A Simple Triage Scoring System Predicting Death and Need for Critical Resources for Use During Epidemics

Talmor, Daniel; Howell, M.; Rubinson, Lewis; Shapiro, Nancy S.

doi:10.1197/j.aem.2007.03.1150

Cited by 2 publications

(2 citation statements)

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“…The HEOC must have situational awareness of what is occurring at each and every hospital and nonhospital facility to resolve these management problems. Triage decisions in the prehospital setting results in direct effects on clinical decisions at an advanced care level 1,44–46. To prevent system collapse, POCs must be fully aware of triage decisions and their impact.…”

Section: Functional Recommendations For Heocsmentioning

confidence: 99%

Definition and Functions of Health Unified Command and Emergency Operations Centers for Large-scale Bioevent Disasters Within the Existing ICS

Burkle¹,

Hsu²,

Loehr³

et al. 2007

Disaster med. public health prep.

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The incident command system provides an organizational structure at the agency, discipline, or jurisdiction level for effectively coordinating response and recovery efforts during most conventional disasters. This structure does not have the capacity or capability to manage the complexities of a large-scale health-related disaster, especially a pandemic, in which unprecedented decisions at every level (eg, surveillance, triage protocols, surge capacity, isolation, quarantine, health care staffing, deployment) are necessary to investigate, control, and prevent transmission of disease. Emerging concepts supporting a unified decision-making, coordination, and resource management system through a health-specific emergency operations center are addressed and the potential structure, function, roles, and responsibilities are described, including comparisons across countries with similar incident command systems.

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Section: Functional Recommendations For Heocsmentioning

confidence: 99%

Definition and Functions of Health Unified Command and Emergency Operations Centers for Large-scale Bioevent Disasters Within the Existing ICS

Burkle¹,

Hsu²,

Loehr³

et al. 2007

Disaster med. public health prep.

View full text Add to dashboard Cite

show abstract

“…Few physicians or health care institutions have prepared to perform this task equitably and fairly, while facing the possibility of having to deny access to potentially life-saving treatment to some patients, although a number of plans for pandemic influenza several years ago provided some experience with executing such complex decisions. [8][9][10] How does one choose which patients should receive a scarce drug? What rules or procedures should be followed when making such consequential decisions?…”

mentioning

confidence: 99%

Coping With Critical Drug Shortages

Rosoff¹,

Patel²,

Scates³

et al. 2012

Arch Intern Med

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The number of critical medication shortages in the United States has reached an unprecedented level, requiring decisions about allocating limited drug supplies. Ad hoc decisions are susceptible to arbitrary judgments, revealing preformed biases for or against groups of people. Health care institutions lack standardized protocols for rationing scarce drugs. We describe the principles on which an ethically justifiable policy of medication allocation during critical shortages was created at our hospital. Based on supportable scientific evidence and with all clinically similar patients treated as similarly deserving of consideration, drugs were distributed according to a hierarchy of clinical need and predicted efficacy. We explain the ethical rationale for the procedures we adopted, how the policy was implemented at a large academic medical center, and more than 1 year of experience with a number of different medications. Our experience has demonstrated the feasibility and utility of formulating a rational and ethically sound policy for scarce resource allocation in an academic teaching hospital that could be used in a variety of health care settings. The method has proven to be reliable, workable, and acceptable to clinicians, staff, and patients.

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A Simple Triage Scoring System Predicting Death and Need for Critical Resources for Use During Epidemics

Cited by 2 publications

References 0 publications

Definition and Functions of Health Unified Command and Emergency Operations Centers for Large-scale Bioevent Disasters Within the Existing ICS

Definition and Functions of Health Unified Command and Emergency Operations Centers for Large-scale Bioevent Disasters Within the Existing ICS

Coping With Critical Drug Shortages

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