EMCrit 269 – Rationing of Critical Care and Ventilators in COVID19 with Reub Strayer

In many hospitals ventilators have become a scarce or non-existent resource in the face of the COVID19 pandemic. We need a ethical structure to allocate ventilators and other scarce resources:

Exclusion Criteria before Entry into Ventilator Allocation Strategies

* Swiss Intensive Care Society Guidelines

Reub's Adaptation of the NYC Vent Allocation Guideline

* Strayer Ventilator-Allocation-Protocol

* Original EMUpdates Post

* ECOG Calculator

Original NYC Vent Allocation Guidelines

* 2015 Update

Publications

* NEJM Allocating Vent Discussion

* NEJM Fair Allocation of Scarce Medical Resources in the Time of Covid-19

* JAMA White & Lo

* Requests for Potentially Inappropriate Treatments in Intensive Care Units

Forming a Rationing Team

* LitFL Post

Now on to the Podcast...