Trump Officials Tell Hospitals to Split Ventilators
The Trump administration is telling hospitals they can split ventilators between two patients and is escalating calls to scrap elective surgeries, as federal officials try to limit care rationing in facilities lacking the critical breathing machines.
New federal guidelines on so-called ventilator splitting — an idea that's been used extremely rarely in emergency situations — emphasizes it should "only be considered as an absolute last resort" for hospitals swamped by coronavirus patients. But it underscores concerns that hospitals could soon be faced with challenging ethical decisions about how to prioritize which patients receive life-saving equipment.
An open letter to health care workers from Surgeon General Jerome Adams and Adm. Brett Giroir, the assistant secretary for health, includes technical guidance on how ventilator splitting can be performed strictly for two patients who are both either infected or free of the virus. They acknowledge they don't know how effective or safe the strategy is because it hasn't been tested in humans.
Some overrun Italian hospitals shared ventilators for coronavirus patients, but there's been little experience with the practice in the U.S. so far. At least one hospital in hard-hit New York has reportedly started doing so recently, and Las Vegas hospitals briefly deployed the strategy in 2017 following the deadliest mass shooting in U.S. history.
Some groups representing critical care providers last week warned against ventilator splitting, arguing "it cannot be done safely with current equipment."
https://www.politico.com/news/2020/03/31/trump-officials-tell-desperate-hospitals-that-patients-can-share-ventilators-157358
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