{"id":47123,"date":"2020-04-07T10:59:30","date_gmt":"2020-04-07T09:59:30","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=47123"},"modified":"2020-04-07T20:35:19","modified_gmt":"2020-04-07T19:35:19","slug":"daniel-sokol-where-are-the-icu-triage-protocols","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/","title":{"rendered":"Daniel Sokol: Where are the ICU triage protocols?"},"content":{"rendered":"<p><span style=\"font-weight: 400\">It is no secret that intensive care unit (ICU) capacity may be overwhelmed if the pandemic worsens. Why then is there so little published guidance on ICU triage from the UK government and NHS Trusts?\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Royal College of Physicians\u2019 ethical guidance on covid-19, published on 2<\/span><span style=\"font-weight: 400\">nd<\/span><span style=\"font-weight: 400\"> April 2020, stated that \u201cany guidance should be accountable, inclusive, transparent, reasonable and responsive.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">The British Medical Association\u2019s ethical guidance, published the next day, emphasised the need for decisions to be made \u201copenly, transparently, by appropriate bodies and with full public participation\u201d.<\/span><span style=\"font-weight: 400\">\u00a0Yet, where are the protocols setting out the triage criteria?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Frustrated by this lacuna, I decided on Friday 3<\/span><span style=\"font-weight: 400\">rd<\/span><span style=\"font-weight: 400\"> April 2020 to produce a practical document for frontline clinicians.\u00a0 With the help of intensivists, lawyers, and ethicists, I produced a document<\/span><span style=\"font-weight: 400\">, complete with decision-making flowchart. It took two days. It is not beyond the wit of the government or NHS management to create a similar protocol.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">In the last two weeks, I have received calls from doctors seeking help in developing local triage protocols.\u00a0 People are clearly working on this problem, but their output, by and large, is nowhere to be seen.<\/span><\/p>\n<p><span style=\"font-weight: 400\">A possible explanation for the silence is a reluctance from the top brass in government and in the NHS to publish documents that may clash with the rhetoric of increasing ICU capacity. The official message is that with continued communal efforts the NHS can be protected, ICU need not be overwhelmed, and tragic choices will be avoided. Publishing a document that contemplates an NHS in chaos and tragic choices aplenty sits awkwardly with that message.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">There may also be fears of causing public panic, in the way that doctors of yesteryear would not utter the word \u201ccancer\u201d to patients for fear of causing distress. As ICUs may never be overwhelmed, this distress might prove quite unnecessary.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Another possible reason is fear of legal challenge. The National Institute for Health and Care Excellence (NICE) was threatened with judicial review upon publishing its covid-19 guideline for clinical care last month, causing it to amend its advice due to concerns about <a href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/03\/31\/daniel-baker-no-assumptions-should-be-made-about-peoples-quality-of-life-irrespective-of-any-disability\/\">unlawful discrimination against people with long-term conditions<\/a> such as autism and learning disabilities. Legal challenges and complaints about triage protocols have also been made in the United States by disability groups.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">My attempt at producing a protocol has made it clear that none will please everyone.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">However, these concerns should not be barriers to sharing protocols. The public is surely aware of the possibility of difficult choices in the future. The press is full of articles on ICU triage. If the public is in fact blind to this possibility, then better for it to have its eyes open now than during the crisis. At this stage, there is still time for the public involvement encouraged by the Royal College of Physicians and British Medical Association.\u00a0\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Any protocols of any practical use will be vulnerable to judicial review. Even with the input of legal experts, the threat of legal challenge and complaints is ever present. But, again, it is preferable to hear those challenges now, when changes can still be made at little cost, than later when lives may be lost unjustly.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The reluctance to be open about these life-and-death protocols is understandable but misplaced.\u00a0 They should not be secret or unwritten, but open and subject to public scrutiny. They should be disclosed now.<\/span><\/p>\n<p><i><span style=\"font-weight: 400\"><strong>Daniel Sokol<\/strong> is a medical ethicist and barrister. His ICU triage protocol is available here: <\/span><\/i><a href=\"http:\/\/medicalethicist.net\/wp-content\/uploads\/2016\/06\/v5-Sokol-ICU-Triage-April-2020.pdf\"><span style=\"font-weight: 400\">http:\/\/medicalethicist.net\/wp-content\/uploads\/2016\/06\/v5-Sokol-ICU-Triage-April-2020.pdf<\/span><\/a><\/p>\n<p><i><strong>Twitter<\/strong> <\/i><a href=\"https:\/\/twitter.com\/DanielSokol9\"><i>@danielsokol9<\/i><\/a><\/p>\n<p><em><strong>Competing interests<\/strong>: None declared.\u00a0<\/em><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It is no secret that intensive care unit (ICU) capacity may be overwhelmed if the pandemic worsens. Why then is there so little published guidance on ICU triage from the [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":47067,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18886],"tags":[],"class_list":["post-47123","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-daniel-sokol"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Daniel Sokol: Where are the ICU triage protocols? - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Daniel Sokol: Where are the ICU triage protocols? - The BMJ\" \/>\n<meta property=\"og:description\" content=\"It is no secret that intensive care unit (ICU) capacity may be overwhelmed if the pandemic worsens. Why then is there so little published guidance on ICU triage from the [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2020-04-07T09:59:30+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-04-07T19:35:19+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/04\/coronavirus_hospital_staff.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"540\" \/>\n\t<meta property=\"og:image:height\" content=\"350\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Daniel Sokol: Where are the ICU triage protocols?\",\"datePublished\":\"2020-04-07T09:59:30+00:00\",\"dateModified\":\"2020-04-07T19:35:19+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/\"},\"wordCount\":600,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2020\\\/04\\\/coronavirus_hospital_staff.jpg\",\"articleSection\":[\"Daniel Sokol\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/\",\"name\":\"Daniel Sokol: Where are the ICU triage protocols? - The BMJ\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2020\\\/04\\\/coronavirus_hospital_staff.jpg\",\"datePublished\":\"2020-04-07T09:59:30+00:00\",\"dateModified\":\"2020-04-07T19:35:19+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/#primaryimage\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2020\\\/04\\\/coronavirus_hospital_staff.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2020\\\/04\\\/coronavirus_hospital_staff.jpg\",\"width\":540,\"height\":350,\"caption\":\"Hand out photo - Medical staff of intensive care unit of the Robert Pique military training hospital (HIA) is seen at work in the fight against the Covid 19 in Bordeaux, France, March 31, 2020. The HIA is fully participating in Operation \\\"Resilience\\\". The unit was reorganized over 2 floors. In addition to continuing to provide care for patients who do not carry Covid 19, the service now welcomes 10 patients with the virus but is not yet complete. Launched on March 25, 2020, Operation \\\"Resilience\\\" is the military\u2019s contribution to the interdepartmental engagement against the spread of the Covid-19. It focuses on helping and supporting populations as well as supporting public services to deal with this epidemic, in mainland France and overseas, in the fields of health, logistics and protection. Photo by Jerome Bardenet\\\/Armee de Terre\\\/Defense via ABACAPRESS.COM\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2020\\\/04\\\/07\\\/daniel-sokol-where-are-the-icu-triage-protocols\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Daniel Sokol: Where are the ICU triage protocols?\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#website\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"name\":\"The BMJ\",\"description\":\"Helping doctors make better decisions.\",\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Organization\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\",\"name\":\"The BMJ\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/\",\"logo\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"contentUrl\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/files\\\/2018\\\/05\\\/The-BMJ-logo.jpg\",\"width\":852,\"height\":568,\"caption\":\"The BMJ\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/logo\\\/image\\\/\"},\"sameAs\":[\"https:\\\/\\\/www.facebook.com\\\/bmjdotcom\\\/\",\"https:\\\/\\\/x.com\\\/bmj_latest\"]},{\"@type\":\"Person\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\",\"name\":\"BMJ\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g\",\"caption\":\"BMJ\"},\"sameAs\":[\"https:\\\/\\\/blogs.bmj.com\\\/\"],\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/author\\\/admin\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Daniel Sokol: Where are the ICU triage protocols? - The BMJ","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/","og_locale":"en_US","og_type":"article","og_title":"Daniel Sokol: Where are the ICU triage protocols? - The BMJ","og_description":"It is no secret that intensive care unit (ICU) capacity may be overwhelmed if the pandemic worsens. Why then is there so little published guidance on ICU triage from the [...]More...","og_url":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/","og_site_name":"The BMJ","article_publisher":"https:\/\/www.facebook.com\/bmjdotcom\/","article_published_time":"2020-04-07T09:59:30+00:00","article_modified_time":"2020-04-07T19:35:19+00:00","og_image":[{"width":540,"height":350,"url":"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/04\/coronavirus_hospital_staff.jpg","type":"image\/jpeg"}],"author":"BMJ","twitter_card":"summary_large_image","twitter_creator":"@bmj_latest","twitter_site":"@bmj_latest","twitter_misc":{"Written by":"BMJ","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/#article","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/"},"author":{"name":"BMJ","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe"},"headline":"Daniel Sokol: Where are the ICU triage protocols?","datePublished":"2020-04-07T09:59:30+00:00","dateModified":"2020-04-07T19:35:19+00:00","mainEntityOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/"},"wordCount":600,"commentCount":0,"publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/04\/coronavirus_hospital_staff.jpg","articleSection":["Daniel Sokol"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/","url":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/","name":"Daniel Sokol: Where are the ICU triage protocols? - The BMJ","isPartOf":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#website"},"primaryImageOfPage":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/#primaryimage"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/#primaryimage"},"thumbnailUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/04\/coronavirus_hospital_staff.jpg","datePublished":"2020-04-07T09:59:30+00:00","dateModified":"2020-04-07T19:35:19+00:00","breadcrumb":{"@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/#primaryimage","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/04\/coronavirus_hospital_staff.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2020\/04\/coronavirus_hospital_staff.jpg","width":540,"height":350,"caption":"Hand out photo - Medical staff of intensive care unit of the Robert Pique military training hospital (HIA) is seen at work in the fight against the Covid 19 in Bordeaux, France, March 31, 2020. The HIA is fully participating in Operation \"Resilience\". The unit was reorganized over 2 floors. In addition to continuing to provide care for patients who do not carry Covid 19, the service now welcomes 10 patients with the virus but is not yet complete. Launched on March 25, 2020, Operation \"Resilience\" is the military\u2019s contribution to the interdepartmental engagement against the spread of the Covid-19. It focuses on helping and supporting populations as well as supporting public services to deal with this epidemic, in mainland France and overseas, in the fields of health, logistics and protection. Photo by Jerome Bardenet\/Armee de Terre\/Defense via ABACAPRESS.COM"},{"@type":"BreadcrumbList","@id":"https:\/\/blogs.bmj.com\/bmj\/2020\/04\/07\/daniel-sokol-where-are-the-icu-triage-protocols\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/blogs.bmj.com\/bmj\/"},{"@type":"ListItem","position":2,"name":"Daniel Sokol: Where are the ICU triage protocols?"}]},{"@type":"WebSite","@id":"https:\/\/blogs.bmj.com\/bmj\/#website","url":"https:\/\/blogs.bmj.com\/bmj\/","name":"The BMJ","description":"Helping doctors make better decisions.","publisher":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#organization"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/blogs.bmj.com\/bmj\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":"Organization","@id":"https:\/\/blogs.bmj.com\/bmj\/#organization","name":"The BMJ","url":"https:\/\/blogs.bmj.com\/bmj\/","logo":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/","url":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","contentUrl":"https:\/\/blogs.bmj.com\/bmj\/files\/2018\/05\/The-BMJ-logo.jpg","width":852,"height":568,"caption":"The BMJ"},"image":{"@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/logo\/image\/"},"sameAs":["https:\/\/www.facebook.com\/bmjdotcom\/","https:\/\/x.com\/bmj_latest"]},{"@type":"Person","@id":"https:\/\/blogs.bmj.com\/bmj\/#\/schema\/person\/ba3da426ed20e8f1d933ca367d8216fe","name":"BMJ","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/b4d8f39281bcae118348a1c027347b8e53b82d42520e774a8b50dd9a6ac6c01d?s=96&d=mm&r=g","caption":"BMJ"},"sameAs":["https:\/\/blogs.bmj.com\/"],"url":"https:\/\/blogs.bmj.com\/bmj\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/47123","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/comments?post=47123"}],"version-history":[{"count":0,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/posts\/47123\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media\/47067"}],"wp:attachment":[{"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/media?parent=47123"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/categories?post=47123"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blogs.bmj.com\/bmj\/wp-json\/wp\/v2\/tags?post=47123"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}