by Asma Fazal, M.B.B.S, MRCPI, MHSc
To care for children in the neonatal intensive care unit (NICU) and the pediatric intensive care unit (PICU) is not easy because in addition to having an emotionally charged environment with high morbidity and mortality, it has a patient population who is not autonomous. Caring for these children in a highly tense environment requires difficult decision-making, which can be ethically challenging at times. These ethical challenges may arise, and vary from lack of interprofessional collaboration, conflicts in values regarding what is the right thing to do in the clinical context, to inter-professional disputes between physicians and other healthcare professionals which leads to moral distress.…
George Floyd could not breathe while his neck was trapped under the knee of a police officer for nearly nine minutes. Yet despite the impressive scholarship of bioethics on ventilation and other technologies that prolong human breathing capabilities, it is largely silent on the suffocating effects of racism. Bioethics must speak out against racial injustice.
The post Bioethics and Black Lives: A Call for Bioethics to Speak Against Racial Injustice appeared first on The Hastings Center.
by Mathias Wirth, Ph.D.; Laurèl Rauschenbach, MD; Brian Hurwitz, MA, MSc, MD, FRCP, FRCGP; Heinz-Peter Schmiedebach, MD; Jennifer A. Herdt, Ph.D
Although the number of severely ill people is declining in some epicenters, there is a risk of a second wave of COVID-19 infection with a large number of patients who are likely to require ventilation or other forms of intensive care. In the current state of the pandemic, second-wave scenario planning should give consideration to alternatives to triage. The shortage of ventilators showed that despite the existence of triage guidelines, moral questions remain. Care ethics suggest that considerations of justice offer incomplete responses to moral dilemmas.…
Mirarchi is an emergency medicine physician and the principal investigator of the TRIAD Research Series (The Realistic Interpretation of Advance Directives). He discusses how his research has confirmed that there is a nationwide patient safety risk due to confusion surrounding living wills, DNR and POLST orders.
Wyatt and Mirarchi also discuss MIDEO, a video advance directive and physician’s medical order that improves both the quality and safety of advance care planning. I have also recently written about the advantage of supplementing advance directives with videos.