Ethics in theEthics in theIntensive Care UnitIntensive Care Unit
Christine C. Toevs, MDChristine C. Toevs, MD
University of Mississippi Medical Center April 15, 2005
Care at the End of LifeCare at the End of Life
•Cassell, 2003;
Critical Care Medicine
Ethnographic study of three ICUsSurgeons - most important goal is defeating deathIntensivists - scarce resources and quality of life
Care at the End of LifeCare at the End of Life
Surgeons - covenantal ethics:
•surgeons define their relationship to the patient as a promise to battledeath on behalf of the patient•choice is simple-life or death•quality of that life not an issue
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