CASE AND COMMENTARY: PEER-REVIEWED ARTICLE SHOULD A PHYSICIAN EVER VIOLATE SWAT OR TEMS PROTOCOL IN A MASS CASUALTY INCIDENT?

Brandon Morshedi, Faroukh Mehkri

Research output: Contribution to journalArticlepeer-review

Abstract

Mass casualty incidents involving active shooters are becoming more common, and many involve special weapons and tactics team responses. Standard of care is to have tactical emergency medical services paramedics or physicians direct triage and administer immediate interventions. In these situations, a clinical and ethical value is to do the greatest good for the greatest number of people. Cases in which beneficence and justice are at odds are particularly complex. This commentary on such a case argues that directing resources to patients most likely to survive accords triage principles and explores ethical complexity in resource allocation decisions.

Original languageEnglish (US)
Pages (from-to)E120-E125
JournalAMA journal of ethics
Volume24
Issue number2
DOIs
StatePublished - Feb 1 2022
Externally publishedYes

ASJC Scopus subject areas

  • Issues, ethics and legal aspects
  • Health(social science)
  • Health Policy

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