Clinical Core

When the Answer Is No: Ethical Considerations for Rationing of Scarce Resources in the ICU

Concurrent Session Moderator(s)

• 

  Mary Faith Marshall, HEC-C, PhD, FCCM

  Director, Center for Health Humanities and Ethics
  University of Virginia School of Medicine
  Richmond, VA

  Disclosure(s): No relevant financial relationship(s) to disclose.
• 

  Jessica Turnbull, MD, MA

  Monroe Carell Jr Childrens Hospital at Vanderbilt University Medical Center
  Nashville, Tennessee

  Disclosure(s): No relevant financial relationship(s) to disclose.

Rationing of medical resources is unavoidable when needs surge and resources do not. This is especially true during mass causality events, disasters, pandemics, and drug shortages. Many interventions and medications used in the ICU are associated with high cost and therefore cannot be broadly provided for all patients. This session will facilitate discussion of ethical dilemmas surrounding rationing and principles to guide just and equitable allocation of resources and will develop a framework for resource allocation when such needs arise.

Presentations:

• The Ethical Way to Say No: Resource Rationing in the ICU
  

  Concurrent Session Faculty: Douglas White, MD, MAS – UPMC Presbyterian
• Managing Dollars and SENSE: Ethical Considerations With High-Cost Medications and Drug Shortages
  

  Concurrent Session Faculty: Mahmoud Ammar, BCCCP, BCPS, FCCM – Yale New Haven Hospital
• Panel Discussion
  

  Concurrent Session Moderator: Mary Faith Marshall, HEC-C, PhD, FCCM – University of Virginia School of Medicine

  Concurrent Session Moderator: Jessica Turnbull, MD, MA – Monroe Carell Jr Childrens Hospital at Vanderbilt University Medical Center

  Panelist: Douglas White, MD, MAS – UPMC Presbyterian

  Panelist: Mahmoud Ammar, BCCCP, BCPS, FCCM – Yale New Haven Hospital