In his teshuva in the Igros Moshe, Rav Moshe also writes that in a contemporary case where it becomes necessary to follow the triage order given in Horayos in a situation where only one can be saved, or where you must choose who to save first, if two people come in with the same precedence under the order given in the Mishna in Horayos, the doctor should make a lottery to choose which patient to take.
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