IoM: We need clear guidelines for disaster triage

About Andrew Van Dam

Andrew Van Dam of The Wall Street Journal previously worked at the AHCJ offices while earning his master’s degree at the Missouri School of Journalism.

AHCJ president Charles Ornstein, with Sheri Fink, M.D., writes for ProPublica about the report of an Institute of Medicine committee indicating “urgent and clear need” for consistent national guidelines for care during catastrophes, “particularly on such thorny questions as which patients should receive scarce treatments or equipment and which should go without.”

The report calls for ethical guidance and specifically notes that such decisions should not be made on the basis of “Do Not Resuscitate” orders, as Fink showed they were in Memorial Hospital in New Orleans in the days after Katrina. The panel was less clear when it came to naming exactly which tools should be relied on to make touch decisions after disasters, saying that further research was necessary.

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  1. Pingback: Is U.S. ready for Haiti-style mass casualty event? : Covering Health

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