2022
Prolonged Unconsciousness is Common in COVID‐19 and Associated with Hypoxemia
Waldrop G, Safavynia S, Barra M, Agarwal S, Berlin D, Boehme A, Brodie D, Choi J, Doyle K, Fins J, Ganglberger W, Hoffman K, Mittel A, Roh D, Mukerji S, Der Nigoghossian C, Park S, Schenck E, Salazar‐Schicchi J, Shen Q, Sholle E, Velazquez A, Walline M, Westover M, Brown E, Victor J, Edlow B, Schiff N, Claassen J. Prolonged Unconsciousness is Common in COVID‐19 and Associated with Hypoxemia. Annals Of Neurology 2022, 91: 740-755. PMID: 35254675, PMCID: PMC9082460, DOI: 10.1002/ana.26342.Peer-Reviewed Original ResearchConceptsCessation of mechanical ventilationAssociated with hypoxemiaMedian timeMechanical ventilationAssociated with more severe hypoxemiaDays of hypoxemiaEvidence of structural brain injurySevere coronavirus disease 2019Cox proportional hazards modelsArterial partial pressure of oxygenImpairment of consciousnessSevere COVID-19Survivors of severe COVID-19Proportional hazards modelArterial partial pressureBrain injuryStructural brain injurySevere hypoxemiaCohort studyLife-sustaining therapyEndotracheal intubationHypoxemiaProlonged unconsciousnessPartial pressure of oxygenPatients
2021
The neuroethics of disorders of consciousness: a brief history of evolving ideas
Young M, Bodien Y, Giacino J, Fins J, Truog R, Hochberg L, Edlow B. The neuroethics of disorders of consciousness: a brief history of evolving ideas. Brain 2021, 144: 3291-3310. PMID: 34347037, PMCID: PMC8883802, DOI: 10.1093/brain/awab290.Peer-Reviewed Original ResearchConceptsDisorders of consciousnessMulti-Society Task ForceAmerican Congress of Rehabilitation MedicineNational Institute on DisabilityNatural history of recoveryHistory of recoveryAmerican Academy of NeurologyRehabilitation researchRehabilitation medicineTreatment of disorders of consciousnessResponsive careClinical careTaxonomy of disorders of consciousnessAmerican CongressVulnerable populationsIndependent livingProlonged disordersMinimally conscious stateTask ForceAmerican AcademyIncreased awarenessDisability rights perspectiveCareCritically ill patientsBiomedical ethicsShould healthcare workers be prioritised during the COVID-19 pandemic? A view from Madrid and New York
de Asua D, Fins J. Should healthcare workers be prioritised during the COVID-19 pandemic? A view from Madrid and New York. Journal Of Medical Ethics 2021, 48: medethics-2020-107050. PMID: 33910974, PMCID: PMC8103555, DOI: 10.1136/medethics-2020-107050.Peer-Reviewed Original ResearchResuscitation and Coronavirus Disease 2019: A Reappraisal.
Pandya N, Fins J. Resuscitation and Coronavirus Disease 2019: A Reappraisal. Critical Care Medicine 2021, 49: e470-e471. PMID: 33731629, DOI: 10.1097/ccm.0000000000004836.Peer-Reviewed Original ResearchProfessionalism and Resilience After COVID-19
Resnick K, Fins J. Professionalism and Resilience After COVID-19. Academic Psychiatry 2021, 45: 552-556. PMID: 33649940, PMCID: PMC7920636, DOI: 10.1007/s40596-021-01416-z.Peer-Reviewed Original Research
2020
Meeting the Challenge of COVID-19: The Response of Two Ethics Consultation Services in New York City.
Prager K, Fins J. Meeting the Challenge of COVID-19: The Response of Two Ethics Consultation Services in New York City. The Journal Of Clinical Ethics 2020, 31: 209-211. PMID: 32773402, DOI: 10.1086/jce2020313209.Peer-Reviewed Original ResearchPhases of a Pandemic Surge: The Experience of an Ethics Service in New York City during COVID-19.
Huberman B, Mukherjee D, Gabbay E, Knowlton S, Green D, Pandya N, Meredith N, Walker J, Shapiro Z, Hersh J, Chisholm M, Waldman S, MacKenzie C, de Melo-Martín I, Fins J. Phases of a Pandemic Surge: The Experience of an Ethics Service in New York City during COVID-19. The Journal Of Clinical Ethics 2020, 31: 219-227. PMID: 32773404, DOI: 10.1086/jce2020313219.Peer-Reviewed Original ResearchConceptsClinical ethics consultationEthics consultationEthical issuesSense of dis-easeEthics consultation servicesPrism of timeEthical lifeCode status discussionsNew York City hospitalsEthics ServiceOrganizational lifeEthicsCommunication interventionsSpecialty areasEight-week periodDis-easeWeill Cornell Medical CollegeNew York CityConsultation servicePandemic surgeConsultationCity HospitalCornell Medical CollegeMedical CollegeScarcity of resourcesThe COVID-19 Crisis and Clinical Ethics in New York City.
Fins J, Prager K. The COVID-19 Crisis and Clinical Ethics in New York City. The Journal Of Clinical Ethics 2020, 31: 228-232. PMID: 32773405, DOI: 10.1086/jce2020313228.Peer-Reviewed Original ResearchConceptsEthics consultationEthical challengesClinical ethics consultationClinical ethics servicesCrisis standards of careClinical ethicsEthical communityMedical futilityColumbia teamMoral distressCritical intelligenceEthics ServiceEthicsSenior hospital administratorsNewYork-PresbyterianInstitutional lifeCrisis standardsResource allocation questionsNew York CityExtraordinary circumstancesWeill CornellDisproportionate burden of COVID-19Collective responseMedical CenterColumbia campusResuscitating Patient Rights during the Pandemic: COVID-19 and the Risk of Resurgent Paternalism
Fins J. Resuscitating Patient Rights during the Pandemic: COVID-19 and the Risk of Resurgent Paternalism. Cambridge Quarterly Of Healthcare Ethics 2020, 30: 215-221. PMID: 32576307, PMCID: PMC7438624, DOI: 10.1017/s0963180120000535.Peer-Reviewed Original ResearchConceptsDo-not-resuscitatePatients' rightsProportion of resuscitationsMedical ethicsClinical ethicistsPhysician paternalismPublic health crisisMedical internsNew York CityCOVID-19Clinical discretionHealth crisisPersonal narrativesYork CityRightsPaternityEthicistsEthicsResuscitationStress testClinical medicineRiskAuthorsNarrativesQuestionsProportionality, Pandemics, and Medical Ethics
Fins J, Miller F. Proportionality, Pandemics, and Medical Ethics. The American Journal Of Medicine 2020, 133: 1243-1244. PMID: 32653418, PMCID: PMC7347467, DOI: 10.1016/j.amjmed.2020.06.008.Peer-Reviewed Original ResearchDisability Rights as a Necessary Framework for Crisis Standards of Care and the Future of Health Care
Guidry-Grimes L, Savin K, Stramondo J, Reynolds J, Tsaplina M, Burke T, Ballantyne A, Kittay E, Stahl D, Scully J, Garland-Thomson R, Tarzian A, Dorfman D, Fins J. Disability Rights as a Necessary Framework for Crisis Standards of Care and the Future of Health Care. The Hastings Center Report 2020, 50: 28-32. PMID: 32596899, DOI: 10.1002/hast.1128.Peer-Reviewed Original ResearchConceptsCrisis standards of careDisability justiceCrisis standardsInclusion of disabled peopleJusticeRecognition justiceStandard of careEquitable processDisabled peopleDecision-makingInstitute of MedicineMovement demandsCrisisHealth careLawVision statementsProvider engagementFairnessCareCOVID-19InterestCrisis planningCommitmentDisaster situationsDisabilityPandemics, Protocols, and the Plague of Athens: Insights from Thucydides
Fins J. Pandemics, Protocols, and the Plague of Athens: Insights from Thucydides. The Hastings Center Report 2020, 50: 50-53. PMID: 32596885, DOI: 10.1002/hast.1132.Peer-Reviewed Original Research