Question

To complete this Individual Preparation assignment, answer the following questions related to this week’s two cases. Each answer should be no more than 1-2 sentences.

1. If you were to prioritize patients based on the principle of justice, which patients would you prioritize and why?

2. If you were to prioritize patients based on the idea of social beneficence, which patients would you prioritize and why?

The Aftermath of a Cleveland-Based Attack

FirstEnergy Stadium is packed with eager Browns fans when several simultaneous explosions erupt around the stadium. Initial reports from eyewitnesses indicate that the detonated devices released a gas throughout the stadium, quickly overwhelming the crowd and sparking panic. An unknown number of people were severely injured or killed in the stampede to exit the stadium. Paramedics at the scene report that, to varying degrees, the individuals affected by the gas have respiratory distress, involuntary muscle contractions, vomiting, and convulsions. Several have been noted to have pinpoint pupils. No one is sure yet, but all signs indicate that a nerve agent was released inside the stadium. You are a senior emergency medicine resident at the hospital closest to the stadium. You and your team are working intensely as patients begin arriving at the emergency room. Your top priorities are to control patients' convulsions, administer atropine to combat the nerve agent, and to intubate and ventilate patients when necessary. However, you become increasingly nervous as the crowd of patients grows larger and several people become critically ill over the course of several minutes. It quickly becomes clear that those who were closest to the blast sites are in greater need of care, presenting with burns and lacerations in addition to severe respiratory distress. Atropine and ventilators are required to stabilize patients who were within 10 yards of an explosion, after which their burns and other injuries can be attended to. Due to the significant amount of trauma, individuals closer to the blast sites require more resources and have a lower likelihood of recovery than patients who happened to be further away from the blasts. You realize that the capacity of the emergency department will soon be overwhelmed and supplies will begin to run short. Atropine and ventilators are both in limited supply, the hospital beds are almost all full, and there aren’t enough nurses and doctors to tend to everyone. While it’s clear that patients need to be diverted elsewhere, all nearby hospitals are facing the same situation as patients continue to pour in. Faced with a dwindling number of resources and a growing number of patients, you must decide how to prioritize the resources you have remaining.

Answer 1

1- If i had to prioritize patient patients on the principal of justice then i would attend the most needy person first, as here are the people in periphery of 10 yards of the blast who were worst affected by the nerve gas.They should be in the top of priority if we work on the principal of justice because they are more on the verge of loosing there life, They are having resperetory distress, burns and many other life threatening features that may lead to there death.

2- In mass casuality event in case of limiting medical resources principal of triage should always be "save as many in as little time as possible" so number of people in the periphery who were not so severely affected was very high, but if we attend severely struck patient with poor possibility of survival then these unattended patient may go in complicated state, so resources should be prioritize according to them .