<?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>1561-3194</journal-id>
<journal-title><![CDATA[Revista de Ciencias Médicas de Pinar del Río]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Ciencias Médicas]]></abbrev-journal-title>
<issn>1561-3194</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1561-31942020000600015</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[El dilema de la última cama]]></article-title>
<article-title xml:lang="en"><![CDATA[The dilemma of the last bed]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Lovo]]></surname>
<given-names><![CDATA[Javier]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de El Salvador Facultad de Medicina ]]></institution>
<addr-line><![CDATA[San Salvador ]]></addr-line>
<country>El Salvador</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>24</volume>
<numero>6</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-31942020000600015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S1561-31942020000600015&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S1561-31942020000600015&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la aparición de crisis globales, generan nuevas encrucijadas éticas en la atención en salud. La escasez de recursos suscita interrogantes como la asignación de la última cama. Esta situación conlleva profundos conflictos éticos en su resolución.  Objetivo:  argumentar la existencia de una falacia dentro del concepto del dilema de la última cama.  Desarrollo:  los principios bioéticos básicos deben prevalecer en todo momento, aun frente a situaciones de crisis que requieren soluciones rápidas y eficaces. El rol de selección de pacientes es crucial, pero es también el momento en el que los grandes dilemas éticos encuentran su mayor expresión. Un sistema de reserva basado en la categorización en la que todos los pacientes, acorde a su condición clínica, sean consideren elegibles, parece ser la opción más acertada. El dilema de la última cama, es una falacia, porque tal como está formulado carece de solución admisible bajo el prisma de la ética, pues con una visión centrada en la persona no debería existir tal dicotomoía.  Conclusiones: si se elude un sistema utilitarista que obliga al médico a elegir, y se pone en práctica un modelo personalista, el dilema puede desaparecer.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  the appearance of global crises generates new ethical crossroads in health care. The scarcity of resources raises questions, such as the allocation of the last bed. This situation involves deep ethical conflicts in its resolution.  Objective:  to argue the existence of a fallacy, within the concept of the dilemma of the last bed.  Development:  basic bioethical principles must prevail at all times, even in crisis situations, which require quick and effective solutions. The role of patient selection is crucial, but it is also the moment in which the great ethical dilemmas find their greatest expression. A reservation system based on categorization, in which all patients according to their clinical condition are considered eligible, seems to be the most appropriate option. The dilemma of the last bed is a fallacy, because as it is formulated, it lacks an admissible solution under the prism of ethics, under a person-centered vision, there should be no such dilemma.  Conclusions:  if a utilitarian system is avoided, which forces the doctor to choose, putting into practice a personalistic model, the dilemma as such must not exist.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[BIOÉTICA]]></kwd>
<kwd lng="es"><![CDATA[DISCUSIONES BIOÉTICAS]]></kwd>
<kwd lng="es"><![CDATA[DERECHOS DEL PACIENTE]]></kwd>
<kwd lng="es"><![CDATA[INFECCIONES POR CORONAVIRUS]]></kwd>
<kwd lng="en"><![CDATA[BIOETHICS]]></kwd>
<kwd lng="en"><![CDATA[BIOETHICAL ISSUES]]></kwd>
<kwd lng="en"><![CDATA[PATIENT RIGHTS]]></kwd>
<kwd lng="en"><![CDATA[CORONAVIRUS INFECTION]]></kwd>
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