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Decision-making in lack of resources in the health care system during mass casualties and disasters
Šeblová, Jana ; Fošum, Jan (advisor) ; Štica, Petr (referee)
Decision-making in lack of resources in the health care system during mass casualties and disasters The thesis discusses the ethics of decicion-making in the situation of the lack of material and personnel resources during managing mass casualties and disasters. The overview of basics of disaster medicine, prinicples of crisis preparedness and management of mass casualties are presented in the introduction. Basic terms are explained here: types of mass casualties, phases of reaction, immediate response services, and special attention is dedicated to explanation of medical triage during normal and extreme circumstances. The second part of the thesis deals with ethical theories related to disaster medicine. Deontology, consequentialism, utilitarism, ethics of biomedical principles, virtue ethics, justice and the concept of human rights, communitarism and care ethics are analysed. COVID-19 pandemic was chosen as a reference event. It is presented as a case report focusing on decision-making concerning allocation of scarce resources in the health care system. Guidelines for ethical decision-making during the critical phases of pandemic that were created in the years 2020-2021 are analysed. Some possible activities for improvement of crisis preparedness for future challenges of disaster medicine are...
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