The good, the bad and the ugly: pandemic priority decisions and triage.
Identifieur interne : 000420 ( Main/Exploration ); précédent : 000419; suivant : 000421The good, the bad and the ugly: pandemic priority decisions and triage.
Auteurs : Hans Flaatten [Norvège] ; Vernon Van Heerden [Israël] ; Christian Jung [Allemagne] ; Michael Beil [Israël] ; Susannah Leaver [Royaume-Uni] ; Andrew Rhodes [Royaume-Uni] ; Bertrand Guidet [France] ; Dylan W. Delange [Pays-Bas]Source :
- Journal of medical ethics [ 1473-4257 ] ; 2020.
Abstract
In this analysis we discuss the change in criteria for triage of patients during three different phases of a pandemic like COVID-19, seen from the critical care point of view. Availability of critical care beds has become a hot topic, and in many countries, we have seen a huge increase in the provision of temporary intensive care bed capacity. However, there is a limit where the hospitals may run out of resources to provide critical care, which is heavily dependent on trained staff, just-in-time supply chains for clinical consumables and drugs and advanced equipment. In the first (good) phase, we can still do clinical prioritisation and decision-making as usual, based on the need for intensive care and prognostication: what are the odds for a good result with regard to survival and quality of life. In the next (bad phase), the resources are mostly available, but the system is stressed by many patients arriving over a short time period and auxiliary beds in different places in the hospital being used. We may have to abandon admittance of patients with doubtful prognosis. In the last (ugly) phase, usual medical triage and priority setting may not be sufficient to decrease inflow and there may not be enough intensive care unit beds available. In this phase different criteria must be applied using a utilitarian approach for triage. We argue that this is an important transition where society, and not physicians, must provide guidance to support triage that is no longer based on medical priorities alone.
DOI: 10.1136/medethics-2020-106489
PubMed: 32522814
PubMed Central: PMC7299641
Affiliations:
- Allemagne, France, Israël, Norvège, Pays-Bas, Royaume-Uni
- Angleterre, District de Düsseldorf, Grand Londres, Rhénanie-du-Nord-Westphalie, Utrecht (province), Île-de-France
- Düsseldorf, Londres, Utrecht
Links toward previous steps (curation, corpus...)
Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">The good, the bad and the ugly: pandemic priority decisions and triage.</title><author><name sortKey="Flaatten, Hans" sort="Flaatten, Hans" uniqKey="Flaatten H" first="Hans" last="Flaatten">Hans Flaatten</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anaesthesia, Haukeland Universitetssjukehus, Bergen, Norway hans.flaatten@uib.no.</nlm:affiliation><country wicri:rule="url">Norvège</country><wicri:regionArea>Department of Anaesthesia, Haukeland Universitetssjukehus, Bergen</wicri:regionArea><wicri:noRegion>Bergen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Intensive Care and Department of Clinical Medicine, Haukeland Universitetssjukehus, Bergen, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Intensive Care and Department of Clinical Medicine, Haukeland Universitetssjukehus, Bergen</wicri:regionArea><wicri:noRegion>Bergen</wicri:noRegion></affiliation></author><author><name sortKey="Van Heerden, Vernon" sort="Van Heerden, Vernon" uniqKey="Van Heerden V" first="Vernon" last="Van Heerden">Vernon Van Heerden</name><affiliation wicri:level="1"><nlm:affiliation>General Intensive Care Unit, Hadassah Medical Center, Jerusalem, Jerusalem, Israel.</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>General Intensive Care Unit, Hadassah Medical Center, Jerusalem, Jerusalem</wicri:regionArea><wicri:noRegion>Jerusalem</wicri:noRegion></affiliation></author><author><name sortKey="Jung, Christian" sort="Jung, Christian" uniqKey="Jung C" first="Christian" last="Jung">Christian Jung</name><affiliation wicri:level="3"><nlm:affiliation>Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine-University, Düsseldorf, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine-University, Düsseldorf</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Düsseldorf</region><settlement type="city">Düsseldorf</settlement></placeName></affiliation></author><author><name sortKey="Beil, Michael" sort="Beil, Michael" uniqKey="Beil M" first="Michael" last="Beil">Michael Beil</name><affiliation wicri:level="1"><nlm:affiliation>General Intensive Care Unit, Hadassah Medical Center, Jerusalem, Jerusalem, Israel.</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>General Intensive Care Unit, Hadassah Medical Center, Jerusalem, Jerusalem</wicri:regionArea><wicri:noRegion>Jerusalem</wicri:noRegion></affiliation></author><author><name sortKey="Leaver, Susannah" sort="Leaver, Susannah" uniqKey="Leaver S" first="Susannah" last="Leaver">Susannah Leaver</name><affiliation wicri:level="3"><nlm:affiliation>Intensive Care and Respiratory Medicine, St George's University Hospitals NHS Foundation Trust, London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Intensive Care and Respiratory Medicine, St George's University Hospitals NHS Foundation Trust, London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Rhodes, Andrew" sort="Rhodes, Andrew" uniqKey="Rhodes A" first="Andrew" last="Rhodes">Andrew Rhodes</name><affiliation wicri:level="3"><nlm:affiliation>St George's University Hospitals NHS Foundation Trust, London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>St George's University Hospitals NHS Foundation Trust, London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Guidet, Bertrand" sort="Guidet, Bertrand" uniqKey="Guidet B" first="Bertrand" last="Guidet">Bertrand Guidet</name><affiliation wicri:level="3"><nlm:affiliation>Assistance Publique, Hôpitaux de Paris, Hôpital Saint‑Antoine, Service de Réanimation Médicale, Paris 75012, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Assistance Publique, Hôpitaux de Paris, Hôpital Saint‑Antoine, Service de Réanimation Médicale, Paris 75012</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation></author><author><name sortKey="Delange, Dylan W" sort="Delange, Dylan W" uniqKey="Delange D" first="Dylan W" last="Delange">Dylan W. Delange</name><affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care Medicine, University Medical Center, University of Utrecht, Utrecht, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Intensive Care Medicine, University Medical Center, University of Utrecht, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:32522814</idno><idno type="pmid">32522814</idno><idno type="doi">10.1136/medethics-2020-106489</idno><idno type="pmc">PMC7299641</idno><idno type="wicri:Area/Main/Corpus">000E50</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000E50</idno><idno type="wicri:Area/Main/Curation">000E50</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000E50</idno><idno type="wicri:Area/Main/Exploration">000E50</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">The good, the bad and the ugly: pandemic priority decisions and triage.</title><author><name sortKey="Flaatten, Hans" sort="Flaatten, Hans" uniqKey="Flaatten H" first="Hans" last="Flaatten">Hans Flaatten</name><affiliation wicri:level="1"><nlm:affiliation>Department of Anaesthesia, Haukeland Universitetssjukehus, Bergen, Norway hans.flaatten@uib.no.</nlm:affiliation><country wicri:rule="url">Norvège</country><wicri:regionArea>Department of Anaesthesia, Haukeland Universitetssjukehus, Bergen</wicri:regionArea><wicri:noRegion>Bergen</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Intensive Care and Department of Clinical Medicine, Haukeland Universitetssjukehus, Bergen, Norway.</nlm:affiliation><country xml:lang="fr">Norvège</country><wicri:regionArea>Intensive Care and Department of Clinical Medicine, Haukeland Universitetssjukehus, Bergen</wicri:regionArea><wicri:noRegion>Bergen</wicri:noRegion></affiliation></author><author><name sortKey="Van Heerden, Vernon" sort="Van Heerden, Vernon" uniqKey="Van Heerden V" first="Vernon" last="Van Heerden">Vernon Van Heerden</name><affiliation wicri:level="1"><nlm:affiliation>General Intensive Care Unit, Hadassah Medical Center, Jerusalem, Jerusalem, Israel.</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>General Intensive Care Unit, Hadassah Medical Center, Jerusalem, Jerusalem</wicri:regionArea><wicri:noRegion>Jerusalem</wicri:noRegion></affiliation></author><author><name sortKey="Jung, Christian" sort="Jung, Christian" uniqKey="Jung C" first="Christian" last="Jung">Christian Jung</name><affiliation wicri:level="3"><nlm:affiliation>Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine-University, Düsseldorf, Germany.</nlm:affiliation><country xml:lang="fr">Allemagne</country><wicri:regionArea>Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine-University, Düsseldorf</wicri:regionArea><placeName><region type="land" nuts="1">Rhénanie-du-Nord-Westphalie</region><region type="district" nuts="2">District de Düsseldorf</region><settlement type="city">Düsseldorf</settlement></placeName></affiliation></author><author><name sortKey="Beil, Michael" sort="Beil, Michael" uniqKey="Beil M" first="Michael" last="Beil">Michael Beil</name><affiliation wicri:level="1"><nlm:affiliation>General Intensive Care Unit, Hadassah Medical Center, Jerusalem, Jerusalem, Israel.</nlm:affiliation><country xml:lang="fr">Israël</country><wicri:regionArea>General Intensive Care Unit, Hadassah Medical Center, Jerusalem, Jerusalem</wicri:regionArea><wicri:noRegion>Jerusalem</wicri:noRegion></affiliation></author><author><name sortKey="Leaver, Susannah" sort="Leaver, Susannah" uniqKey="Leaver S" first="Susannah" last="Leaver">Susannah Leaver</name><affiliation wicri:level="3"><nlm:affiliation>Intensive Care and Respiratory Medicine, St George's University Hospitals NHS Foundation Trust, London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Intensive Care and Respiratory Medicine, St George's University Hospitals NHS Foundation Trust, London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Rhodes, Andrew" sort="Rhodes, Andrew" uniqKey="Rhodes A" first="Andrew" last="Rhodes">Andrew Rhodes</name><affiliation wicri:level="3"><nlm:affiliation>St George's University Hospitals NHS Foundation Trust, London, London, UK.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>St George's University Hospitals NHS Foundation Trust, London, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author><author><name sortKey="Guidet, Bertrand" sort="Guidet, Bertrand" uniqKey="Guidet B" first="Bertrand" last="Guidet">Bertrand Guidet</name><affiliation wicri:level="3"><nlm:affiliation>Assistance Publique, Hôpitaux de Paris, Hôpital Saint‑Antoine, Service de Réanimation Médicale, Paris 75012, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Assistance Publique, Hôpitaux de Paris, Hôpital Saint‑Antoine, Service de Réanimation Médicale, Paris 75012</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region></placeName></affiliation></author><author><name sortKey="Delange, Dylan W" sort="Delange, Dylan W" uniqKey="Delange D" first="Dylan W" last="Delange">Dylan W. Delange</name><affiliation wicri:level="3"><nlm:affiliation>Department of Intensive Care Medicine, University Medical Center, University of Utrecht, Utrecht, Netherlands.</nlm:affiliation><country xml:lang="fr">Pays-Bas</country><wicri:regionArea>Department of Intensive Care Medicine, University Medical Center, University of Utrecht, Utrecht</wicri:regionArea><placeName><settlement type="city">Utrecht</settlement><region nuts="2" type="province">Utrecht (province)</region></placeName></affiliation></author></analytic><series><title level="j">Journal of medical ethics</title><idno type="eISSN">1473-4257</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In this analysis we discuss the change in criteria for triage of patients during three different phases of a pandemic like COVID-19, seen from the critical care point of view. Availability of critical care beds has become a hot topic, and in many countries, we have seen a huge increase in the provision of temporary intensive care bed capacity. However, there is a limit where the hospitals may run out of resources to provide critical care, which is heavily dependent on trained staff, just-in-time supply chains for clinical consumables and drugs and advanced equipment. In the first (good) phase, we can still do clinical prioritisation and decision-making as usual, based on the need for intensive care and prognostication: what are the odds for a good result with regard to survival and quality of life. In the next (bad phase), the resources are mostly available, but the system is stressed by many patients arriving over a short time period and auxiliary beds in different places in the hospital being used. We may have to abandon admittance of patients with doubtful prognosis. In the last (ugly) phase, usual medical triage and priority setting may not be sufficient to decrease inflow and there may not be enough intensive care unit beds available. In this phase different criteria must be applied using a utilitarian approach for triage. We argue that this is an important transition where society, and not physicians, must provide guidance to support triage that is no longer based on medical priorities alone.</div></front></TEI><pubmed><MedlineCitation Status="Publisher" Owner="NLM"><PMID Version="1">32522814</PMID><DateRevised><Year>2020</Year><Month>07</Month><Day>22</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1473-4257</ISSN><JournalIssue CitedMedium="Internet"><PubDate><Year>2020</Year><Month>Jun</Month><Day>10</Day></PubDate></JournalIssue><Title>Journal of medical ethics</Title><ISOAbbreviation>J Med Ethics</ISOAbbreviation></Journal><ArticleTitle>The good, the bad and the ugly: pandemic priority decisions and triage.</ArticleTitle><ELocationID EIdType="pii" ValidYN="Y">medethics-2020-106489</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1136/medethics-2020-106489</ELocationID><Abstract><AbstractText>In this analysis we discuss the change in criteria for triage of patients during three different phases of a pandemic like COVID-19, seen from the critical care point of view. Availability of critical care beds has become a hot topic, and in many countries, we have seen a huge increase in the provision of temporary intensive care bed capacity. However, there is a limit where the hospitals may run out of resources to provide critical care, which is heavily dependent on trained staff, just-in-time supply chains for clinical consumables and drugs and advanced equipment. In the first (good) phase, we can still do clinical prioritisation and decision-making as usual, based on the need for intensive care and prognostication: what are the odds for a good result with regard to survival and quality of life. In the next (bad phase), the resources are mostly available, but the system is stressed by many patients arriving over a short time period and auxiliary beds in different places in the hospital being used. We may have to abandon admittance of patients with doubtful prognosis. In the last (ugly) phase, usual medical triage and priority setting may not be sufficient to decrease inflow and there may not be enough intensive care unit beds available. In this phase different criteria must be applied using a utilitarian approach for triage. We argue that this is an important transition where society, and not physicians, must provide guidance to support triage that is no longer based on medical priorities alone.</AbstractText><CopyrightInformation>© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Flaatten</LastName><ForeName>Hans</ForeName><Initials>H</Initials><AffiliationInfo><Affiliation>Department of Anaesthesia, Haukeland Universitetssjukehus, Bergen, Norway hans.flaatten@uib.no.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Intensive Care and Department of Clinical Medicine, Haukeland Universitetssjukehus, Bergen, Norway.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Van Heerden</LastName><ForeName>Vernon</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>General Intensive Care Unit, Hadassah Medical Center, Jerusalem, Jerusalem, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jung</LastName><ForeName>Christian</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Division of Cardiology, Pulmonology and Vascular Medicine, Heinrich-Heine-University, Düsseldorf, Germany.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beil</LastName><ForeName>Michael</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>General Intensive Care Unit, Hadassah Medical Center, Jerusalem, Jerusalem, Israel.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Leaver</LastName><ForeName>Susannah</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Intensive Care and Respiratory Medicine, St George's University Hospitals NHS Foundation Trust, London, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rhodes</LastName><ForeName>Andrew</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>St George's University Hospitals NHS Foundation Trust, London, London, UK.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guidet</LastName><ForeName>Bertrand</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>Assistance Publique, Hôpitaux de Paris, Hôpital Saint‑Antoine, Service de Réanimation Médicale, Paris 75012, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>deLange</LastName><ForeName>Dylan W</ForeName><Initials>DW</Initials><AffiliationInfo><Affiliation>Department of Intensive Care Medicine, University Medical Center, University of Utrecht, Utrecht, Netherlands.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>06</Month><Day>10</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Med Ethics</MedlineTA><NlmUniqueID>7513619</NlmUniqueID><ISSNLinking>0306-6800</ISSNLinking></MedlineJournalInfo><CitationSubset>E</CitationSubset><CitationSubset>IM</CitationSubset><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">allocation of health care resources</Keyword><Keyword MajorTopicYN="N">anaesthetics / anesthesiology</Keyword><Keyword MajorTopicYN="N">clinical ethics</Keyword><Keyword MajorTopicYN="N">epidemiology</Keyword><Keyword MajorTopicYN="N">health care for specific diseases/groups</Keyword></KeywordList><CoiStatement>Competing interests: None declared.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2020</Year><Month>05</Month><Day>22</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>05</Month><Day>31</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>6</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>6</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>6</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>aheadofprint</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32522814</ArticleId><ArticleId IdType="pii">medethics-2020-106489</ArticleId><ArticleId IdType="doi">10.1136/medethics-2020-106489</ArticleId><ArticleId IdType="pmc">PMC7299641</ArticleId></ArticleIdList><ReferenceList><Reference><Citation>Intensive Care Med. 2012 Oct;38(10):1647-53</Citation><ArticleIdList><ArticleId IdType="pubmed">22777516</ArticleId></ArticleIdList></Reference><Reference><Citation>Intensive Care Med. 2020 Jan;46(1):57-69</Citation><ArticleIdList><ArticleId IdType="pubmed">31784798</ArticleId></ArticleIdList></Reference><Reference><Citation>N Engl J Med. 2020 May 21;382(21):2049-2055</Citation><ArticleIdList><ArticleId IdType="pubmed">32202722</ArticleId></ArticleIdList></Reference><Reference><Citation>J Med Ethics. 2020 Jul;46(7):455-458</Citation><ArticleIdList><ArticleId IdType="pubmed">32424063</ArticleId></ArticleIdList></Reference><Reference><Citation>Chest. 2018 Jan;153(1):187-195</Citation><ArticleIdList><ArticleId IdType="pubmed">28802695</ArticleId></ArticleIdList></Reference><Reference><Citation>Crit Care Med. 2011 Mar;39(3):474-9</Citation><ArticleIdList><ArticleId IdType="pubmed">21150582</ArticleId></ArticleIdList></Reference><Reference><Citation>J Am Geriatr Soc. 2019 Jun;67(6):1263-1267</Citation><ArticleIdList><ArticleId IdType="pubmed">30977911</ArticleId></ArticleIdList></Reference><Reference><Citation>J Med Ethics. 2020 Jun;46(6):364-366</Citation><ArticleIdList><ArticleId IdType="pubmed">32277018</ArticleId></ArticleIdList></Reference><Reference><Citation>Intensive Care Med. 2017 Sep;43(9):1319-1328</Citation><ArticleIdList><ArticleId IdType="pubmed">28238055</ArticleId></ArticleIdList></Reference><Reference><Citation>Crit Care Med. 2012 Jan;40(1):125-31</Citation><ArticleIdList><ArticleId IdType="pubmed">21926598</ArticleId></ArticleIdList></Reference></ReferenceList></PubmedData></pubmed><affiliations><list><country><li>Allemagne</li><li>France</li><li>Israël</li><li>Norvège</li><li>Pays-Bas</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>District de Düsseldorf</li><li>Grand Londres</li><li>Rhénanie-du-Nord-Westphalie</li><li>Utrecht (province)</li><li>Île-de-France</li></region><settlement><li>Düsseldorf</li><li>Londres</li><li>Utrecht</li></settlement></list><tree><country name="Norvège"><noRegion><name sortKey="Flaatten, Hans" sort="Flaatten, Hans" uniqKey="Flaatten H" first="Hans" last="Flaatten">Hans Flaatten</name></noRegion><name sortKey="Flaatten, Hans" sort="Flaatten, Hans" uniqKey="Flaatten H" first="Hans" last="Flaatten">Hans Flaatten</name></country><country name="Israël"><noRegion><name sortKey="Van Heerden, Vernon" sort="Van Heerden, Vernon" uniqKey="Van Heerden V" first="Vernon" last="Van Heerden">Vernon Van Heerden</name></noRegion><name sortKey="Beil, Michael" sort="Beil, Michael" uniqKey="Beil M" first="Michael" last="Beil">Michael Beil</name></country><country name="Allemagne"><region name="Rhénanie-du-Nord-Westphalie"><name sortKey="Jung, Christian" sort="Jung, Christian" uniqKey="Jung C" first="Christian" last="Jung">Christian Jung</name></region></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Leaver, Susannah" sort="Leaver, Susannah" uniqKey="Leaver S" first="Susannah" last="Leaver">Susannah Leaver</name></region><name sortKey="Rhodes, Andrew" sort="Rhodes, Andrew" uniqKey="Rhodes A" first="Andrew" last="Rhodes">Andrew Rhodes</name></country><country name="France"><region name="Île-de-France"><name sortKey="Guidet, Bertrand" sort="Guidet, Bertrand" uniqKey="Guidet B" first="Bertrand" last="Guidet">Bertrand Guidet</name></region></country><country name="Pays-Bas"><region name="Utrecht (province)"><name sortKey="Delange, Dylan W" sort="Delange, Dylan W" uniqKey="Delange D" first="Dylan W" last="Delange">Dylan W. Delange</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/CovidFranceV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 000420 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 000420 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien
|wiki= Sante
|area= CovidFranceV1
|flux= Main
|étape= Exploration
|type= RBID
|clé= pubmed:32522814
|texte= The good, the bad and the ugly: pandemic priority decisions and triage.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Main/Exploration/RBID.i -Sk "pubmed:32522814" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd \
| NlmPubMed2Wicri -a CovidFranceV1
| This area was generated with Dilib version V0.6.37. |  |