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Tracing SIAARTI’s words, the extraordinary nature of the proposed measures–which deems them justifiable only after efforts to increase the availability of resources and the possibility of transfers have been assessed–must be communicated with the patients and their families, not only for a matter of transparency and to maintain trust in the public health service, but also to ensure that caregivers’ juridical responsibility be subjected to careful verification of both expertise and due diligence, from a defensive medicine perspective, by clarifying the allocation criteria of healthcare resources, as well as to relieve caregivers from the responsibility for emotionally burdensome choices made for each case. At the core of such recommendations, regarding all ICU patients, both CoViD-19 infected and not, there are the principles of clinical appropriateness, proportionality of care, and distributive justice8.