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Resource Scarcity in Austere Environments

An Ethical Examination of Triage and Medical Rules of Eligibility

  • Book
  • © 2023

Overview

Editors:
  1. Sheena M. Eagan

    1. Department of Bioethics & Interdisciplinary Studies, Brody School of Medicine, East Carolina University, Greenville, USA

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  2. Daniel Messelken

    1. Zürich Center for Military Medical Ethics, Center for Ethics, University of Zürich, Zürich, Switzerland

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  • Provides an overview of ethical challenges of distributing scarce health care resources in times of austerity
  • Contains academic analyses of contemporary ethical challenges in military health care and disaster bioethics
  • Brings together experts and practitioners in the fields of military health care, philosophy and ethics

Part of the book series: Military and Humanitarian Health Ethics (MHHE)

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Table of contents (12 chapters)

  1. Front Matter

    Pages i-xii
    Download chapter PDF

  2. Introduction and Synopsis

    • Sheena M. Eagan, Daniel Messelken
    Pages 1-16

  3. ‘Gate-Keeping Access to Deployed Military Health Services’ – Perspectives of Military Medical Leaders

    • Martin C. M. Bricknell, Stefan Kowitz
    Pages 17-31

  4. Reconsidering Triage: Medical, Ethical and Historical Perspectives on Planning for Mass Casualty Events in Military and Civilian Settings

    • Simon Horne, Robert James, Heather Draper, Emily Mayhew
    Pages 33-54

  5. Medical Rules of Eligibility: A Comparative Analysis

    • Joanne Clifford, Paul C. Eagan, Sheena M. Eagan
    Pages 55-76

  6. Ethical and Legal Basis for the Standards of Triage Used in the Russian Military Medical Service

    • Ivan Kholikov
    Pages 77-87

  7. The Phenomenon of Allocation: Military Pathways in the Light of Biomedical Ethical Principles

    • Dirk Fischer
    Pages 89-98

  8. Applying Battlefield Triage Ethics and Resource Allocation to a Contemporary Public Health Crisis: Lessons Learned from the Past and Adapting Them for the Future

    • Jeanne A. Krick, Jacob S. Hogue, Matthew A. Studer, Tyler R. Reese, Elliott M. Weiss
    Pages 99-111

  9. Medical Triage by Moral Responsibility in Crisis and War

    • Stephen N. Woodside
    Pages 113-131

  10. Medical Rules of Eligibility – Can Preferential Medical Treatment Provisions Be Ethically Justified?

    • Daniel Messelken
    Pages 133-153

  11. Fairness in Military Care: Might a Hybrid Concept of Equity Be the Answer?

    • Frederic Gilbert, Ian Stevens, Samia Hurst
    Pages 155-171

  12. Cicero and the Problem of Triage: Why There Is No Moral Algorithm in Distributing Scarce Resources

    • Bernhard Koch
    Pages 173-188

  13. Facing Death: An Ethical Exploration of Thanatophobia in Combat Casualty Care

    • Erika Ann Jeschke, Hannah R. Martinez, Eleanor M. Choi, John Dorsch, Sarah L. Huffman
    Pages 189-209
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Keywords

About this book

This book focuses on resource allocation in military and humanitarian medicine during times of scarcity and austerity. It is in these times that health systems bend, break, and even collapse and where resource allocation becomes a paramount concern and directly impacts clinical decision-making. Such times are challenging and this book  covers this very important, yet, scarcely researched topic within the field of bioethics. This work brings together experts and practitioners in the fields of military health care, philosophy, ethics, and other disciplines to provide analysis on a variety of related topics ranging from case studies and first-hand experiences to policy and philosophical analysis. It is of great interest to to academics, practitioners, policy makers and students who are looking for analyses and guidance regarding the fair provision of medical care and the use of medical rules of eligibility under adverse conditions.




Editors and Affiliations

  • Department of Bioethics & Interdisciplinary Studies, Brody School of Medicine, East Carolina University, Greenville, USA

    Sheena M. Eagan

  • Zürich Center for Military Medical Ethics, Center for Ethics, University of Zürich, Zürich, Switzerland

    Daniel Messelken

About the editors

Sheena M. Eagan is an Assistant Professor of Bioethics in the Brody School of Medicine at East Carolina University. She is also head of the North Carolina Unit of the International Chair of Bioethics/WMA Cooperating Center and founding president of the American Society of Bioethics and Humanities group for Military, Humanitarian and Disaster Medicine. Dr. Eagan holds a PhD in the medical humanities from the University of Texas Medical Branch as well as a Master of Public Health from the Uniformed Services University. Her research and teaching have focused on medical ethics and the history of medicine, with a subspecialized focus on military medicine and Veteran health.

Daniel Messelken is a research associate at the Center for Ethics at Zurich University and leader of the Zurich Center for Military Medical Ethics. He also serves as Head Ethics Teacher for the Center of Reference for Education on IHL and Ethics of the International Committee of Military Medicine and is member of the Board of Directors of the International Society for Military Ethics in Europe (EuroISME). Dr. Messelken studied Philosophy and Political Science in Leipzig and Paris (1998-2004) and received his PhD in philosophy from the University of Leipzig in 2010. Besides Military Medical Ethics, his main research fields include Just War Theory, the Morality of Violence, Military Ethics, and Applied Ethics more generally.

Bibliographic Information

  • Book Title: Resource Scarcity in Austere Environments

  • Book Subtitle: An Ethical Examination of Triage and Medical Rules of Eligibility

  • Editors: Sheena M. Eagan, Daniel Messelken

  • Series Title: Military and Humanitarian Health Ethics

  • DOI: https://doi.org/10.1007/978-3-031-29059-6

  • Publisher: Springer Cham

  • eBook Packages: Religion and Philosophy, Philosophy and Religion (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2023

  • Hardcover ISBN: 978-3-031-29058-9Published: 19 May 2023

  • Softcover ISBN: 978-3-031-29061-9Due: 19 June 2023

  • eBook ISBN: 978-3-031-29059-6Published: 18 May 2023

  • Series ISSN: 2524-5465

  • Series E-ISSN: 2524-5473

  • Edition Number: 1

  • Number of Pages: XII, 209

  • Number of Illustrations: 1 b/w illustrations

  • Topics: Bioethics, Military and Defence Studies, Public Health

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