Intended for healthcare professionals

Letters Making ordinary decisions in extraordinary times

Making ordinary decisions in extraordinary times: a response

BMJ 2020; 371 doi: (Published 21 October 2020) Cite this as: BMJ 2020;371:m4061
  1. J F Cosgrove, consultant in anaesthesia and intensive care1,
  2. Simon Conroy, clinical lead for frailty networks2,
  3. Christopher Bassford, consultant in acute and intensive care medicine3,
  4. Katherine Henderson, president4,
  5. Liza Keating, consultant in emergency and intensive care medicine5,
  6. Zoe Fritz, Wellcome fellow in society and ethics, consultant physician6,
  7. Jugdeeb Deshi, consultant in geriatric and general internal medicine7,
  8. Steven Jones, consultant in emergency and intensive care medicine8,
  9. Deborah Thompson, director2,
  10. Alistair Gilmore, deputy registrar9
  1. 1Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK
  2. 2NHS Elect, London, UK
  3. 3University Hospitals Coventry and Warwickshire NHS Trust, UK
  4. 4Royal College of Emergency Medicine, London, UK
  5. 5Royal Berkshire Hospital, Reading, UK
  6. 6Addenbrooke’s Hospital, Cambridge, UK
  7. 7Guy’s and St Thomas’ NHS Foundation Trust, London, UK
  8. 8Manchester University NHS Foundation Trust, Manchester, UK
  9. 9Royal College of Physicians, London, UK
  1. joe.cosgrove{at}

With respect to the first wave of the covid-19 pandemic, Burman and colleagues question the extent of decision support guidance.1 While we agree that government guidance was lacking, clinically developed guidelines for decision making surrounding admission to intensive care were developed and disseminated. In September 2019, before the pandemic, the Faculty of Intensive Care Medicine published guidance on decision making, advance care planning, and end-of-life care.2 This included a …

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