StressCovidV1, Ncbi, Merge, bibRecord, 000366

Triaging for adult critical care in the event of overwhelming need.

Identifieur interne : 000366 ( Ncbi/Merge ); précédent : 000365; suivant : 000367

Triaging for adult critical care in the event of overwhelming need.

Auteurs : Nigel Eastman [Royaume-Uni] ; Barbara Philips ; Andrew Rhodes

Source :

Intensive care medicine [ 1432-1238 ] ; 2010.

RBID : pubmed:20349037

Descripteurs français

KwdFr :
- Adulte, Besoins et demandes de services de santé, Capacité de gestion de crise, Droits de l'homme, Grippe humaine (), Grippe humaine (diagnostic), Humains, Maladie grave (), Modèles théoriques, Politique, Royaume-Uni, Service hospitalier d'urgences, Sous-type H1N1 du virus de la grippe A, Triage (législation et jurisprudence), Triage (éthique).
MESH :
- diagnostic : Grippe humaine.
- législation et jurisprudence : Triage.
- éthique : Triage.
- Adulte, Besoins et demandes de services de santé, Capacité de gestion de crise, Droits de l'homme, Grippe humaine, Humains, Maladie grave, Modèles théoriques, Politique, Royaume-Uni, Service hospitalier d'urgences, Sous-type H1N1 du virus de la grippe A.

English descriptors

KwdEn :
- Adult, Critical Illness (therapy), Emergency Service, Hospital, Health Services Needs and Demand, Human Rights, Humans, Influenza A Virus, H1N1 Subtype, Influenza, Human (diagnosis), Influenza, Human (therapy), Models, Theoretical, Politics, Surge Capacity, Triage (ethics), Triage (legislation & jurisprudence), United Kingdom.
MESH :
- diagnosis : Influenza, Human.
- ethics : Triage.
- legislation & jurisprudence : Triage.
- therapy : Critical Illness, Influenza, Human.
- Adult, Emergency Service, Hospital, Health Services Needs and Demand, Human Rights, Humans, Influenza A Virus, H1N1 Subtype, Models, Theoretical, Politics, Surge Capacity, United Kingdom.

Abstract

Predictions of the need for critical care within the H1N1 influenza pandemic suggested overwhelming need beyond potential resources, necessitating rationing of care via triaging.

DOI: 10.1007/s00134-010-1862-0
PubMed: 20349037

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to stream PubMed, to step Curation: 000700
to stream PubMed, to step Checkpoint: 000657

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pubmed:20349037

Le document en format XML

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<author><name sortKey="Eastman, Nigel" sort="Eastman, Nigel" uniqKey="Eastman N" first="Nigel" last="Eastman">Nigel Eastman</name>
<affiliation wicri:level="4"><nlm:affiliation>St George's Clinical Ethics Committee, St George's University of London, London, SW17 0RE, UK. neastman@sgul.ac.uk</nlm:affiliation>
<country xml:lang="fr">Royaume-Uni</country>
<wicri:regionArea>St George's Clinical Ethics Committee, St George's University of London, London, SW17 0RE</wicri:regionArea>
<orgName type="university">Université de Londres</orgName>
<placeName><settlement type="city">Londres</settlement>
<region type="country">Angleterre</region>
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<author><name sortKey="Philips, Barbara" sort="Philips, Barbara" uniqKey="Philips B" first="Barbara" last="Philips">Barbara Philips</name>
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<author><name sortKey="Rhodes, Andrew" sort="Rhodes, Andrew" uniqKey="Rhodes A" first="Andrew" last="Rhodes">Andrew Rhodes</name>
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<term>Critical Illness (therapy)</term>
<term>Emergency Service, Hospital</term>
<term>Health Services Needs and Demand</term>
<term>Human Rights</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Influenza, Human (diagnosis)</term>
<term>Influenza, Human (therapy)</term>
<term>Models, Theoretical</term>
<term>Politics</term>
<term>Surge Capacity</term>
<term>Triage (ethics)</term>
<term>Triage (legislation & jurisprudence)</term>
<term>United Kingdom</term>
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<term>Besoins et demandes de services de santé</term>
<term>Capacité de gestion de crise</term>
<term>Droits de l'homme</term>
<term>Grippe humaine ()</term>
<term>Grippe humaine (diagnostic)</term>
<term>Humains</term>
<term>Maladie grave ()</term>
<term>Modèles théoriques</term>
<term>Politique</term>
<term>Royaume-Uni</term>
<term>Service hospitalier d'urgences</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Triage (législation et jurisprudence)</term>
<term>Triage (éthique)</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Influenza, Human</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Grippe humaine</term>
</keywords>
<keywords scheme="MESH" qualifier="ethics" xml:lang="en"><term>Triage</term>
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<keywords scheme="MESH" qualifier="legislation & jurisprudence" xml:lang="en"><term>Triage</term>
</keywords>
<keywords scheme="MESH" qualifier="législation et jurisprudence" xml:lang="fr"><term>Triage</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Critical Illness</term>
<term>Influenza, Human</term>
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<keywords scheme="MESH" qualifier="éthique" xml:lang="fr"><term>Triage</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Emergency Service, Hospital</term>
<term>Health Services Needs and Demand</term>
<term>Human Rights</term>
<term>Humans</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Models, Theoretical</term>
<term>Politics</term>
<term>Surge Capacity</term>
<term>United Kingdom</term>
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<term>Besoins et demandes de services de santé</term>
<term>Capacité de gestion de crise</term>
<term>Droits de l'homme</term>
<term>Grippe humaine</term>
<term>Humains</term>
<term>Maladie grave</term>
<term>Modèles théoriques</term>
<term>Politique</term>
<term>Royaume-Uni</term>
<term>Service hospitalier d'urgences</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
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<front><div type="abstract" xml:lang="en">Predictions of the need for critical care within the H1N1 influenza pandemic suggested overwhelming need beyond potential resources, necessitating rationing of care via triaging.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20349037</PMID>
<DateCompleted><Year>2010</Year>
<Month>09</Month>
<Day>08</Day>
</DateCompleted>
<DateRevised><Year>2018</Year>
<Month>11</Month>
<Day>13</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1432-1238</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>36</Volume>
<Issue>6</Issue>
<PubDate><Year>2010</Year>
<Month>Jun</Month>
</PubDate>
</JournalIssue>
<Title>Intensive care medicine</Title>
<ISOAbbreviation>Intensive Care Med</ISOAbbreviation>
</Journal>
<ArticleTitle>Triaging for adult critical care in the event of overwhelming need.</ArticleTitle>
<Pagination><MedlinePgn>1076-82</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00134-010-1862-0</ELocationID>
<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Predictions of the need for critical care within the H1N1 influenza pandemic suggested overwhelming need beyond potential resources, necessitating rationing of care via triaging.</AbstractText>
<AbstractText Label="METHOD" NlmCategory="METHODS">The triage model described was derived from informed discourse within a conjoined NHS and University Clinical Ethics Committee, supplemented by specialists in intensive care and infectious diseases. THE MODEL: The triage methodology described is justified ethically primarily upon 'utilitarian' principles within an aggregate public health model, with additional reference to 'fairness'. Advantages of such a model, which partially suspends usual clinical judgment applied to individuals in favour of also utilizing organ failure scores, include minimization of aggregate influenza morbidity and mortality, and minimization of psychological stress upon staff making triaging decisions. Legally, in England and Wales, the model is uncontentious as regards rationing of admission to critical care; however, the law adopts 'futility' as the core justification for withdrawal of treatment, applied to the individual, thus failing to allow for rationing through triaging individuals out of critical care in the interest of other patients with better chances of survival. There is therefore a mismatch between a clinically and ethically acceptable model of triaging, based upon a public health approach, and the law, based upon the paradigm of the individual patient.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The good fortune that the H1N1 pandemic was less severe than predicted, allowing time for calm consideration, debate and decision making about what model of triaging should be adopted whenever it might be necessary in the future. It is in the interest of the health of the nation, and government, to decide upon a critical care triaging model while there is not an imminent health service crisis.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Eastman</LastName>
<ForeName>Nigel</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>St George's Clinical Ethics Committee, St George's University of London, London, SW17 0RE, UK. neastman@sgul.ac.uk</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Philips</LastName>
<ForeName>Barbara</ForeName>
<Initials>B</Initials>
</Author>
<Author ValidYN="Y"><LastName>Rhodes</LastName>
<ForeName>Andrew</ForeName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
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<ISSNLinking>0342-4642</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName>
</MeshHeading>
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<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
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</MeshHeading>
<MeshHeading><DescriptorName UI="D055872" MajorTopicYN="N">Surge Capacity</DescriptorName>
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<MeshHeading><DescriptorName UI="D006113" MajorTopicYN="N">United Kingdom</DescriptorName>
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<country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Eastman, Nigel" sort="Eastman, Nigel" uniqKey="Eastman N" first="Nigel" last="Eastman">Nigel Eastman</name>
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Triaging for adult critical care in the event of overwhelming need.

Triaging for adult critical care in the event of overwhelming need.

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Links to Exploration step

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

Pour générer des pages wiki