[PRECIOUS YEAKAR CYRILLE]

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?
The evacuation plans kept some people alive, the crew of doctors, nurses and family members carried memorial patients down flights of stairs and wheeled them to the hospital wing where the last working elevator brought them maneuvered onto stretchers and pass through a roughly three-by-three foot opening in the machine room wall that offered a shortcut to the parking garage. Many patients were placed in the back of the pickup truck which drove to the top of the garage.

Which decisions resulted in death? The triage system put into effect to deprioritized critically ill patients for evacuation, and it was later alleged that a numbers of these patients were euthanized by medical and nursing staff shortly before the entire hospital was evacuated on the fifth day of the crisis. Major issues included supply shortages, loss of power, lack of clear evacuation plans, breakdown in both internal and external communication and extreme fatigue.

2) Who was the man with the boats calling for rescue in the middle of the night?
The man with the boat calling for secure in the middle of the night, was a false alarm, a man walks through the hospital, shouting that boats are here and people can bring one bag and no animals. However, when the patients and family members went downstairs, they find out that there are not boats and it was a prank or a mistake. They have to go back upstairs, where some of them discovered that their extra belongings have been stolen.
Why were pets brought to the hospital?
For generations, the hospital sturdy walls served as a shelter when hurricane threatened. Employees would bring their families and pets as well as coolers packed with muffulettas when Katrina hit, many naturally sought refuge in the building, some bring their pets with them.
How is the cloverleaf an important part of this story?
According to the cast and character, cloverleaf is the name of a helicopter company that helped evacuate some of the patients and staff from the hospital. The company is run by a former military pilot named Jim Reeves, who is played by actor Courtney B. Vance. Cloverleaf plays an important role in the story because it provides a lifeline for people trapped in the hospital and also exposes of the ethical dilemmas and conflicts that arise during the crisis.

3)When Mark LeBlance 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 the outside perspective, as someone who did not spend the past 48 hours lifting patients to the helicopter for rescue, or does he have a point?
He wants to save his mother and other patients from the hospital that flooded without power after hurricane Katrina.
He doesn’t trust the hospital staffs to provide adequate care and comfort to the patients, especially those who are critically ill or elderly.
He believe that the hospital authorities are not enough or well equipped to evaluate the patients and staffs, and they are prioritizing their own interests over the patients lives.
He is willing to go against the hospital rules and regulations and even force if necessary to rescue his mother and other patients.

4) Did the priority system for evaluating patients fit within accepted triage practices?
The priority system for evaluating patient’s was based on the idea of saving the most lives possible by moving the patients who could easily move rather the the sickest ones. This was instructed by the state officials who promised to provide boats for evacuation.
However, this system did not fit within the accepted triage practices, which usually deprioritized the patients who are most in need of immediate care and have a chance of survival. The priority system also led to some of the staff members deciding to euthanize some of the critically ill, injured or elderly patients who were left behind, which was later investigated as a possible case of homicide. The priority system was controversial and unethical, it caused a lot of distress and anger among the patients, their families and staffs members.
Is a utilitarian approach the best?
A utilitarian is not the best or ethical approach, below are some superior approaches:
Deontology, this is a ethical theory that holds the best action and is follows a moral duty or rule, regardless of the consequences. A deontology may support a utilitarian approach if they believe that there’s a moral obligation or duty to maximizing happiness of the well-being for the greatest number of people.
Virtue ethics: this is a theory that holds the highest action, it’s the one that expresses a moral virtue or character traits such as courage, compassion, honesty or justice. Virtue ethicist may support a utilitarian approach if they believe that maximizing happiness or being-being and it can also give a patient peace of mind, knowing they are in good hands even on their dying beds.
Care ethics: this theory shows care and concerns for the relationship and emotions of those involved, especially the vulnerable and dependent.
Triage medicine: is the practice of sorting and prioritizing patients based on their needs for emergency care and the availability of resources.
Below are inherent in practicing triage medicine,
It may involve making quick and difficult decision under stressful and uncertain conditions, which may affect the accuracy and consistency of the triage process.
It may involve trade-offs between individual and collective interests, who are the most in need or have a better chance of survival.
It may face legal, moral, or social challenges or criticisms from patient families, staffs or authorities, especially if the triage criteria or outcomes are perceived as unfair, biased or discriminatory.

Organ sharing is the practice of allocating donated organs to patients who need organs transplantation.
Below are some approaches to organ sharing.
First-come-first-served: this approach allocates, organs based on waiting time of the patients on their waiting list, regardless of their medical urgency or compatibility.
Medical urgency: this approach allocates organs based on the medical urgency of the patients on the waiting list such as their risk of death or deterioration with out transplantation.
Compatibility: this approach allocates organs based on the compatibility of the patients on the waiting list with the donated organs such as their blood type, tissues type, or size match.
Utility: this approach allocates organs based on the expected benefit or outcome of the transplantation for the patients on the waiting list such as, their survival rate, quality of life, functional status.

There is no definitive answer to which approach is the best for organ sharing, as different approaches may have different advantages and disadvantages, it may also reflect different ethical values or goal

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