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CME

Stewardship of Health Care Resources: Allocating Mechanical Ventilators During Pandemic Influenza

  • Authors: Jeffrey T. Berger, MD; Michele Mathes, JD
  • CME Released: 2/28/2013; Reviewed and Renewed: 3/10/2017
  • THIS ACTIVITY HAS EXPIRED
  • Valid for credit through: 3/10/2018
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Target Audience and Goal Statement

This article is intended for primary care physicians, emergency medicine specialists, critical care specialists, and other physicians who will respond to a public health emergency.

The goal of this activity is to evaluate ethical and practical issues of stewardship of healthcare resources.

Upon completion of this activity, participants will be able to:

  1. Evaluate ethical issues associated with public health emergencies
  2. Analyze who should provide triage for limited life-saving health resources
  3. Distinguish criteria which might be ethically acceptable in providing triage for limited life-saving health resources


Disclosures

As an organization accredited by the ACCME, Medscape, LLC, requires everyone who is in a position to control the content of an education activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines "relevant financial relationships" as financial relationships in any amount, occurring within the past 12 months, including financial relationships of a spouse or life partner, that could create a conflict of interest.

Medscape, LLC, encourages Authors to identify investigational products or off-label uses of products regulated by the US Food and Drug Administration, at first mention and where appropriate in the content.


Authors

  • Jeffrey T. Berger, MD

    American College of Physicians Ethics, Professionalism and Human Rights Committee; Associate Professor of Medicine, Stony Brook University School of Medicine, Stony Brook, New York; Director of Clinical Ethics; Chief, Section of Hospice and Palliative Medicine; Medical Director, Palliative Care Consultation Service, Winthrop University Hospital, Mineola, New York

    Disclosures

    Disclosure: Jeffrey T. Berger, MD, has disclosed no relevant financial relationships.

  • Michele Mathes, JD

    Senior Associate, Center for Ethics and Professionalism, American College of Physicians, Philadelphia, Pennsylvania

    Disclosures

    Disclosure: Michele Mathes, JD, has disclosed no relevant financial relationships.

Editor

  • Lois Snyder Sulmasy, JD

    Director, Center for Ethics and Professionalism, American College of Physicians, Philadelphia, Pennsylvania

    Disclosure: Lois Snyder Sulmasy, JD, has disclosed no relevant financial relationships.

CME Author

  • Charles P. Vega, MD

    Associate Professor and Residency Director, Department of Family Medicine, University of California-Irvine, Irvine

    Disclosures

    Disclosure: Charles P. Vega, MD, has disclosed no relevant financial relationships.

CME Reviewer

  • Nafeez Zawahir, MD

    CME Clinical Director, Medscape, LLC

    Disclosures

    Disclosure: Nafeez Zawahir, MD, has disclosed no relevant financial relationships.


Accreditation Statements

    For Physicians

  • Medscape, LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

    The cases and commentary were developed by the American College of Physicians.

    Medscape, LLC designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

    Medscape, LLC staff have disclosed that they have no relevant financial relationships.

    Contact This Provider

For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]


Instructions for Participation and Credit

There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 75% on the post-test.

Follow these steps to earn CME/CE credit*:

  1. Read the target audience, learning objectives, and author disclosures.
  2. Study the educational content online or printed out.
  3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. Medscape Education encourages you to complete the Activity Evaluation to provide feedback for future programming.

You may now view or print the certificate from your CME/CE Tracker. You may print the certificate but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period you can print out the tally as well as the certificates by accessing "Edit Your Profile" at the top of your Medscape homepage.

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CME

Stewardship of Health Care Resources: Allocating Mechanical Ventilators During Pandemic Influenza: Case History

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Case History

Pandemic influenza has gripped large portions of the United States including the area served by Community Medical Center, a 150-bed semi-rural hospital. Dr. Giles is a pulmonary/critical care physician staffing Community's 8-bed intensive care unit (ICU) in which every bed is occupied by a patient receiving mechanical ventilation. New patients are arriving regularly at the emergency department (ED) in respiratory distress. The chief medical officer looks to Dr. Giles to triage patients and allocate ventilators to best serve the community.

As a pulmonary specialist, Dr. Giles has cared for a number of hospital employees and their family members as well as community members with whom she shares civic and other activities. Among the patients currently in the ICU whose condition is most dire is the grandmother of the hospital's Director of Social Work and a deacon in Dr. Giles's church. The ED calls to tell Dr. Giles that they have three patients in need of the ICU, including a 24-year-old asthmatic with influenza. How should Dr. Giles proceed?

Table of Contents

  1. Introduction
  2. Case History
  3. Commentary
  • Print