Description

Triaging a critically ill patient may be challenging, especially when resources are scarce. Intensive care is expensive, takes hard work and may not benefit everyone. A number of principles can help to guide the decision making process.


 

Triage should be:

(1) fair and just

(2) made based on explicit criteria

 

Triage should not be based on:

(1) race or ethnic origin

(2) religion or creed

(3) gender

(4) social worth

(5) sexual preference

(6) ability to pay

 

Explicit criteria for triage:

(1) likelihood of survival to discharge

(2) life expectancy (presence of a terminal or irreversible disease)

(3) quality of life if survives

(4) patient or family wishes

(5) expected benefit from intensive care

(6) economic cost of providing care

(7) burden (psychological cost) experienced by the patient and family

(8) benefit of using the resources for another patient (applicable if resources are scarce)

(9) ethical or moral values

 

Exemptions:

(1) support of an organ donor pending preparation of organ recipient

 


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