id author title date pages extension mime words sentences flesch summary cache txt cord-341202-1pg7rq2d Manicone, Francesca The last bed dilemma burns out COVID-19 triage: a viewpoint from Medical and Law students 2020-08-12 .txt text/plain 1321 68 57 Currently, it is being implemented in several COVID-19 wards, either in compliance with algorithm-based guidelines or according to distributive justice, as underlined by the Società Italiana di Anestesia Analgesia Rianimazione e Terapia Intensiva [4] that advices to base the decision to withhold or withdraw life-sustaining treatments on the evaluation of criteria such as age, comorbidities and functional status of the critically ill patients. According to the first protocol, when dealing with the life-threatening case of a 68-year-old man, obese, hypertensive and smoker, the physician has no choice but to allocate the last ICU bed, fully aware that an hour later the same bed could have been used to cure a younger patient, without any comorbidity and a higher life expectancy. In our view, this solution would suitably respond to two essential problems: a patient otherwise discarded by the guidelines might be given a chance to survive based on physician clinical experience whereas, if nonetheless the meeting withheld the bed, the physician would relieve his stress, sharing, to the greatest extent possible, the burden with the team. ./cache/cord-341202-1pg7rq2d.txt ./txt/cord-341202-1pg7rq2d.txt