First Come, First Served in the Intensive Care Unit: Always?
Because the demand for intensive care unit (ICU) beds exceeds the supply in general, and because of the formidable costs of that level of care, clinicians face ethical issues when rationing this kind of care not only at the point of admission to the ICU, but also after the fact. Under what condition...
| Authors: | ; |
|---|---|
| Format: | Electronic Article |
| Language: | English |
| Check availability: | HBZ Gateway |
| Journals Online & Print: | Drawer...
|
| Fernleihe: | Fernleihe für die Fachinformationsdienste |
| Published: |
Cambridge Univ. Press
2018
|
| In: |
Cambridge quarterly of healthcare ethics
Year: 2018, Volume: 27, Issue: 1, Pages: 52-61 |
| Further subjects: | B
Ethics
B Rationing B intensive care B Democracy |
| Online Access: |
Volltext (lizenzpflichtig) Volltext (lizenzpflichtig) |
MARC
| LEADER | 00000naa a22000002 4500 | ||
|---|---|---|---|
| 001 | 1827986727 | ||
| 003 | DE-627 | ||
| 005 | 20221220052702.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 221220s2018 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1017/S0963180117000391 |2 doi | |
| 035 | |a (DE-627)1827986727 | ||
| 035 | |a (DE-599)KXP1827986727 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 1 |2 ssgn | ||
| 100 | 1 | |a Fleck, Leonard M. |e VerfasserIn |4 aut | |
| 245 | 1 | 0 | |a First Come, First Served in the Intensive Care Unit: Always? |
| 264 | 1 | |c 2018 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a Because the demand for intensive care unit (ICU) beds exceeds the supply in general, and because of the formidable costs of that level of care, clinicians face ethical issues when rationing this kind of care not only at the point of admission to the ICU, but also after the fact. Under what conditions—if any—may patients be denied admission to the ICU or removed after admission? One professional medical group has defended a rule of “first come, first served” in ICU admissions, and this approach has numerous moral considerations in its favor. We show, however, that admission to the ICU is not in and of itself guaranteed; we also show that as a matter of principle, it can be morally permissible to remove certain patients from the ICU, contrary to the idea that because they were admitted first, they are entitled to stay indefinitely through the point of recovery, death, or voluntary withdrawal. What remains necessary to help guide these kinds of decisions is the articulation of clear standards for discontinuing intensive care, and the articulation of these standards in a way consistent with not only fiduciary and legal duties that attach to clinical care but also with democratic decision making processes. | ||
| 650 | 4 | |a Rationing | |
| 650 | 4 | |a intensive care | |
| 650 | 4 | |a Ethics | |
| 650 | 4 | |a Democracy | |
| 700 | 1 | |a Murphy, Timothy F. |e VerfasserIn |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Cambridge quarterly of healthcare ethics |d Cambridge : Cambridge Univ. Press, 1992 |g 27(2018), 1, Seite 52-61 |h Online-Ressource |w (DE-627)306655039 |w (DE-600)1499985-7 |w (DE-576)081985010 |x 1469-2147 |7 nnns |
| 773 | 1 | 8 | |g volume:27 |g year:2018 |g number:1 |g pages:52-61 |
| 856 | 4 | 0 | |u https://doi.org/10.1017/S0963180117000391 |x Resolving-System |z lizenzpflichtig |3 Volltext |
| 856 | 4 | 0 | |u https://www.cambridge.org/core/journals/cambridge-quarterly-of-healthcare-ethics/article/first-come-first-served-in-the-intensive-care-unit-always/21721E585D30194EC8C8A19836E9BEE2 |x Verlag |z lizenzpflichtig |3 Volltext |
| 935 | |a mteo | ||
| 936 | u | w | |d 27 |j 2018 |e 1 |h 52-61 |
| 951 | |a AR | ||
| ELC | |a 1 | ||
| ITA | |a 1 |t 1 | ||
| LOK | |0 000 xxxxxcx a22 zn 4500 | ||
| LOK | |0 001 4235391631 | ||
| LOK | |0 003 DE-627 | ||
| LOK | |0 004 1827986727 | ||
| LOK | |0 005 20221220052702 | ||
| LOK | |0 008 221220||||||||||||||||ger||||||| | ||
| LOK | |0 035 |a (DE-Tue135)IxTheo#2022-12-06#24233DBCBC49A193BF4D38CD754550C8B4879463 | ||
| LOK | |0 040 |a DE-Tue135 |c DE-627 |d DE-Tue135 | ||
| LOK | |0 092 |o n | ||
| LOK | |0 852 |a DE-Tue135 | ||
| LOK | |0 852 1 |9 00 | ||
| LOK | |0 935 |a ixzs |a ixrk |a zota | ||
| ORI | |a SA-MARC-ixtheoa001.raw | ||