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A proposal for selective resuscitation of adult cardiac arrest patients in a pandemic
dc.contributor.authorHsu, Antony
dc.contributor.authorWeber, William
dc.contributor.authorHeins, Alan
dc.contributor.authorJosephson, Elaine
dc.contributor.authorKornberg, Robert
dc.contributor.authorDiaz, Rosemarie
dc.date.accessioned2020-09-02T14:59:54Z
dc.date.availableWITHHELD_12_MONTHS
dc.date.available2020-09-02T14:59:54Z
dc.date.issued2020-08
dc.identifier.citationHsu, Antony; Weber, William; Heins, Alan; Josephson, Elaine; Kornberg, Robert; Diaz, Rosemarie (2020). "A proposal for selective resuscitation of adult cardiac arrest patients in a pandemic." Journal of the American College of Emergency Physicians Open 1(4): 408-415.
dc.identifier.issn2688-1152
dc.identifier.issn2688-1152
dc.identifier.urihttps://hdl.handle.net/2027.42/156457
dc.description.abstractAllocation of limited resources in pandemics begs for ethical guidance. The issue of ventilator allocation in pandemics has been reviewed by many medical ethicists, but as localities activate crisis standards of care, and health care workers are infected from patient exposure, the decision to pursue cardiopulmonary resuscitation (CPR) must also be examined to better balance the increased risks to healthcare personnel with the very low resuscitation rates of patients infected with coronavirus disease 2019 (COVID‐19). A crisis standard of care that is equitable, transparent, and mindful of both human and physical resources will lessen the impact on society in this era of COVID‐19. This paper builds on previous work of ventilator allocation in pandemic crises to propose a literature‐based, justice‐informed ethical framework for selecting treatment options for CPR. The pandemic affects regions differently over time, so these suggested guidelines may require adaptation to local practice variations.
dc.publisherNational Academy of Medicine
dc.publisherWiley Periodicals, Inc.
dc.subject.otherresuscitation
dc.subject.otherSOFA
dc.subject.otherCPR
dc.subject.otherCOVID‐19
dc.subject.otherventilator‐allocation
dc.subject.otherEthics
dc.subject.otherpandemic
dc.subject.otherresource constraints
dc.titleA proposal for selective resuscitation of adult cardiac arrest patients in a pandemic
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelEmergency Medicine
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/156457/3/emp212096_am.pdfen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/156457/2/emp212096.pdfen_US
dc.description.bitstreamurlhttp://deepblue.lib.umich.edu/bitstream/2027.42/156457/1/emp212096-sup-0001-Appendix.pdfen_US
dc.identifier.doi10.1002/emp2.12096
dc.identifier.sourceJournal of the American College of Emergency Physicians Open
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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