21. Disaster Triage

  1. John Jesus2,3,
  2. Shamai A. Grossman4,5,
  3. Arthur R. Derse6,7,
  4. James G. Adams8,
  5. Richard Wolfe5,9 and
  6. Peter Rosen5,9
  1. Matthew B. Allen1 and
  2. John Jesus2,3

Published Online: 20 JUN 2012

DOI: 10.1002/9781118292150.ch21

Ethical Problems in Emergency Medicine: A Discussion-Based Review

Ethical Problems in Emergency Medicine: A Discussion-Based Review

How to Cite

Allen, M. B. and Jesus, J. (2012) Disaster Triage, in Ethical Problems in Emergency Medicine: A Discussion-Based Review (eds J. Jesus, S. A. Grossman, A. R. Derse, J. G. Adams, R. Wolfe and P. Rosen), John Wiley & Sons, Ltd, Chichester, UK. doi: 10.1002/9781118292150.ch21

Editor Information

  1. 2

    Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA

  2. 3

    Department of Emergency Medicine, Christiana Care Health System, Newark, DE, USA

  3. 4

    Cardiac Emergency Center, Division of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA

  4. 5

    Harvard Medical School, Boston, MA, USA

  5. 6

    Center for Bioethics and Medical Humanities, Julia and David Uihlein Professor of Medical Humanities, Milwaukee, WI, USA

  6. 7

    Institute for Health and Society, Medical College of Wisconsin, Milwaukee, WI, USA

  7. 8

    Department of Emergency Medicine, Feinberg School of Medicine, Northwestern University, Northwestern Memorial Hospital, Chicago, IL, USA

  8. 9

    Beth Israel Deaconess Medical Center, Boston, MA, USA

Author Information

  1. 1

    Department of Emergency Medicine, Brigham and Women's Hospital, Boston, MA, USA

  2. 2

    Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA, USA

  3. 3

    Department of Emergency Medicine, Christiana Care Health System, Newark, DE, USA

Publication History

  1. Published Online: 20 JUN 2012
  2. Published Print: 25 JUL 2012

Book Series:

  1. Current Topics in Emergency Medicine

Book Series Editors:

  1. Peter Rosen and
  2. Shamai A. Grossman

ISBN Information

Print ISBN: 9780470673478

Online ISBN: 9781118292150

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Keywords:

  • triage;
  • disaster response/relief;
  • resource allocation;
  • distributive justice;
  • equity;
  • egalitarianism;
  • utilitarianism

Summary

Disaster triage remains a complex and uncomfortable topic in contemporary bioethics. Questions of how best to allocate scarce resources have frequently pushed the boundaries of clinical bioethics and sparked significant debate over the past few decades. In its dual focus on the wellbeing of individuals and the welfare of communities, disaster relief unfolds at the intersection of clinical medicine, public health, disaster management, and humanitarian aid. It therefore requires striking a balance between competing concerns that shape micro- and macroallocation decisions. An integrated, system-wide approach that is based on community values may serve society's interests and ideals even when circumstances undermine its stability.