[Brianna Ledger]

1. Rescue efforts intensify when the generators fail, as nurses must ventilate patients by hand. The death count rises and so does the heat. What key decisions kept people alive in this chapter? Which decisions resulted in death?

The nurses used the abu bags to keep the patients alive after the generator failed. The decisions that resulted in death was the thought that euthanizing human beings was the right thing to do.

2. Who was the man with the boats calling for rescue in the middle of the night? Why were pets brought to the hospital? How is the Cloverleaf an important part of this story?

The man in the middle of the night was just a distraction to rob people. People brought pets to the hospital for refuge and they are like their children. Cloverleaf was suppose to have resources and it was just field.

3. When Mark LeBlanc enters the hospital to save his mother he is taken aback by the tone of resignation among the staff. Is he just viewing the situation from an outsider perspective, as someone who did not spend the past 48 hours lifting patients to the helipad for rescue, or does he have a point?

He might have not been there for the last 48 lifting and watching over patients, he did have a point about there still being DNRs with them for a reason.

4. Did the priority system for evacuating patients fit within accepted triage practices? Why or why not? Is a utilitarian approach the best? If not, which approach do you think is superior? Discuss the difficulties inherent to practicing triage medicine. Which approach is best for Organ Sharing?

The Priority system for evacuating patients did not fit within acceptable triage practices because they had very limited resources. A utilitarian approach means that everyone is getting quality care and getting maximum care from the team, even though they in fact did have limited resources I don’t believe they exhausted all their options. SALT triage, Sort, Assess, Lifesaving interventions, transport/treatment, would be the best way to ensure that there would be a better outcome during the disaster. Some difficulties would be moral and ethically issues. The best approach for organ sharing is to give the organ to the patient who would need urgently rather than a patient who would like live without it.

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