Disaster Ethics: Shifting Priorities in an Unstable and

Critical care clinics · Oct 2019

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Disaster Ethics: Shifting Priorities in an Unstable and Dangerous Environment.

Emergency and critical care medicine are fraught with ethically challenging decision making for clinicians, patients, and families. Time and resource constraints, decisional-impaired patients, and emotionally overwhelmed family members make obtaining informed consent, discussing withholding or withdrawing of life-sustaining treatments, and respecting patient values and preferences difficult. When illness or trauma is secondary to disaster, ethical considerations increase and change based on number of casualties, type of disaster, and anticipated life cycle of the crisis. This article considers the ethical issues that arise when health providers are confronted with the challenges of caring for victims of disaster.

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- Valerie Bridget Satkoske, David A Kappel, and Michael A DeVita.
- Wheeling Hospital, 64 Medical Center Drive, Room 1168D, Health Sciences North, Morgantown, WV 26506-9022, USA.
- Crit Care Clin. 2019 Oct 1; 35 (4): 717-725.
AbstractEmergency and critical care medicine are fraught with ethically challenging decision making for clinicians, patients, and families. Time and resource constraints, decisional-impaired patients, and emotionally overwhelmed family members make obtaining informed consent, discussing withholding or withdrawing of life-sustaining treatments, and respecting patient values and preferences difficult. When illness or trauma is secondary to disaster, ethical considerations increase and change based on number of casualties, type of disaster, and anticipated life cycle of the crisis. This article considers the ethical issues that arise when health providers are confronted with the challenges of caring for victims of disaster.Copyright © 2019 Elsevier Inc. All rights reserved.

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Disaster Ethics: Shifting Priorities in an Unstable and Dangerous Environment.

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