Demand for ventilators has soared in intensive care units across the Country as new coronary pneumonia patients flood in. CNN on Wednesday introduced a system for rating patients based on different conditions, which can help doctors decide “who can use a ventilator” among the many patients who continue to flood the hospital during the outbreak.
But Douglas White, the system’s developer and professor of critical care at the University of Pittsburgh Medical Center (UMPC) in Pennsylvania, described it as “an inevitable tragic choice, whichever is bad,” CNN said. “
According to CNN, the above scoring system uses an eight-point system, the lower the patient score, the higher the priority of care for them. CNN said four of them were assessed based on the patient’s likelihood of surviving in the hospital, while the remaining four were assessed based on their post-hospital health status (life duration) assuming they were discharged.
For patients with the same rating, CNN says the system prioritizes the “life-long” savings that can be saved as a further consideration, giving priority to treating younger patients.
CNN said White had previously evaluated existing critical care resource allocation recommendations and found that they were often based on an “exclusion criterion” that a large number of people were barred from critical care during a public health crisis. And he and his team have consistently maintained the principle of inclusion and disability in developing the corresponding scoring system.
“Seniority, severe cognitive impairment and chronic cardiopulmonary disease are all excluded criteria. This seems immoral to me. Exclusion criteria send the wrong signal that some lives are not worth saving… It is essential to be clear that the rigid judgment of a person’s value of life does not have any impact on these decisions and (to ensure) that no one is disqualified from treatment because of their disability. White shares his point of view in this way.
“These are inevitable tragic choices, and either is bad. White said. But he also said that “it is worse than a clear allocation (of medical resources) framework, because the decisions made during the crisis in that case would be biased and arbitrary.” “
According to CNN, White revealed that he began developing the scoring system more than a decade ago during the bird flu epidemic, which has been used by hundreds of hospitals across the United States. According to White, Pennsylvania has implemented temporary guidance to local public hospitals under its scoring framework system. CNN said the Pennsylvania Department of Health would not disclose details of their interim guidelines, but said they planned to release the final guidelines soon.
“For the first time in our medical experience, it is important to balance the well-being of the community with the individual patients we usually care about. CNN quoted Los Angeles doctor Ella Baiok as saying so.