A study to take note of for those who find themselves in the dreadful position of having to contemplate triage in response to #COVID19 or any other disaster https://jamanetwork.com/journals/jama/fullarticle/2776737
Having recently raised similar concerns about this myself https://journals.lww.com/ccmjournal/Citation/2021/02000/It_Is_Time_to_Rethink_the_Role_of_the_Sequential.24.aspx
...as well as calling for others to exercise caution in clinical decision making regarding COVID patients... https://link.springer.com/article/10.1007/s00134-020-06092-5 @ESICM
...or in designing triage protocols for resource allocation at the population level https://journal.chestnet.org/article/S0012-3692(20)30691-7/fulltext?_ga=2.135041783.761386419.1613637811-814132164.1613637811 @accpchest
A colleague wrote me this morning "Mike is vindicated once more." My response was...
"Hardly vindicated, I'm actually quite sad that SOFA didn't pan out to be when it looked like it could be. Where I would say I was vindicated is in being humble enough to realise when I was wrong in the beginning, being open to new data, and listening to dissenting opinions."
Personally, I think this is where some of our colleagues may have failed. #humilityleadstheway (I owe all my lessons in humility to Tex Kissoon and my many other mentors)