Definitive Care for the Critically Ill During a Disaster: Current Capabilities and Limitations
| Autor: | Michael D. Christian, James A. Geiling, Jeffrey R. Dichter, Asha V. Devereaux, Lewis Rubinson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Pulmonary and Respiratory Medicine
Critical Care surge capacity Psychological intervention Poison control Critical Care and Intensive Care Medicine Article disaster medicine DMAT Disaster Medical Assistance Team Medicine Humans Mass Casualty Incidents Natural disaster mass casualty medical care Ventilators Mechanical Surge Capacity NDMS National Disaster Medical System business.industry Emergency department medicine.disease United States Mass-casualty incident Preparedness Health Resources ED emergency department Medical emergency Cardiology and Cardiovascular Medicine business Disaster medicine influenza pandemic |
| Zdroj: | Chest |
| ISSN: | 1931-3543 0012-3692 |
| Popis: | In the twentieth century, rarely have mass casualty events yielded hundreds or thousands of critically ill patients requiring definitive critical care. However, future catastrophic natural disasters, epidemics or pandemics, nuclear device detonations, or large chemical exposures may change usual disaster epidemiology and require a large critical care response. This article reviews the existing state of emergency preparedness for mass critical illness and presents an analysis of limitations to support the suggestions of the Task Force on Mass Casualty Critical Care, which are presented in subsequent articles. Baseline shortages of specialized resources such as critical care staff, medical supplies, and treatment spaces are likely to limit the number of critically ill victims who can receive life-sustaining interventions. The deficiency in critical care surge capacity is exacerbated by lack of a sufficient framework to integrate critical care within the overall institutional response and coordination of critical care across local institutions and broader geographic areas. |
| Databáze: | OpenAIRE |
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