Comments: 3
Debbie's Spurts 10 months ago
I think "Triage" is something the public just assumed would happen -- meaning medical authority judge which patients were in most immediate need of medical care to evacuate first. If that had been done, I can see that within that "immediate care needed" group that if two patients were judged to be exactly equally in need but only one could be evacuated that the one with a DNR order would go second.

Not that I think such judgments are easy or infallible. No excuse for the euthanasia although in the circumstances as medical care and equipment failed I do sympathies with pain management attempts leading to giving out more pain meds than normal (those did not require power at least) to try to make patients more comfortable. Euthanasia in this situation just sounds like playing God while selfishly eliminating your competition for dwindling resources.
learn by going 10 months ago
The book takes up that debate or concern about triage in a situation with limited resources in the epilogue. Different models for how to make these decisions are discussed, with examples from various states implementing or fielding options. In the end, it seems to me there's no real fair way to do it.
Debbie's Spurts 10 months ago
Yeah, no real fair way to do it and even if the judgment is medical, it's still human judgement which is fallible -- yet, something MASH and other medical units and disaster response teams have experienced before where Triage is the public assumption.

I don't second guess hard decisions anyone makes unless clearly greedy/selfish -- except euthanasia as a means to conserve resources. I know it could be kinder to get it over quickly rather than a lingering death because you had to deny them resources -- but, for all anyone knew evacuation efforts could come in time to save someone.