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CRITCON Pandemic Levels_ a stepwise ethical approach to clinician responsibility FINAL JICS Submit.docx (47.93 kB)

CRITCON-Pandemic Levels - a stepwise ethical approach to clinician responsibility.

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posted on 2020-05-13, 15:16 authored by Dan HarveyDan Harvey, Andrew McGeeAndrew McGee, Thea DeBeer, David Shaw, Dale Gardiner

CRITCON-Pandemic Levels with an associated Operational Responsibility Matrix were recently published by the Intensive Care Society as a modification to Winter Flu CRITCON levels, to better account for differences between a winter flu surge in critical

care activity and the capacity challenges of the COVID-19 pandemic1. In this paper we propose an expansion and explanation of the Operational Matrix to suggest a stepwise ethical approach to clinician responsibility. We propose and outline the main ethical risks

created at each level and discuss how those risks can be mitigated through a balanced application of the predominant ethical principle which in turn provides practical guidance to clinician responsibility. We thus seek to specify the ethical and legal principles that should be used in applying the Operational Matrix, and what the practical effects could be.


Declaration of conflicts of interest


Corresponding author email

Lead author country

  • United Kingdom

Lead author job role

  • Practitioner/Professional

Lead author institution

Nottingham University Hospitals NHS Trust

Human Participants

  • No


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