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Allocation of Resources case study; A 28-year-old male is admitted with bacterial endocarditis and needs a...

Allocation of Resources case study;

A 28-year-old male is admitted with bacterial endocarditis and needs a replacement of his prosthetic heart valve. After his first replacement, he continued to abuse intravenous drugs. The medical team feels it would be "futile" and a waste of medical resources to replace this heart valve yet again.

Is the team's judgment appropriate in this case?

On a busy night in the ER a member of the hospital board comes in with her sick child and asks that you see him right away. The child has a sore throat and red eye and he appears subdued, but alert. You have a full waiting room.

What should you do?

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Answer #1

Yes,the team's judgement is apropriate because he is abusing his body. There is no benefit of the second transplantation .This transplantation can be done to the other person who really need it . It can save the other person's life as there are limited resouces for transplantation .This patient has no value of his body and the other one which has been transplanted .If he has then he would not abuse his body and he doesn't have any need of transplantation .

I will give him antibiotic like chloroamphinicol or sulfonamide and put some eyedrops in his eyes that will give him relaxation and after some time the child will be fine .

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