Originally posted by minestrone
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COVID19 Intensive care choices
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Originally posted by BrilloPad View PostImagine a tramp is in intensive care with COVID. All other intensive care beds are full. A young doctor is in urgent need of care. Do you remove the tramp to die or leave the doctor to die?
Like they always have done.See You Next TuesdayComment
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Originally posted by Old Greg View PostThe ethical response if the alternative is murdering someone else. But in practice, the tricky ethical decisions tend to be more on deciding which patients to admit to ICU. Denial of admission to ICU on the grounds of futility is common enough in the UK, more so than in countries with more ICU beds per capita. It is one of the reasons why the UK has had comparatively low deceased organ donation rates - patients who are likely to die with the potential for organ donation are less likely to be admitted to ICU (denial being on the grounds of futility).
If things get bad, decisions may need to be made as to which patient would benefit more from the ‘last’ ICU bed.
Down with racism. Long live miscegenation!Comment
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Originally posted by Lance View Postthey will use a triage process to decide.
Like they always have done.Comment
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Originally posted by Old Greg View PostNo, but the overwhelming majority will be on admission, or with the plan to ventilate on admission. Patients will often stop being ventilated before discharge from ICU, but some will remain ventilated on transfer to a unit such as HDU.
Have you ever been told not to make clinical decisions Greg?Comment
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Originally posted by Old Greg View PostNot if someone is already in the bed and needs the bed.
Fit enough to climb into bed then you don't need a bed. Catch covid-22.Maybe tomorrow, I'll want to settle down. Until tomorrow, I'll just keep moving on.Comment
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Originally posted by minestrone View PostSo you have both the tramp and doctor ventilated?
Have you ever been told not to make clinical decisions Greg?Comment
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Originally posted by Old Greg View PostIt’s just a conversation, Minny. Take a look at the ICNARC dataset if you’re bothered.
I googled and it's 150K homeless. 350k Doctors. I've read dozens of articles about ethnic NHS staff being in hospital, but never a homeless person.
Doctors pull favours. They got a professor out of bed to do my wife's caesarean, the doctors in the hospital were sidelined. I get a professor to review my asthma.
It's not a fair system as you present.Comment
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Originally posted by minestrone View PostYou've never used that defence before.
I googled and it's 150K homeless. 350k Doctors. I've read dozens of articles about ethnic NHS staff being in hospital, but never a homeless person.
Doctors pull favours. They got a professor out of bed to do my wife's caesarean, the doctors in the hospital were sidelined. I get a professor to review my asthma.
It's not a fair system as you present.Comment
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