Saturday, December 2, 2023
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Associate Professor and Residency Director, Department of Family Medicine, University of California-Irvine, Irvine
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Associate Professor and Residency Director, Department of Family Medicine, University of California-Irvine, Irvine
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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?
