id author title date pages extension mime words sentences flesch summary cache txt cord-291434-oktu3ieq Krishna, Lalit Kumar Radha The role of palliative medicine in ICU bed allocation in COVID-19: a joint position statement of the Singapore Hospice Council and the Chapter of Palliative Medicine Physicians 2020-06-01 .txt text/plain 1540 82 47 Facing the possibility of a surge of COVID-19-infected patients requiring ventilatory support in Intensive Care Units (ICU), the Singapore Hospice Council and the Chapter of Palliative Medicine Physicians forward its position on the guiding principles that ought to drive the allocation of ICU beds and its role in care of these patients and their families. Involvement of PM physicians in triaging patients for ventilated ICU beds (British Medical Association 2020) should be led by clear ethical and practical considerations. This will facilitate clear communication with the public regarding the practical and ethical issues surrounding allocation of scarce ICU resources and attenuate concerns about discrimination against minority groups, boost trust in the public healthcare system, facilitate transparent, accountable and evidence-based decision making, and build solidarity within the community. In addition the PM team must be involved in supporting healthcare professionals in the ICU and those caring for patients not been allocated ICU beds. For patients not allocated ICU beds, PM physicians and MSWs should be involved immediately to support the patient's and their family's needs. ./cache/cord-291434-oktu3ieq.txt ./txt/cord-291434-oktu3ieq.txt