Michael D. Christian, MD; Christian E. Sandrock, MD, MPH; Asha Devereaux, MD, MPH; James Geiling, MD; Dennis E. Amundson, MC, USN; Lewis Rubinson, MD, PhD
Note: The opinions expressed are those of the authors and do not necessarily reflect those of the Department of Veterans Affairs or the U.S. Government.
Potential Financial Conflicts of Interest: All authors are members of the American College of Chest Physicians Task Force on Mass Critical Care.
Christian MD, Sandrock CE, Devereaux A, Geiling J, Amundson DE, Rubinson L. Ethical Issues and the Allocation of Scarce Resources During a Public Health Emergency. Ann Intern Med. 2009;150:890-891. doi: 10.7326/0003-4819-150-12-200906160-00020
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Published: Ann Intern Med. 2009;150(12):890-891.
TO THE EDITOR:
The perfect tertiary triage protocol for a pandemic or mass casualty event has not yet been published. We welcome and congratulate White and colleagues (1) on their contribution to the ongoing dialogue related to tertiary triage. However, just as triage is always a balance between available resources and demand, one must also attempt to strike the right balance among ethical doctrine, evidence, usability, and functionality when developing a triage score. The triage score proposed by White and colleagues leans in favor of addressing the issues most important in the conceptual world of ethics at the expense of a solution that could be translated into action in the stark reality of a pandemic or disaster.
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