The COVID-19 pandemic and the fact that insufficient resources exist to combat the likely tidal wave of hospital admissions will force unprecedented decisions to be made in Canada. This article recommends bioethical and legal guidelines intended to assist those responsible for the allocation of ICU beds and mechanical ventilators. Whether or not to admit a patient to the ICU and initiate mechanical ventilation is a life or death decision and a responsibility that must be met with thought and care.

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