Full Text Journal Articles by
Author Dominic Wilkinson

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Ethical heuristics for pandemic allocation of ventilators across hospitals.

César Palacios-González, Jonathan Pugh, Dominic Wilkinson, Julian Savulescu,

In response to the COVID-19 pandemic philosophers and governments have proposed scarce resource allocation guidelines. Their purpose is to advise healthcare professionals on how to ethically allocate scarce medical resources. One challenging feature of the pandemic has been the large numbers of patients needing mechanical ventilatory support. Guidelines have paradigmatically ... Read more >>

Dev World Bioeth (Developing world bioethics)
[2021, :]

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Viability and thresholds for treatment of extremely preterm infants: survey of UK neonatal professionals.

Lydia Mietta Di Stefano, Katherine Wood, Helen Mactier, Sarah Elizabeth Bates, Dominic Wilkinson,

<h4>Background</h4>Decisions about treatments for extremely preterm infants (EPIs) born in the 'grey zone' of viability can be ethically complex. This 2020 survey aimed to determine views of UK neonatal staff about thresholds for treatment of EPIs given a recently revised national Framework for Practice from the British Association of Perinatal ... Read more >>

Arch Dis Child Fetal Neonatal Ed (Archives of disease in childhood. Fetal and neonatal edition)
[2021, :]

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European Resuscitation Council Guidelines 2021: Newborn resuscitation and support of transition of infants at birth.

John Madar, Charles C Roehr, Sean Ainsworth, Hege Ersdal, Colin Morley, Mario Rüdiger, Christiane Skåre, Tomasz Szczapa, Arjan Te Pas, Daniele Trevisanuto, Berndt Urlesberger, Dominic Wilkinson, Jonathan P Wyllie,

The European Resuscitation Council has produced these newborn life support guidelines, which are based on the International Liaison Committee on Resuscitation (ILCOR) 2020 Consensus on Science and Treatment Recommendations (CoSTR) for Neonatal Life Support. The guidelines cover the management of the term and preterm infant. The topics covered include an ... Read more >>

Resuscitation (Resuscitation)
[2021, 161:291-326]

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Ethics and evidence: learning lessons from pandemic triage.

Dominic J C Wilkinson,

Lancet Respir Med (The Lancet. Respiratory medicine)
[2021, 9(4):328-330]

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Dissonance and consonance about death.

Dominic Wilkinson,

J Med Ethics (Journal of medical ethics)
[2021, :]

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Sense and sensitivity: can an inaccurate test be better than no test at all?

Jonathan Pugh, Dominic Wilkinson, Julian Savulescu,

The UK government has put lateral flow antigen tests (LFATs) at the forefront of its strategy to scale-up testing in the coronavirus pandemic. However, evidence from a pilot trial using an LFAT to identify asymptomatic infections in the community suggested that the test missed over half of the positive cases ... Read more >>

J Med Ethics (Journal of medical ethics)
[2021, :]

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British laypeople's attitudes towards gradual sedation, sedation to unconsciousness and euthanasia at the end of life.

Antony Takla, Julian Savulescu, Andreas Kappes, Dominic J C Wilkinson,

<h4>Background</h4>Many patients at the end of life require analgesia to relieve pain. Additionally, up to 1/5 of patients in the UK receive sedation for refractory symptoms at the end of life. The use of sedation in end-of-life care (EOLC) remains controversial. While gradual sedation to alleviate intractable suffering is generally ... Read more >>

PLoS One (PloS one)
[2021, 16(3):e0247193]

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Surrogate decision making in crisis.

Dominic Wilkinson, Thillagavathie Pillay,

Care of the critically ill newborn includes support for the birth mother/parents with regular updates around the clinical condition of the baby, and involvement in discussions around complex decision-making issues . Discussions around continuation or discontinuation of life-sustaining are challenging even in the most straightforward of cases, but what happens ... Read more >>

J Med Ethics (Journal of medical ethics)
[2021, :]

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Queue questions: Ethics of COVID-19 vaccine prioritization.

Alberto Giubilini, Julian Savulescu, Dominic Wilkinson,

The rapid development of vaccines against COVID-19 represents a huge achievement, and offers hope of ending the global pandemic. At least three COVID-19 vaccines have been approved or are about to be approved for distribution in many countries. However, with very limited initial availability, only a minority of the population ... Read more >>

Bioethics (Bioethics)
[2021, 35(4):348-355]

Cited: 1 time

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Beyond Individual Triage: Regional Allocation of Life-Saving Resources such as Ventilators in Public Health Emergencies.

Jonathan Pugh, Dominic Wilkinson, Cesar Palacios-Gonzalez, Julian Savulescu,

In the first wave of the COVID-19 pandemic, healthcare workers in some countries were forced to make distressing triaging decisions about which individual patients should receive potentially life-saving treatment. Much of the ethical discussion prompted by the pandemic has concerned which moral principles should ground our response to these individual ... Read more >>

Health Care Anal (Health care analysis : HCA : journal of health philosophy and policy)
[2021, :]

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Frailty Triage: Is Rationing Intensive Medical Treatment on the Grounds of Frailty Ethical?

Dominic J C Wilkinson,

In early 2020, a number of countries developed and published intensive care triage guidelines for the pandemic. Several of those guidelines, especially in the UK, encouraged the explicit assessment of clinical frailty as part of triage. Frailty is relevant to resource allocation in at least three separate ways, through its ... Read more >>

Am J Bioeth (The American journal of bioethics : AJOB)
[2020, :1-22]

Cited: 1 time

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A conscious choice: Is it ethical to aim for unconsciousness at the end of life?

Antony Takla, Julian Savulescu, Dominic J C Wilkinson,

One of the most commonly referenced ethical principles when it comes to the management of dying patients is the doctrine of double effect (DDE). The DDE affirms that it is acceptable to cause side effects (e.g. respiratory depression) as a consequence of symptom-focused treatment. Much discussion of the ethics of ... Read more >>

Bioethics (Bioethics)
[2021, 35(3):284-291]

Cited: 1 time

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Which factors should be included in triage? An online survey of the attitudes of the UK general public to pandemic triage dilemmas.

Dominic Wilkinson, Hazem Zohny, Andreas Kappes, Walter Sinnott-Armstrong, Julian Savulescu,

<h4>Objective</h4>As cases of COVID-19 infections surge, concerns have renewed about intensive care units (ICUs) being overwhelmed and the need for specific triage protocols over winter. This study aimed to help inform triage guidance by exploring the views of lay people about factors to include in triage decisions.<h4>Design, setting and participants</h4>Online ... Read more >>

BMJ Open (BMJ open)
[2020, 10(12):e045593]

Cited: 3 times

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A public health ethic should inform policies on COVID-19 immunity passports - Authors' reply.

Rebecca C H Brown, Julian Savulescu, Dominic Kelly, Dominic Wilkinson,

Lancet Infect Dis (The Lancet. Infectious diseases)
[2021, 21(4):456-457]

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Sleep softly: Schubert, ethics and the value of dying well.

Dominic Wilkinson,

Ethical discussions about medical treatment for seriously ill babies or children often focus on the 'value of life' or on 'quality of life' and what that might mean. In this paper, I look at the other side of the coin-on the value of death, and on the quality of dying. ... Read more >>

J Med Ethics (Journal of medical ethics)
[2020, :]

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Delivering transformative action in paediatric pain: a Lancet Child & Adolescent Health Commission.

Christopher Eccleston, Emma Fisher, Richard F Howard, Rebeccah Slater, Paula Forgeron, Tonya M Palermo, Kathryn A Birnie, Brian J Anderson, Christine T Chambers, Geert Crombez, Gustaf Ljungman, Isabel Jordan, Zachary Jordan, Caitriona Roberts, Neil Schechter, Christine B Sieberg, Dick Tibboel, Suellen M Walker, Dominic Wilkinson, Chantal Wood,

Lancet Child Adolesc Health (The Lancet. Child & adolescent health)
[2021, 5(1):47-87]

Cited: 3 times

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The scientific and ethical feasibility of immunity passports.

Rebecca C H Brown, Dominic Kelly, Dominic Wilkinson, Julian Savulescu,

There is much debate about the use of immunity passports in the response to the COVID-19 pandemic. Some have argued that immunity passports are unethical and impractical, pointing to uncertainties relating to COVID-19 immunity, issues with testing, perverse incentives, doubtful economic benefits, privacy concerns, and the risk of discriminatory effects. ... Read more >>

Lancet Infect Dis (The Lancet. Infectious diseases)
[2021, 21(3):e58-e63]

Cited: 5 times

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Are Generational Welfare Trades Always Unjust?

Walter Veit, Julian Savulescu, David Hunter, Brian D Earp, Dominic Wilkinson,

Am J Bioeth (The American journal of bioethics : AJOB)
[2020, 20(9):70-72]

Cited: 1 time

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Passport to freedom? Immunity passports for COVID-19.

Rebecca C H Brown, Julian Savulescu, Bridget Williams, Dominic Wilkinson,

The COVID-19 pandemic has led a number of countries to introduce restrictive 'lockdown' policies on their citizens in order to control infection spread. Immunity passports have been proposed as a way of easing the harms of such policies, and could be used in conjunction with other strategies for infection control. ... Read more >>

J Med Ethics (Journal of medical ethics)
[2020, 46(10):652-659]

Cited: 5 times

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The Charlie Gard Case, and the Ethics of Obstructing International Transfer of Seriously Ill Children.

Dominic Wilkinson,

In 2017, the court case over medical treatment of UK infant, Charlie Gard, reached global attention. In this article, I will analyze one of the more distinctive elements of the case. The UK courts concluded that treatment of Charlie Gard was not in his best interests and that it would ... Read more >>

Pediatrics (Pediatrics)
[2020, 146(Suppl 1):S54-S59]

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Valuing life and evaluating suffering in infants with life-limiting illness.

Dominic Wilkinson, Amir Zayegh,

In this paper, we explore three separate questions that are relevant to assessing the prudential value of life in infants with severe life-limiting illness. First, what is the value or disvalue of a short life? Is it in the interests of a child to save her life if she will ... Read more >>

Theor Med Bioeth (Theoretical medicine and bioethics)
[2020, 41(4):179-196]

Cited: 1 time

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Utilitarianism and the pandemic.

Julian Savulescu, Ingmar Persson, Dominic Wilkinson,

There are no egalitarians in a pandemic. The scale of the challenge for health systems and public policy means that there is an ineluctable need to prioritize the needs of the many. It is impossible to treat all citizens equally, and a failure to carefully consider the consequences of actions ... Read more >>

Bioethics (Bioethics)
[2020, 34(6):620-632]

Cited: 10 times

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Rationing in a Pandemic: Lessons from Italy.

Lucia Craxì, Marco Vergano, Julian Savulescu, Dominic Wilkinson,

In late February and early March 2020, Italy became the European epicenter of the COVID-19 pandemic. Despite increasingly stringent containment measures enforced by the government, the health system faced an enormous pressure, and extraordinary efforts were made in order to increase overall hospital beds' availability and especially ICU capacity. Nevertheless, ... Read more >>

Asian Bioeth Rev (Asian bioethics review)
[2020, :1-6]

Cited: 4 times

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Consent in the time of COVID-19.

Helen Lynne Turnham, Michael Dunn, Elaine Hill, Guy T Thornburn, Dominic Wilkinson,

The COVID-19 pandemic crisis has necessitated widespread adaptation of revised treatment regimens for both urgent and routine medical problems in patients with and without COVID-19. Some of these alternative treatments maybe second-best. Treatments that are known to be superior might not be appropriate to deliver during a pandemic when consideration ... Read more >>

J Med Ethics (Journal of medical ethics)
[2020, 46(9):565-568]

Cited: 2 times

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In defense of a conditional harm threshold test for paediatric decision-making

Dominic Wilkinson,

The case of Charlie Gard raises a number of serious ethical questions, including how a child’s best interests should be assessed, the role of parents in decision-making for a child, the appropriateness of trying untested experimental treatment in a serious ill child, and the allocation of limited healthcare resources. Elsewhere, ... Read more >>

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