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Ep 338: The Nuances of Intensive Care

The Seen and the Unseen - hosted by Amit Varma

CHAPTER

The Four Pillars of Medical Ethics

The four pillars of medical ethics, they are the first one is non-malfish sense. If I'm admitting a patient to intensive care and subjecting them to lots of procedures where it is unlikely to do them any good, then I'm doing harm. The third one is called autonomy. And the fourth one is justice. Now justice is the hardest one in especially in a socialized healthcare system. So you have one ICU bed left in the whole region. You have a 23 year old with a stamp on and you have an 85 yearold with a heart attack. Who do you admit? You have one bed left. But basically, if you're extremely unlikely to survive,

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