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      Ethical dilemmas in the era of COVID-19

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          ABSTRACT

          The coronavirus disease 2019 (COVID-19) pandemic placed an extraordinary demand on health systems and healthcare providers all over the world. The pandemic presented a number of unprecedented challenging ethical issues. Across the globe, hospitals are being challenged by a large number of patients presenting to the emergency room for treatment, creating scarcities of critical care resources, and uncovering the need for formal crisis standards of care. Difficult life and death decisions, which may create severe moral distress to the physicians, have to be made in emergency rooms and intensive care units. Other ethical issues, such as that related to conducting clinical trials during the pandemic, and the increase in domestic violence during the quarantine period, will be also discussed.

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          Fair Allocation of Scarce Medical Resources in the Time of Covid-19

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            Violence against women during covid-19 pandemic restrictions

            Protections for women and girls must be built into response plans
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              Whose life to save? Scarce resources allocation in the COVID-19 outbreak

              After initially emerging in China, the coronavirus (COVID-19) outbreak has advanced rapidly. The World Health Organization (WHO) has recently declared it a pandemic, with Europe becoming its new epicentre. Italy has so far been the most severely hit European country and demand for critical care in the northern region currently exceeds its supply. This raises significant ethical concerns, among which is the allocation of scarce resources. Professionals are considering the prioritisation of patients most likely to survive over those with remote chances, and this news has triggered an intense debate about the right of every individual to access healthcare. The proposed analysis suggests that the national emergency framework in which prioritisation criteria are currently enforced should not lead us to perceive scarce resources allocation as something new. From an ethical perspective, the novelty of the current emergency is not grounded in the devastating effects of scarce resources allocation, which is rife in recent and present clinical practice. Rather, it has to do with the extraordinarily high number of people who find themselves personally affected by the implications of scarce resources allocation and who suddenly realise that the principle of ‘equals should be treated equally’ may no longer be applicable. Along with the need to allocate appropriate additional financial resources to support the healthcare system, and thus to mitigate the scarcity of resources, the analysis insists on the relevance of a medical ethics perspective that does not place the burden of care and choice solely on physicians.
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                Author and article information

                Journal
                Avicenna J Med
                Avicenna J Med
                AJM
                Avicenna Journal of Medicine
                Wolters Kluwer - Medknow (India )
                2231-0770
                2249-4464
                Jul-Sep 2020
                03 July 2020
                : 10
                : 3
                : 102-105
                Affiliations
                [1]Department of Cardiology, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia
                [1 ]Department of Medicine, International Medical Center, Jeddah, Saudi-Arabia
                [2 ]Department of Medical Ethics, International Medical Center, Jeddah, Saudi Arabia
                Author notes
                Address for correspondence: Dr. Hassan Chamsi-Pasha, Department of Cardiology, King Fahd Armed Forces Hospital, P.O. Box: 9862, Jeddah 21159, Saudi Arabia. E-mail: drhcpasha@ 123456hotmail.com
                Article
                AJM-10-102
                10.4103/ajm.ajm_119_20
                7414603
                32832425
                8b1bb7bd-21bf-45b3-aba5-1e27d0e9b90d
                Copyright: © 2020 Avicenna Journal of Medicine

                This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.

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                Categories
                Review Article

                Medicine
                coronavirus disease 2019,ethical challenges,medical ethics,scarce resources
                Medicine
                coronavirus disease 2019, ethical challenges, medical ethics, scarce resources

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