<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2448-8909</journal-id>
<journal-title><![CDATA[Medicina crítica (Colegio Mexicano de Medicina Crítica)]]></journal-title>
<abbrev-journal-title><![CDATA[Med. crít. (Col. Mex. Med. Crít.)]]></abbrev-journal-title>
<issn>2448-8909</issn>
<publisher>
<publisher-name><![CDATA[Colegio Mexicano de Medicina Crítica A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2448-89092023000500419</article-id>
<article-id pub-id-type="doi">10.35366/113052</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aplicación de la justicia distributiva en la asignación de recursos en medicina crítica en la pandemia de COVID-19]]></article-title>
<article-title xml:lang="en"><![CDATA[Distributive justice in the allocation of resources in critical medicine during the COVID-19 pandemic]]></article-title>
<article-title xml:lang="pt"><![CDATA[Aplicação da justiça distributiva na alocação de recursos em medicina intensiva na pandemia do COVID-19]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cantú Quintanilla]]></surname>
<given-names><![CDATA[Guillermo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Aguiñaga Chiñas]]></surname>
<given-names><![CDATA[Nuria]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[López Cervantes]]></surname>
<given-names><![CDATA[Mariana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Magaña Solano]]></surname>
<given-names><![CDATA[Georgina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Panamericana Centro Interdisciplinario de Bioética ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Asociación Mexicana de Medicina Crítica y Terapia Intensiva  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2023</year>
</pub-date>
<volume>37</volume>
<numero>5</numero>
<fpage>419</fpage>
<lpage>425</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S2448-89092023000500419&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S2448-89092023000500419&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S2448-89092023000500419&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  el triaje ayuda a afrontar situaciones de emergencia y facilita la toma de decisiones de los profesionales de la salud en medicina crítica. En México, se publicó la Guía bioética para asignación de recursos limitados de medicina crítica en situación de emergencia durante la pandemia por COVID-19, la cual se basa en criterios de justicia social y reconoce que todas las vidas tienen el mismo valor.  Objetivos:  el objetivo de esta investigación fue conocer la percepción de especialistas en medicina crítica en la aplicación de los criterios de triaje durante la pandemia por SARS-CoV-2 e identificar los principios de la bioética que ellos aplicaron durante este proceso.  Material y métodos:  se realizó un estudio observacional descriptivo con una medición única. Se aplicó un instrumento de 41 preguntas para explorar la aplicación del triaje a 18 miembros (edad promedio 48.3 años; 50% hombres; 89% médicos) del Colegio Mexicano de Medicina Crítica. Se realizó un análisis de frecuencias de los resultados obtenidos.  Resultados:  se encontró que la mayoría de los participantes están familiarizados con los procesos y los han aplicado durante la emergencia sanitaria por COVID-19. La aplicación de los criterios de triaje es más eficiente cuando los profesionales de la salud reconocen los principios de la bioética en su aplicación.  Conclusión:  los resultados sugieren que su aplicación es una tarea compleja que requiere una cuidadosa consideración ética y actualización constante por parte de los profesionales de la salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  Introduction:  triage protocols help to address emergency situations and facilitate decision-making by professionals. In Mexico, the Bioethics Guide for the allocation of limited critical care resources in emergency situations was published in 2020, which is based on criteria of social justice and recognizes that all lives have the same value.  Objectives:  the study aimed to explore the experience of Critical Care Medicine specialists in the application of triage criteria during the SARS-CoV-2 pandemic, and to identify the bioethics principles they recognized during this process.  Material and Methods:  a descriptive observational study was conducted with a single measurement. A 41-question instrument was applied to explore the application of triage to 18 members (M = 48.3 years; 50% men; 89% doctors) of the Mexican College of Critical care medicine. A frequency analysis of the results obtained was performed.  Results:  it was found that most participants are familiar with the processes and have applied them during the COVID-19 health emergency. It was concluded that the application of triage criteria is more efficient when healthcare professionals recognize the principles of bioethics in their application.  Conclusions:  the results suggest that its application is a complex task that requires careful ethical consideration and constant updating by healthcare professionals.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo:  Introdução:  a triagem ajuda a enfrentar situações de emergência e facilita a tomada de decisão dos profissionais de saúde em Medicina Intensiva. No México, foi publicado o Guia de Bioética para alocação de recursos limitados de medicina intensiva em situações de emergência durante a pandemia de COVID-19, que se baseia em critérios de justiça social e reconhece que todas as vidas têm o mesmo valor.  Objetivos:  o objetivo desta pesquisa foi conhecer a percepção dos especialistas em medicina intensiva na aplicação dos critérios de triagem durante a pandemia de SARS-CoV-2 e identificar os princípios de bioética que eles aplicaram durante esse processo.  Material e métodos:  realizou-se um estudo observacional descritivo com uma única medida. Aplicou-se um instrumento de 41 perguntas para explorar a aplicação da triagem a 18 membros (M = 48.3 anos; 50% homens; 89% médicos) da Associação de Medicina Intensiva Mexicana. Realizou-se uma análise de frequência dos resultados obtidos.  Resultados:  verificou-se que a maioria dos participantes conhece os processos e os aplicou durante a emergência sanitária causada pelo COVID-19. A aplicação dos critérios de triagem é mais eficiente quando os profissionais de saúde reconhecem os princípios da bioética em sua aplicação.  Conclusão:  os resultados sugerem que sua aplicação é uma tarefa complexa que requer cuidadosa reflexão ética e atualização constante por parte dos profissionais de saúde.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[triaje]]></kwd>
<kwd lng="es"><![CDATA[COVID-19]]></kwd>
<kwd lng="es"><![CDATA[justicia distributiva]]></kwd>
<kwd lng="es"><![CDATA[medicina crítica]]></kwd>
<kwd lng="es"><![CDATA[cuidados intensivos]]></kwd>
<kwd lng="en"><![CDATA[triage]]></kwd>
<kwd lng="en"><![CDATA[COVID-19]]></kwd>
<kwd lng="en"><![CDATA[distributive justice]]></kwd>
<kwd lng="en"><![CDATA[critical medicine]]></kwd>
<kwd lng="en"><![CDATA[intensive care]]></kwd>
<kwd lng="pt"><![CDATA[triagem]]></kwd>
<kwd lng="pt"><![CDATA[COVID-19]]></kwd>
<kwd lng="pt"><![CDATA[justiça distributiva]]></kwd>
<kwd lng="pt"><![CDATA[medicina intensiva]]></kwd>
<kwd lng="pt"><![CDATA[cuidados intensivos]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Medina-Arellano]]></surname>
<given-names><![CDATA[MJ]]></given-names>
</name>
<name>
<surname><![CDATA[Palacios-González]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Santos-Preciado]]></surname>
<given-names><![CDATA[JI]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Guía bioética de asignación de recursos de medicina crítica del Consejo de Salubridad General en México]]></article-title>
<source><![CDATA[Salud Publica Mex]]></source>
<year>2020</year>
<volume>62</volume>
<page-range>607-9</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Aurenque]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Consideraciones éticas en contexto de triage por COVID-19]]></article-title>
<source><![CDATA[Rev Med Chile]]></source>
<year>2020</year>
<volume>148</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>562-3</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Arévalo-Leal]]></surname>
<given-names><![CDATA[JS]]></given-names>
</name>
<name>
<surname><![CDATA[Gómez-Córdoba]]></surname>
<given-names><![CDATA[AI]]></given-names>
</name>
<name>
<surname><![CDATA[Pinto-Bustamante]]></surname>
<given-names><![CDATA[BJ]]></given-names>
</name>
<name>
<surname><![CDATA[León-Osma]]></surname>
<given-names><![CDATA[NA]]></given-names>
</name>
<name>
<surname><![CDATA[Castillo-Niuman]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Trillo-Peña]]></surname>
<given-names><![CDATA[CE]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Problemas éticos en la asignación de recursos escasos y cuidado intensivo en la atención de la pandemia por SARS-CoV-2. Una reflexión desde los principios, criterios, derechos y deberes]]></article-title>
<source><![CDATA[Acta Med Colomb]]></source>
<year>2020</year>
<volume>45</volume>
<numero>3</numero>
<issue>3</issue>
<page-range>1-8</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[González-Fisher]]></surname>
<given-names><![CDATA[RF]]></given-names>
</name>
<name>
<surname><![CDATA[Rissman]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[González-Fisher]]></surname>
<given-names><![CDATA[X]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Asuntos bioéticos relacionados con la planeación y respuesta ante la pandemia de COVID-19]]></article-title>
<source><![CDATA[An Med (Mex)]]></source>
<year>2020</year>
<volume>65</volume>
<numero>4</numero>
<issue>4</issue>
<page-range>288-300</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vergara]]></surname>
<given-names><![CDATA[CS]]></given-names>
</name>
<name>
<surname><![CDATA[Zannin]]></surname>
<given-names><![CDATA[FA]]></given-names>
</name>
<name>
<surname><![CDATA[Celis]]></surname>
<given-names><![CDATA[RLG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[SARS-CoV-2 (COVID-19): estado de la pandemia, escenarios clínicos, estrategias para el sector salud y sus aspectos bioéticos]]></article-title>
<source><![CDATA[Salud Uninorte]]></source>
<year>2020</year>
<volume>36</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>231-55</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Burdiles Pinto]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Ortiz Pommier]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[El triaje en pandemia: fundamentos éticos para la asignación de recursos de soporte vital avanzado en escenarios de escasez]]></article-title>
<source><![CDATA[Revista Médica Clínica Las Condes]]></source>
<year>2021</year>
<volume>32</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>61-74</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Vinay]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Baumann]]></surname>
<given-names><![CDATA[H]]></given-names>
</name>
<name>
<surname><![CDATA[Biller-Andorno]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Ethics of ICU triage during COVID-19]]></article-title>
<source><![CDATA[British Medical Bulletin]]></source>
<year>2021</year>
<volume>138</volume>
<numero>1</numero>
<issue>1</issue>
<page-range>5-15</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Herreros]]></surname>
<given-names><![CDATA[B]]></given-names>
</name>
<name>
<surname><![CDATA[Gella]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Real de Asúa]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Triage during the COVID-19 epidemic in Spain: better and worse ethical arguments]]></article-title>
<source><![CDATA[J Med Ethics]]></source>
<year>2020</year>
<volume>46</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>455-8</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Real de Asúa]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
<name>
<surname><![CDATA[Galván]]></surname>
<given-names><![CDATA[JM]]></given-names>
</name>
<name>
<surname><![CDATA[Iglesias]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Fernández]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Triage criteria for cardiopulmonary resuscitation and advanced life support during the COVID-19 epidemic]]></article-title>
<source><![CDATA[Med Clin (Barc)]]></source>
<year>2020</year>
<volume>155</volume>
<numero>5</numero>
<issue>5</issue>
<page-range>215-9</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Jobges]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Vinay]]></surname>
<given-names><![CDATA[R]]></given-names>
</name>
<name>
<surname><![CDATA[Luyckx]]></surname>
<given-names><![CDATA[VA]]></given-names>
</name>
<name>
<surname><![CDATA[Biller-Andorno]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recommendations on COVID-19 triage: international comparison and ethical analysis]]></article-title>
<source><![CDATA[Bioethics]]></source>
<year>2020</year>
<volume>34</volume>
<numero>9</numero>
<issue>9</issue>
<page-range>948-59</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Rubio]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Estella]]></surname>
<given-names><![CDATA[Á]]></given-names>
</name>
<name>
<surname><![CDATA[Cabre]]></surname>
<given-names><![CDATA[L]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Recomendaciones éticas para la toma de decisiones difíciles en las unidades de cuidados intensivos ante la situación excepcional de crisis por la pandemia por COVID-19: revisión rápida y consenso de expertos]]></article-title>
<source><![CDATA[Med Intensiva]]></source>
<year>2020</year>
<volume>44</volume>
<numero>7</numero>
<issue>7</issue>
<page-range>439-45</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
