By David E Hogan
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Extra info for Disaster Medicine
If one looks at this example strictly from the point of view of an individual following utilitarianism (a socalled rule utilitarian) there is no question. To achieve the greater good, the surgeon should violate the rights of the single individual (in this case by killing them and removing the organs—a rather severe violation of rights we think) and implant the organs in the five needful casualties. This act would clearly save more lives, increase the overall happiness in society, with five happy and living casualties, and only one dead casualty.
This individual is responsible for maintaining good communication and coordination between the activities at triage and the activities of the operating rooms, intensive care units (ICUs), wards, and ED areas. Finally, the liaison for hospital administration must be an integral part of this triad of people. They must keep administration appraised of the number and flow of casualties, act as an initiator for various administrative issues, and assist in the release of hospital resources when needed.
There are going to be a certain number of casualties who require little or no treatment and will do well with directed self-care or care postponed more than 24 hours with little or no risk, these casualties are usually termed minimal. 6. The resources consumed by casualties in points 2, 3, and 4 are such that they could treat a number of individual casualties described in point 2. It is never a matter of deciding who is to live, or who is to die, although it may seem that such an outcome is implicit with the triage decision made.
Disaster Medicine by David E Hogan