ETHICS OF INFORMED CONSENT

Ethics of informed consent in a clinical crisis: Annotated Bibliography

Ethics of informed consent in a clinical crisis: Annotated Bibliography

Hick, J. L., et al. “Clinical reconsider: Allocating Ventilators During Large-Scale Disasters—Problems, designing and Process.” Critical Care 11 (2007): 217.

disastrous disasters, especially a pandemic of influenza, may force difficult share decisions when demand for mechanical ventilation substantially exceeds available assets. In this report, Hick and others suggest that the process should be codified pre-event by localizedizedized and localized health care entities, public health agencies, and the community. Although study in the details of the decision tools remains nascent, the authors advocate critical care physicians to work with their wellbeing care facilities, public wellbeing agencies, and groups to double-check that a just and clinically sound systematic approach to these situations is in location prior to the occurrence.

2. Hick, J. L., and D. T. O'Laughlin. “Concept of Operations for Triage of Mechanical Ventilation in an Epidemic.” learned crisis surgery 13 (2006): 223-29.

Because numerous outbreak and bioterrorist agency illnesses involve respiratory failure, mechanical ventilation is a often needed intervention, but one that is in restricted supply. In accelerate of such an event, Hick and O'Laughlin suggest that triage criteria must be evolved that count on clinical signs of survivability and resource utilization to assign scarce health care assets to those who are most expected to benefit. The eightfold restriction criteria they suggest should, they state, be tiered, flexible, and applied regionally, rather than institutionally, with the backing of public wellbeing agencies and respite of liability.



3. Powell, T., et al. “Allocation of Ventilators in a Public wellbeing Disaster.” DisasterMedicine and Public Health Preparedness 2 (2008): 20-26.

In an swamping public wellbeing emergency, numerous more patients could need the use of mechanical ventilators than can be accommodated. To plan for such a urgent situation, the New York State Department of wellbeing and the New York State Task Force on Life and the Law convened a workgroup to develop ethical and clinical guidelines for ventilator triage. In this report, the workgroup home wares an ethical structure, including the following constituents: obligation to care, obligation to steward resources, duty to design, distributive fairness, and transparency. Incorporating the ethical structure, the clinical guidelines suggest both withholding and removing ventilators from patients with the highest probability of mortality to advantage patients with the largest likelihood of survival.

4. Keri K. Gould & Michael L. Perlin, “Johnny's In The Basement/Mixing Up His Medicine”: Therapeutic Jurisprudence and Clinical Teaching, 24 SEATTLE U. L. REV. 339 (2000).

This article arose out of the authors' efforts to incorporate therapeutic jurisprudence into their teaching philosophies and methodologies, their practice of law, and their critique of other lawyering observed by their students. The first section provides some background about therapeutic jurisprudence and how it has been employed to critically examine other areas of law. Then, the article discusses some of the new theoretical developments in clinical legal education, principally from the “critical lawyering” perspective.

5. Barnato, A. E., and ...