ACME Medical Center has been damaged seriously by a recent hurricane. A helicopter that is trying to rescue people stranded by the hurricane has crashed, hitting the wing of the building where the pediatric unit was located. In the midst of the explosion, fire, and confusion, five people make their way to the roof and wait for rescue. They are Mary, a mother who is carrying her ill infant who was a patient on the unit; Joseph, her husband and the baby’s father; John, a pediatric resident who had been caring for the baby; Margaret, the RN, who was on duty in the pediatric unit; and Peter, a transport employee who was helping to prepare patients for rescue and evacuation.

Mary says to the group, “I think I hear someone crying. Yes, I can hear cries for help. We’ve got to go back down the stairs and help those people!” Dr. John says, “You women stay here. Joseph and I will go back down and see what we can do.” Joseph looks first at his own ill infant and then down the smoke-filled stairs and replies, “I’m not going back down. It’s too risky. The smoke is too thick. We’d never make it through and survive.” Margaret the RN says, “We’ve got to do something; we can’t just let people die. I’d never be able to live with myself. Those are my patients and I need to help them.” Margaret runs down the stairs and disappears. Peter says, “You’re all crazy! In a situation like this it’s every man for himself!”

1. What is the ethical dilemma?
2. What is yourvalue and ethical position related to the case? Include discussion of theory and principles on which your position is based.
3. What are some other alternatives for resolving the problem?
4. What are the possible consequences for those acceptable alternatives?
5. How would you prioritize the acceptable alternatives?
6. What is your plan of action?