Recommendations for intensive care unit and hospital preparations for an influenza epidemic or mass disaster: summary report of the European Society of Intensive Care Medicine’s Task Force for intensive care unit triage during an influenza epidemic or mass disaster
Identifieur interne : 002730 ( Main/Exploration ); précédent : 002729; suivant : 002731Recommendations for intensive care unit and hospital preparations for an influenza epidemic or mass disaster: summary report of the European Society of Intensive Care Medicine’s Task Force for intensive care unit triage during an influenza epidemic or mass disaster
Auteurs : Charles L. Sprung [Israël] ; Janice L. Zimmerman [États-Unis] ; Michael D. Christian [Canada] ; Gavin M. Joynt [République populaire de Chine] ; John L. Hick [États-Unis] ; Bruce Taylor [Royaume-Uni] ; Guy A. Richards [Afrique du Sud] ; Christian Sandrock [États-Unis] ; Robert Cohen [Israël] ; Bruria Adini [Israël]Source :
- Intensive Care Medicine [ 0342-4642 ] ; 2010-03-01.
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- KwdEn :
Abstract
Abstract: Purpose: To provide recommendations and standard operating procedures for intensive care units and hospital preparedness for an influenza pandemic. Methods: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics. Results: Key recommendations include: Hospitals should increase their ICU beds to the maximal extent by expanding ICU capacity and expanding ICUs into other areas. Hospitals should have appropriate beds and monitors for these expansion areas. Establish a management system with control groups at facility, local, regional and/or national levels to exercise authority over resources. Establish a system of communication, coordination and collaboration between the ICU and key interface departments. A plan to access, coordinate and increase labor resources is required with a central inventory of all clinical and non-clinical staff. Delegate duties not within the usual scope of workers’ practice. Ensure that adequate essential medical equipment, pharmaceuticals and supplies are available. Protect patients and staff with infection control practices and supporting occupational health policies. Maintain staff confidence with reassurance plans for legal protection and assistance. Have objective, ethical, transparent triage criteria that are applied equitably and publically disclosed. ICU triage of patients should be based on the likelihood for patients to benefit most or a ‘first come, first served’ basis. Develop protocols for safe performance of high-risk procedures. Train and educate staff. Conclusions: Mortality, although inevitable during a severe influenza outbreak or disaster, can be reduced by adequate preparation.
Url:
DOI: 10.1007/s00134-010-1759-y
Affiliations:
- Afrique du Sud, Canada, Israël, Royaume-Uni, République populaire de Chine, États-Unis
- Californie, Gauteng, Minnesota, Texas
- Johannesbourg, Sha Tin
- Université chinoise de Hong Kong, Université du Witwatersrand
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Sprung</name><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem</wicri:regionArea><wicri:noRegion>Jerusalem</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Israël</country><wicri:regionArea>General Intensive Care Unit, Hadassah Hebrew University Medical Center, PO Box 12000, 91120, Jerusalem</wicri:regionArea><wicri:noRegion>Jerusalem</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Israël</country></affiliation></author><author><name sortKey="Zimmerman, Janice L" sort="Zimmerman, Janice L" uniqKey="Zimmerman J" first="Janice L." last="Zimmerman">Janice L. Zimmerman</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Critical Care Division, Department of Medicine, The Methodist Hospital, Weill Cornell Medical College, Houston, TX</wicri:regionArea><placeName><region type="state">Texas</region></placeName></affiliation></author><author><name sortKey="Christian, Michael D" sort="Christian, Michael D" uniqKey="Christian M" first="Michael D." last="Christian">Michael D. Christian</name><affiliation wicri:level="1"><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Medicine, Infectious Diseases and Critical Care, Mount Sinai Hospital & University Health Network, University of Toronto, Toronto</wicri:regionArea><wicri:noRegion>Toronto</wicri:noRegion></affiliation></author><author><name sortKey="Joynt, Gavin M" sort="Joynt, Gavin M" uniqKey="Joynt G" first="Gavin M." last="Joynt">Gavin M. Joynt</name><affiliation wicri:level="4"><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Anesthesia and Intensive Care, Prince of Wales Hospital, The Chinese University of Hong Kong, Prince of Wales Hospital, Sha Tin, Hong Kong</wicri:regionArea><orgName type="university">Université chinoise de Hong Kong</orgName><placeName><settlement type="city">Sha Tin</settlement></placeName></affiliation></author><author><name sortKey="Hick, John L" sort="Hick, John L" uniqKey="Hick J" first="John L." last="Hick">John L. Hick</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN</wicri:regionArea><placeName><region type="state">Minnesota</region></placeName></affiliation></author><author><name sortKey="Taylor, Bruce" sort="Taylor, Bruce" uniqKey="Taylor B" first="Bruce" last="Taylor">Bruce Taylor</name><affiliation wicri:level="1"><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Department of Critical Care, Portsmouth Hospitals NHS Trust, Portsmouth</wicri:regionArea><wicri:noRegion>Portsmouth</wicri:noRegion></affiliation></author><author><name sortKey="Richards, Guy A" sort="Richards, Guy A" uniqKey="Richards G" first="Guy A." last="Richards">Guy A. 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Methods: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics. Results: Key recommendations include: Hospitals should increase their ICU beds to the maximal extent by expanding ICU capacity and expanding ICUs into other areas. Hospitals should have appropriate beds and monitors for these expansion areas. Establish a management system with control groups at facility, local, regional and/or national levels to exercise authority over resources. Establish a system of communication, coordination and collaboration between the ICU and key interface departments. A plan to access, coordinate and increase labor resources is required with a central inventory of all clinical and non-clinical staff. Delegate duties not within the usual scope of workers’ practice. Ensure that adequate essential medical equipment, pharmaceuticals and supplies are available. Protect patients and staff with infection control practices and supporting occupational health policies. Maintain staff confidence with reassurance plans for legal protection and assistance. Have objective, ethical, transparent triage criteria that are applied equitably and publically disclosed. ICU triage of patients should be based on the likelihood for patients to benefit most or a ‘first come, first served’ basis. Develop protocols for safe performance of high-risk procedures. Train and educate staff. Conclusions: Mortality, although inevitable during a severe influenza outbreak or disaster, can be reduced by adequate preparation.</div></front></TEI><affiliations><list><country><li>Afrique du Sud</li><li>Canada</li><li>Israël</li><li>Royaume-Uni</li><li>République populaire de Chine</li><li>États-Unis</li></country><region><li>Californie</li><li>Gauteng</li><li>Minnesota</li><li>Texas</li></region><settlement><li>Johannesbourg</li><li>Sha Tin</li></settlement><orgName><li>Université chinoise de Hong Kong</li><li>Université du Witwatersrand</li></orgName></list><tree><country name="Israël"><noRegion><name sortKey="Sprung, Charles L" sort="Sprung, Charles L" uniqKey="Sprung C" first="Charles L." last="Sprung">Charles L. Sprung</name></noRegion><name sortKey="Adini, Bruria" sort="Adini, Bruria" uniqKey="Adini B" first="Bruria" last="Adini">Bruria Adini</name><name sortKey="Cohen, Robert" sort="Cohen, Robert" uniqKey="Cohen R" first="Robert" last="Cohen">Robert Cohen</name><name sortKey="Sprung, Charles L" sort="Sprung, Charles L" uniqKey="Sprung C" first="Charles L." last="Sprung">Charles L. Sprung</name><name sortKey="Sprung, Charles L" sort="Sprung, Charles L" uniqKey="Sprung C" first="Charles L." last="Sprung">Charles L. Sprung</name></country><country name="États-Unis"><region name="Texas"><name sortKey="Zimmerman, Janice L" sort="Zimmerman, Janice L" uniqKey="Zimmerman J" first="Janice L." last="Zimmerman">Janice L. Zimmerman</name></region><name sortKey="Hick, John L" sort="Hick, John L" uniqKey="Hick J" first="John L." last="Hick">John L. Hick</name><name sortKey="Sandrock, Christian" sort="Sandrock, Christian" uniqKey="Sandrock C" first="Christian" last="Sandrock">Christian Sandrock</name></country><country name="Canada"><noRegion><name sortKey="Christian, Michael D" sort="Christian, Michael D" uniqKey="Christian M" first="Michael D." last="Christian">Michael D. Christian</name></noRegion></country><country name="République populaire de Chine"><noRegion><name sortKey="Joynt, Gavin M" sort="Joynt, Gavin M" uniqKey="Joynt G" first="Gavin M." last="Joynt">Gavin M. Joynt</name></noRegion></country><country name="Royaume-Uni"><noRegion><name sortKey="Taylor, Bruce" sort="Taylor, Bruce" uniqKey="Taylor B" first="Bruce" last="Taylor">Bruce Taylor</name></noRegion></country><country name="Afrique du Sud"><region name="Gauteng"><name sortKey="Richards, Guy A" sort="Richards, Guy A" uniqKey="Richards G" first="Guy A." last="Richards">Guy A. 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