Utilizing parents to hand-bag ventilate when resources are scarce: Is it ethical?

By Emily E. Barsky and Sadath Sayeed Amidst the COVID-19 pandemic, many nations are coping with what resource limited settings are all too familiar with—ventilator scarcity.  In low-income countries, people— and particularly children— frequently die of reversible, acute respiratory failure due to across-the-board resource scarcity.  Some such settings have responded to this by allowing parents […]

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How should non-life-saving surgery be rationed?

Helen Turnham, Guy Thorburn and Dominic Wilkinson. The COVID-19 pandemic has necessitated a total shut down of elective surgery within the NHS. In the forthcoming months there will be re-initiation of elective surgery but at significantly reduced capacity. The combination of pre-existing backlog, a protracted period of no surgery and an anticipated future period of […]

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ICU triage: How many lives or whose lives?

By Angela Ballantyne Bioethicists around the world have been asked to advise on the goals and methods of triage protocols. Estimates suggest 5% of COVID19 cases will require ICU care. The key ethical tension is between utility and equity. There are other relevant principles of fair allocation such as reciprocity for frontline workers who have […]

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