Burn Disaster Response Planning in New York City
| Autor: | Chris Ruhren, Roger W. Yurt, Susan Miller, Laurence J. Berger, Eliot J. Lazar, Angela Rabbitts, Nicole E. Leahy, Alfred A. Villacara, Darrin Pruitt, Kathe M. Conlon, Arthur Cooper, Daniel S. Ribaudo, Carri W. Chan, Steven H. Silber, Bruce Greenstein, Linda V. Green, Yina Lu, Frank P. Mineo, Laurence Chertoff, Lewis Soloff |
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| Rok vydání: | 2012 |
| Předmět: |
business.industry
Best practice Burn Units Rehabilitation Staffing Poison control Disaster Planning Burn center medicine.disease Triage Benchmarking Resource (project management) Interim Emergency Medicine medicine Humans New York City Surgery Medical emergency Burns business Algorithms Disaster Victims |
| Zdroj: | Journal of Burn Care & Research. 33:587-594 |
| ISSN: | 1559-047X |
| Popis: | Since its inception in 2006, the New York City (NYC) Task Force for Patients with Burns has continued to develop a city-wide and regional response plan that addressed the triage, treatment, transportation of 50/million (400) adult and pediatric victims for 3 to 5 days after a large-scale burn disaster within NYC until such time that a burn center bed and transportation could be secured. The following presents updated recommendations on these planning efforts. Previously published literature, project deliverables, and meeting documents for the period of 2009-2010 were reviewed. A numerical simulation was designed to evaluate the triage algorithm developed for this plan. A new, secondary triage scoring algorithm, based on co-morbidities and predicted outcomes, was created to prioritize multiple patients within a given acuity and predicted survivability cohort. Recommendations for a centralized patient and resource tracking database, plan operations, activation thresholds, mass triage, communications, data flow, staffing, resource utilization, provider indemnification, and stakeholder roles and responsibilities were specified. Educational modules for prehospital providers and nonburn center nurses and physicians who would provide interim care to burn injured disaster victims were created and pilot tested. These updated best practice recommendations provide a strong foundation for further planning efforts, and as of February 2011, serve as the frame work for the NYC Burn Surge Response Plan that has been incorporated into the New York State Burn Plan. Language: en |
| Databáze: | OpenAIRE |
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