© 2002

Three Patients

International Perspective on Intensive Care at the End of Life

  • David Crippen
  • Jack K. Kilcullen
  • David F. Kelly

Table of contents

  1. Front Matter
    Pages i-xix
  2. Introduction

    1. Front Matter
      Pages 1-1
    2. Jack K. Kilcullen
      Pages 3-6
    3. David F. Kelly
      Pages 7-23
  3. Multinational Perspective on Treatment of the Three Patients

    1. Front Matter
      Pages 25-25
    2. David Crippen
      Pages 27-31
    3. Richard Burrows
      Pages 33-37
    4. Malcolm Fisher
      Pages 39-41
    5. Anna Batchelor
      Pages 43-47
    6. Farhad Kapadia
      Pages 49-54
    7. Stephen Streat
      Pages 55-60
    8. Hans van der Spoel
      Pages 61-66
    9. Michael Karakozov
      Pages 67-72
    10. Ian K. S. Tan
      Pages 73-75
    11. Aviel Roy-Shapira
      Pages 77-82
    12. Ted S. Rogovein
      Pages 83-88
    13. Don Chalfin
      Pages 89-94
  4. Summaries of Medical Comments

    1. Front Matter
      Pages 95-95
    2. Patient A

      1. Bruce Gipe
        Pages 99-109
      2. John W. Hoyt
        Pages 111-116

About this book


This volume explores how the scarce resources of intensive care units should be distributed. Three hypothetical patients, each with a different chance of survival, desire intensive care. A multinational panel of experienced critical care physicians offers assessments of the patients' conditions and outlines approaches to treatment. These approaches are then examined by academic medical experts and a medical ethicist, as well as from a legal perspective. The result is a well-rounded and introspective look at care for critically ill patients at or near the end of life.


Atmen care critical care intensive care multiple organ failure

Editors and affiliations

  • David Crippen
    • 1
  • Jack K. Kilcullen
    • 2
  • David F. Kelly
    • 3
  1. 1.Departments of Emergency and Critical Care MedicineSt. Francis Medical CenterPittsburghUSA
  2. 2.Division of Critical Care Medicine, Albert Einstein College of MedicineMontefiore Medical CenterBronxUSA
  3. 3.Health Care Ethics CenterDuquesne UniversityPittsburghUSA

Bibliographic information


"this book provides a very interesting and stimulating dialogue on the increasingly complex end-of-life issues that are so relevant to the practice of intensive care medicine."
(Anaesthesia and Intensive Care, October (2002)