Developing a Triage Protocol for the COVID-19 Pandemic: Allocating Scarce Medical Resources in a Public Health Emergency.
Tolchin B, Latham SR, Bruce L, Ferrante LE, Kraschel K, Jubanyik K, Hull SC, Herbst JL, Kapo J, Moritz ED, Hughes J, Siegel MD, Mercurio MR. Developing a Triage Protocol for the COVID-19 Pandemic: Allocating Scarce Medical Resources in a Public Health Emergency. The Journal Of Clinical Ethics 2020, 31: 303-317. PMID: 32991327, DOI: 10.1086/jce2020314303.Peer-Reviewed Original ResearchConceptsPublic health emergencyTriage protocolScarce medical resourcesYale New Haven Health SystemMedical resourcesEthical challengesHealth emergencyCOVID-19 pandemicAllocating Scarce Medical ResourcesFuture wavesMajor ethical challengesChronic comorbiditiesPregnant patientsSimilar public health emergenciesHealthcare workersTriage assessmentClinical judgmentCoronavirus diseaseHealth systemSocioeconomic disparitiesRole of ageCOVID-19Less needPublic discussionSecondary goalTriage and justice in an unjust pandemic: ethical allocation of scarce medical resources in the setting of racial and socioeconomic disparities
Tolchin B, Hull SC, Kraschel K. Triage and justice in an unjust pandemic: ethical allocation of scarce medical resources in the setting of racial and socioeconomic disparities. Journal Of Medical Ethics 2020, 47: 200-202. PMID: 33067315, DOI: 10.1136/medethics-2020-106457.Peer-Reviewed Original ResearchBroader social changeEntrenched health disparitiesLife-saving medical resourcesSystemic health inequitiesTriage protocolHealth disparitiesMedical resourcesSocial changeStructural racismSystemic inequitiesScarce medical resourcesHealth inequitiesComparative advantagePublic health emergencyEthical challengesSocioeconomic health disparitiesInequitiesCrisis standardsTriage systemSocioeconomic disparitiesAdequate mechanismsHealth emergencyEthical allocationHealthcare systemDisparities