justice- resource allocation in crisis of pandemic.pptx

Aetcom

1. Decision making in crisis – Pandemic Resource allocation

2. Various International Guidelines International society of critical care Medicine – (SCCM) Expert Panel report of the Task force for Mass critical care -(US) British Medical Association - UK Australian and New Zealand Intensive care Society Belgian Society of Intensive care Medicine Canadian Medical association – (CAN) Academy for ethics in Medicine (AEM) – Germany Italian Society of Anaesthesia, Analgesia, Resuscitation and Intensive care Swiss Society of Intensive care (SGI)

3. Triage Policy On Recourse Allocation In Crisis Should be clear and should be made available to public - Transparency Should be approved by a legal authority Dedicated triage decision makers should be made available Should be intimated to patients at the time of admission

4. TRIAGE POLICY PRINCIPLE Maximum Benefit for the largest number of people Equality – to all patients Equity – no Discrimination Probability of survival Short term survival Long term survival Life span Fair decision making Patient will

5. No priority to be given to any particular groups of patients based on the social value of their jobs No discrimination based on age, though age is criterion for assessing the prognosis and survivability Clinical judgement should be made on medical criteria – SOFA score – Sequential Organ Failure Assessment, clinical frailty score

6. Decision made on with holding or with drawing of life saving treatment- ventilator support - Patient’s relatives or family members should be consulted and explained to them. Palliative care and other supportive care should made available to them.

7. REFERENCES