id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-342068-zhk3wmou	Khazanie, Prateeti	Forced Choices: Ethical Challenges in Cardiology During the COVID-19 Pandemic	2020-05-11		.txt	text/plain	1341	70	42	Cardiologists' ethical obligation to advance our patients' well-being is no different in the COVID era than in other times, but the bar for urgency is raised, the evaluation FRAME OF REFERENCE is complex, and the uncertainty is greater. During the 2009 H1N1 pandemic the Institute of Medicine developed a crisis standards of care (CSC) framework 3 for ethically allocating resources in times of scarcity, which is now adapted for possible use in critical care resource triage in the COVID-19 pandemic. 1 These CSC triage protocols have special relevance for cardiologists because patients with advanced heart failure, severe valvular disease, electric instability, progressive or unstable coronary disease, and other critical cardiovascular diseases often require critical care. Serving on triage teams requires addressing decisions that no clinician wants to make, but cardiologists are obligated to participate in these processes given our critical care and acute decision-making expertise and our need to ensure fair and accurate assessment of our patients.	./cache/cord-342068-zhk3wmou.txt	./txt/cord-342068-zhk3wmou.txt