo se analizan algunas de las implicaciones que tienen las prácticas de triaje para la ética de desastres. Se considera la centralidad técnica de la cuantificación en los modelos algorítmicos y numéricos de triaje y se incide en la prevalencia normativa de los criterios consecuencialistas, incluso cuando éstos hayan de ajustarse a sistemas de múltiples principios. Finalmente se sugiere que una concepción ética de los desastres precisa de una perspectiva compleja y integral de la gestión de los desastres que no se limite a la fase de respuesta inmediata a los mismos y que supere a la par que integre los principios de la bioética y la indispensabilidad de los criterios consecuencialistas en las decisiones de triaje

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“…As the staff are required to work under biosafety precautions and regulations, deviations from the routine mode of operation pose a complex challenge. Modifications to the routine mode of patient admittance are instated, and the staff operate while wearing personal protective gear that may be perceived as uncomfortable or daunting [83,84].…”

Section: Triagementioning

confidence: 99%

“…Initial treatment in the ED is targeted to provide urgent (life-saving) treatment and to decide whether the patient requires hospitalization or may be discharged to be cared for in the community [83]. The triage must be administered strictly; patients may be referred from the ED to hospitalization only following the decision of a senior physician.…”

Section: Triagementioning

confidence: 99%