Triage decision-making during a pandemic is linked to complex ethical, medical, and legal dilemmas, which in the past have been discussed mainly based on hypothetical scenarios. The crisis caused by Covid-19 has shown these dilemmas to be very real, and many countries faced significant health care challenges during the pandemic. The book presents different views on the problems of triage during the time of Covid-19 and to shed a light on how various countries approached triage during the pandemic.
The absence of staff and resources in many countries opened a discussion of whether they should strive for the most egalitarian way of deciding whom to help with limited resources or to act in a utilitarian manner and establish a triage system based on saving as many people as possible. There were so-called conflicts of duty in many parts of the world, and decision-makers who had to choose which patients would survive in the absence of resources were under tremendous pressure. This book presents different views on the issue of such decision-making from legal, ethical, and medical points of view. The authors explain the origin of the concept of triage and its use in modern medicine. They point out the distinction between triage and the allocation of resources while also analysing how pandemic triage differs from emergency and disaster triage.
Part I: Legal, Ethical and Social Framework of Triage.- Triage and the
Underlying Principles of Discrimination Law.- Patients Rights and the
Epidemic: On the Law, Justice, and the Self.- The Clash of Ethics in Tragic
Medical Triage and the Potential for Moral Distress.- Part II: Ethical
Decision-Making in Times of the Pandemic.- Triage Decisions during the
COVID-19 Pandemic: Clinical Guidelines, Legal Principles, and Public
Opinion.- Addressing the Problem of Choice in an Overloaded Health Care
System: A Review of Medical Association and Ethics Commission Documents on
Triage during the Covid-19 Epidemic.- Social Aspects of the Covid-19
Pandemic.- Part III: Triage During Covid 19 and the Problem of
Discrimination.- Are Ethical Standards on Covid-19 Triage Shaped by ones
Profession or Age Group? A Survey of the Slovenian Public.- Experiences of
Triage and Social Distancing in Residential Nursing Homes During the Covid-19
Epidemic A Group Interview with Relatives.- People With Disabilities and
Older People in Long-Term Residential Institutions in Emergencies: The
Importance of Transdisciplinarity for Ethical Decision-Making.
Dr Renata Salecl, Institute of Criminology at the Faculty of Law, Ljubljana, Slovenia, and Birkbeck Law School, University of London.
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