title: Lives on the line? Ethics and practicalities of duty of care in pandemics and disasters.
abstract: Pandemics and acute emergencies raise pressing medical, ethical and organisational challenges. These include global governance, priority setting, triaging of patients, allocation of scarce resources and restricting individual liberty in the interests of public health. We will focus particularly on an issue of direct relevance to all respiratory team members, i.e. what is the duty of the healthcare worker to continue working in the face of personal risk, and draw lessons from guidelines, ethical considerations, past pandemics and evolving experience with H1N1 swine influenza.
authors: Royal Brompton & Harefield NHS Trust, London, UK. A.Simonds@rbht.nhs.uk
authors: A K
authors: AK
authors: Simonds
authors: D K
authors: DK
authors: Sokol
mesh_terms: D003657:Decision Making / Q000941:ethics; D004190:Disasters; D004196:Disease Outbreaks; D004630:Emergencies; D004632:Emergency Medical Services / Q000941:ethics; D004992:Ethics, Medical; D006282:Health Personnel / Q000941:ethics; D006801:Humans; D053118:Influenza A Virus, H1N1 Subtype / Q000378:metabolism; D007251:Influenza, Human / Q000628:therapy*; D016273:Occupational Exposure; D015272:Pulmonary Medicine / Q000941:ethics*; D016079:Refusal to Treat / Q000941:ethics; D012306:Risk; D045169:Severe Acute Respiratory Syndrome / Q000628:therapy