Well, how are…
Bystander → throws switch → directs trolley at innocent person → innocent person dies.
Surgeon – > cuts out tube → cut interrupts nutrients → innocent baby dies.
Different?
		
		
	 
CONSEQUENTALISM (CONSEQUENTALIST ETHICS).
From a consequentialist standpoint, a morally right act (or omission from acting) is one that will produce a good outcome, or consequence.
Consequentialism is primarily 
non-prescriptive, meaning the moral worth of an action is determined by its potential consequence, 
not by whether it follows a set of written edicts or laws.
One example would entail lying under the threat of government punishment to save an innocent person’s life, even though it is illegal to lie under oath.
It is the business of 
the benevolent man to seek to promote what is beneficial to the world and to 
eliminate what is harmful, and to provide a model for the world.
What 
benefits he will carry out ; what does 
not benefit men he will leave alone.
.
DEONTOLOGY ( Deontological Ethics)
In moral philosophy, deontological ethics or deontology (from Greek δέον, deon, “obligation, duty”) is the normative ethical theory that the morality of an action should be based on whether that action itself is right or wrong 
under a series of rules, rather than based on the 
consequences of the action.
It is sometimes described as duty-, obligation- or 
rule-based ethics.
Deontological ethics is commonly contrasted to consequentialism.
In this terminology, 
action is more important than the consequences.
Consequentialism is usually contrasted with deontological ethics Deontological ethics (or 
deontology ), in that deontology, in which 
rules are central, rather than the outcomes of the conduct.
.
AS WE SEE ABOVE:
If we Judge both actions with the same ethics the outcome of the judgment is the same.
If we judge one with the 
CONSEQUENTALIST ETHICS and the other with the 
DENTOLOGICAL ETHICS the outcome of our judgment is different.
.
I believe, the 
SPIRIT of the dentological ethics is the 
consequalist ethics, because in the case of both ethics the target is 
the best outcome of the conduct.
.
God bless