Bioethics
Ethical and Legal Challenges of COVID-19 Immunity Certificates
5 May, 2020 | 04:16h | UTCRelated: Covid-19 ‘immunity certificates’: practical and ethical conundrums – STAT AND The Dangerous History of Immunoprivilege – The New York Times AND “COVID-19 ‘Immunity Passports’ and Dystopian Segregation: A Few Concerns” – Bioethics.net
Opinion: Pregnant Women Should be Given the Opportunity to be Included in Clinical Trials for COVID-19
3 May, 2020 | 21:51h | UTC“We recommend and urge the scientific community and professional societies that, without clear justification for exclusion, pregnant women should be given the opportunity to be included in clinical trials for COVID-19 based on the concepts of justice, equity, autonomy, and informed consent.”
Perspective: Covid-19 — A Reminder to Reason
30 Apr, 2020 | 04:15h | UTCCovid-19 — A Reminder to Reason – New England Journal of Medicine
Which Epidemiologist do you Believe? The Debate About Lockdown is Not a Contest Between Good and Evil
28 Apr, 2020 | 04:33h | UTCWhich epidemiologist do you believe? – UnHeard
“The debate about lockdown is not a contest between good and evil”
Perspective: Scientists Who Express Different Views on Covid-19 Should Be Heard, not Demonized
28 Apr, 2020 | 04:30h | UTCScientists who express different views on Covid-19 should be heard, not demonized – STAT
Pandemic Parlance: Public Health Needs new Language for the Coronavirus Pandemic
28 Apr, 2020 | 04:22h | UTCPandemic parlance: public health needs new language for the coronavirus pandemic – The BMJ Opinion
Perspective: Opposing Discriminatory Approaches to the Allocation of Resources During the COVID-19 Pandemic and Other Health System Catastrophes
26 Apr, 2020 | 21:28h | UTCRelated Debate: Is it Wrong to Prioritize Younger Patients with Covid-19?
Perspective: Against Pandemic Research Exceptionalism
24 Apr, 2020 | 03:39h | UTCAgainst pandemic research exceptionalism – Science
“Crises are no excuse for lowering scientific standards.”
Debate: Is it Wrong to Prioritize Younger Patients with Covid-19?
24 Apr, 2020 | 03:30h | UTCIs it wrong to prioritise younger patients with covid-19? – The BMJ
Commentary: Should age be a prioritizing factor in deciding who gets treated for COVID-19? – News Medical
Editorial: Is CPR Justified for Hospital Patients with Covid-19?
7 Apr, 2020 | 04:26h | UTCEditorial: Cardiopulmonary Resuscitation after Hospital Admission with Covid-19 – The BMJ
“This pandemic has changed the risk-benefit balance for CPR: from “there is no harm in trying” to “there is little benefit to the patient, and potentially significant harm to staff.””
Opinion: Doctors Need Room to Make the Wrenching Decisions They Face
6 Apr, 2020 | 01:27h | UTCDoctors Need Room to Make the Wrenching Decisions They Face – The New York Times
“New York is granting health care providers civil and criminal immunity during the coronavirus emergency. So should other states.”
Guidance: Allocation of Scarce Critical Care Resources During a Public Health Emergency
3 Apr, 2020 | 04:00h | UTCAllocation of Scarce Critical Care Resources During a Public Health Emergency – University of Pittsburg
Commentary: A system to allocate scarce ventilators and ICU beds gains traction for not counting any group out – STAT
COVID-19: Ethical Guidance Published for Frontline Staff Dealing with Pandemic
2 Apr, 2020 | 04:11h | UTCEthical guidance published for frontline staff dealing with pandemic – Royal College of Physicians
Related: An Ethicist on How to Make Impossible Decisions – The Atlantic
Ethical Considerations in the Allocation of Critical Care Resources When Capacity is Overwhelmed
31 Mar, 2020 | 04:37h | UTC
Video: Coronavirus (COVID-19) Update: Fairly Rationing ICU Care
30 Mar, 2020 | 01:30h | UTCCoronavirus (COVID-19) Update: Fairly Rationing ICU Care – JAMA
The Importance of Addressing Advance Care Planning and Decisions About Do-Not-Resuscitate Orders During Novel Coronavirus 2019 (COVID-19)
30 Mar, 2020 | 01:33h | UTC
COVID Ethics: Should clinicians see patients without appropriate PPE?
26 Mar, 2020 | 01:48h | UTCCOVID Ethics: Should clinicians see patients without appropriate PPE? – First10EM
See also: COVID-19: Updates in Bioethics
Fair Allocation of Scarce Medical Resources in the Time of Covid-19
24 Mar, 2020 | 11:42h | UTCCommentary: Life, or death? Experts guide pandemic medical equipment decisions – CIDRAP
Related Perspective: The Toughest Triage — Allocating Ventilators in a Pandemic – New England Journal of Medicine
COVID-19: Updates in Bioethics
25 May, 2020 | 00:01h | UTCResource Centers:
- Ethics Resources on the Coronavirus (COVID-19) – The Hastings Center
- COVID-19 Ethics Resource Center – AMA Journal of Ethics
Guidelines:
- AGS Position Statement: Resource Allocation Strategies and Age‐Related Considerations in the COVID‐19 Era and Beyond – Journal of the American Geriatrics Society AND News Release: Position statement addresses difficult issue: allocating scare resources in COVID-19 era – American Geriatrics Society
- Allocation of Scarce Critical Care Resources During a Public Health Emergency – University of Pittsburg AND Commentary: A system to allocate scarce ventilators and ICU beds gains traction for not counting any group out – STAT (04/2020)
- Ethical guidance published for frontline staff dealing with pandemic – Royal College of Physicians (04/2020)
- Pandemic palliative care: beyond ventilators and saving lives – Canadian Medical Association Journal AND Commentary: A COVID-19 palliative care pandemic plan: An essential tool – Canadian Medical Association Journal (04/2020)
Videos:
Selected Articles:
- NEW – Editorial: Ethical road map through the covid-19 pandemic – The BMJ (05/2020)
- An Ethical Framework for Allocating Scarce Inpatient Medications for COVID-19 in the US – JAMA (05/2020)
- Ethics of reallocating ventilators in the covid-19 pandemic – The BMJ (05/2020)
- Allocating Scarce Resources and Triaging Patients during the COVID-19 Pandemic – Journal of the American College of Cardiology AND Commentary: COVID-19 Triage, Allocation Decisions Must Be Guided by Ethical Principles and Values – American College of Cardiology (05/2020)
- Privileges and Immunity Certification During the COVID-19 Pandemic – JAMA AND Related article: The Ethics of COVID-19 Immunity-Based Licenses (“Immunity Passports”) – JAMA
- CPR in the Covid-19 Era — An Ethical Framework – New England Journal of Medicine (05/2020)
- Ethics guidelines on COVID-19 triage—an emerging international consensus – Critical Care (05/2020)
- Ethics of controlled human infection to study COVID-19 – Science (05/2020)
- The Equitable Distribution of COVID-19 Therapeutics and Vaccines – JAMA (05/2020)
- Critical Conversations: Say This, Not That – CHEST (05/2020)
- Sure, The Velociraptors Are Still on The Loose, But That’s No Reason Not to Reopen Jurassic Park – McSweeney’s (05/2020)
- Universal Do-Not-Resuscitate Orders, Social Worth, and Life-Years: Opposing Discriminatory Approaches to the Allocation of Resources During the COVID-19 Pandemic and Other Health System Catastrophes – Annals of Internal Medicine (04/2020)
- Ventilator Triage Policies During the COVID-19 Pandemic at U.S. Hospitals Associated With Members of the Association of Bioethics Program Directors – Annals of Internal Medicine (04/2020)
- COVID-19 Ethics and Research – Mayo Clinic Proceedings (04/2020)
- Is it wrong to prioritise younger patients with covid-19? – The BMJ AND Commentary: Should age be a prioritizing factor in deciding who gets treated for COVID-19? – News Medical (04/2020)
- Ethics in the Time of Coronavirus: Recommendations in the COVID-19 Pandemic – Journal of the American College of Surgeons (04/2020)
- Ethical Rationing of Personal Protective Equipment to Minimize Moral Residue During the COVID-19 Pandemic – Journal of the American College of Surgeons (04/2020)
- If the world fails to protect the economy, COVID-19 will damage health not just now but also in the future – Nature Medicine (via @EricTopol see Tweet) (04/2020)
- Editorial: Cardiopulmonary Resuscitation after Hospital Admission with Covid-19 – The BMJ (04/2020)
- COVID-19 and experiences of moral injury in front-line key workers – Occupational Medicine (04/2020)
- Should we give priority care to healthcare workers in the covid-19 pandemic? – The BMJ Opinion (04/2020)
- Ethical considerations in the allocation of critical care resources when capacity is overwhelmed – Canadian Journal of Emergency Medicine (03/2020)
- The Importance of Addressing Advance Care Planning and Decisions About Do-Not-Resuscitate Orders During Novel Coronavirus 2019 (COVID-19) – JAMA (03/2020)
- The Toughest Triage — Allocating Ventilators in a Pandemic – New England Journal of Medicine (03/2020)
- Fair Allocation of Scarce Medical Resources in the Time of Covid-19 – New England Journal of Medicine AND Commentary: Life, or death? Experts guide pandemic medical equipment decisions – CIDRAP (03/2020)
News & Perspectives:
- Restarting America Means People Will Die. So When Do We Do It? – The New York Times (04/2020)
- Who gets a ventilator? New gut-wrenching state guidelines issued on rationing equipment – Boston Globe (04/2020)
- Doctors Need Room to Make the Wrenching Decisions They Face – The New York Times (04/2020)
- If it comes to rationing, I shouldn’t have to be the one deciding who should live and who should die – STAT (04/2020)
- Patient Has Virus and Serious Cancer. Should Doctors Withhold Ventilator? – The New York Times (04/2020)
- COVID Ethics: Should clinicians see patients without appropriate PPE? – First10EM (03/2020)
- Who Should Be Saved First? Experts Offer Ethical Guidance – The New York Times (03/2020)
- ICU doctors now face the toughest decisions they will ever have to make – The Guardian (03/2020)
- ‘Is Ordering Takeout Unethical?’ A Medical Ethicist Answers Some of the Most Common Moral Questions Around Coronavirus – TIME
- What if Two COVID-19 Victims Need Ventilators and Just One Is Available? – Scientific American
COVID-19 Radiology: This page will be updated as often as necessary and will be fixed the right column in our homepage.
Ten Simple Rules to Becoming a Principal Investigator
8 Mar, 2020 | 20:37h | UTCTen Simple Rules to becoming a principal investigator – PLOS Computational Biology (free)
Related Commentary on Twitter
Read this article if you are wondering what is wrong in academia.
Spoiler: research integrity didn't make the 10 most important rules for becoming a PIhttps://t.co/BjhuaFuJGb pic.twitter.com/IJxBmouIBd
— Maarten van Smeden (@MaartenvSmeden) March 6, 2020
Opinion: “WHO’s malaria vaccine study represents a “serious breach of international ethical standards””
1 Mar, 2020 | 19:04h | UTC
Editorial – “No Raw Data, No Science: Another Possible Source of the Reproducibility Crisis”
23 Feb, 2020 | 22:07h | UTCNo raw data, no science: another possible source of the reproducibility crisis – Molecular Brain (free)
Commentary: How a ‘no raw data, no science’ outlook can resolve the reproducibility crisis in science – by Fujita Health University (free)
Related: Can We Science Our Way out of the Reproducibility Crisis? – Absolutely Maybe Blog (free) AND Study: Evaluating the Replicability of Social Science Experiments (link to abstract and commentaries) AND Five ways to fix statistics – Nature (free) AND Make replication studies ‘a normal and essential part of science,’ Dutch science academy says – Science (free) AND Reproducibility of clinical research in critical care: a scoping review (free) AND Reproducibility Trial Publishes Two Conclusions for One Paper (free)
Related Commentary on Twitter
My editorial paper entitled, "No raw data, no science: another possible source of the reproducibility crisis". When I feel the results are too beautiful, I requested raw data before sending it out for review. 40 out of 41 did not send me the right data.https://t.co/ve99RgkHMe pic.twitter.com/KyP60jZ8Mp
— Tsuyoshi Miyakawa (@tsuyomiyakawa) February 21, 2020
Essay: On the Ethics of Algorithmic Decision-making in Healthcare
23 Feb, 2020 | 21:42h | UTCOn the ethics of algorithmic decision-making in healthcare – Journal of Medical Ethics (free)
Commentary: Experts Raise Ethical Concerns About Machine Learning in Medicine – Mad in America (free)
Related Commentary on Twitter
Nice new paper @JME_BMJ on pros & cons of algorithmic decision-making in healthcare. (Spoiler alert! There are ethically significant trade-offs…) https://t.co/u0xBa0JBtS
— Daniel Tigard (@dwtigard) November 28, 2019
Perspective: Should the First Rule of Medicine Be Not “Do No Harm” but Rather “Be Kind”?
21 Feb, 2020 | 08:36h | UTCShould the first rule of medicine be not “Do no harm” but rather “Be kind”? – The BMJ Opinion (free)
Related Commentary on Twitter
Should the first rule of medicine be not “Do no harm” but rather “Be kind”? @Richard56 contemplates the importance of kindness and compassion https://t.co/BlTz09CGgd
— The BMJ (@bmj_latest) February 19, 2020
Opinion Article – Use of Methylphenidate Analogues as Cognitive Enhancers: The Prelude to Cosmetic Neurology and an Ethical Issue
18 Feb, 2020 | 08:03h | UTCRelated: Perspective: Use of ‘Smart Drugs’ on the Rise (several texts on the subject)