Tags

Type your tag names separated by a space and hit enter

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.
Intensive Care Med. 2010 Mar; 36(3):428-43.IC

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.

Authors+Show Affiliations

Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel. charles.sprung@ekmd.huji.ac.ilNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Guideline
Journal Article
Review

Language

eng

PubMed ID

20135090

Citation

Sprung, Charles L., et al. "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." Intensive Care Medicine, vol. 36, no. 3, 2010, pp. 428-43.
Sprung CL, Zimmerman JL, Christian MD, et al. 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. Intensive Care Med. 2010;36(3):428-43.
Sprung, C. L., Zimmerman, J. L., Christian, M. D., Joynt, G. M., Hick, J. L., Taylor, B., Richards, G. A., Sandrock, C., Cohen, R., & Adini, B. (2010). 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. Intensive Care Medicine, 36(3), 428-43. https://doi.org/10.1007/s00134-010-1759-y
Sprung CL, et al. 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. Intensive Care Med. 2010;36(3):428-43. PubMed PMID: 20135090.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 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. AU - Sprung,Charles L, AU - Zimmerman,Janice L, AU - Christian,Michael D, AU - Joynt,Gavin M, AU - Hick,John L, AU - Taylor,Bruce, AU - Richards,Guy A, AU - Sandrock,Christian, AU - Cohen,Robert, AU - Adini,Bruria, AU - ,, Y1 - 2010/02/05/ PY - 2009/11/04/received PY - 2010/01/12/accepted PY - 2010/2/6/entrez PY - 2010/2/6/pubmed PY - 2010/5/21/medline SP - 428 EP - 43 JF - Intensive care medicine JO - Intensive Care Med VL - 36 IS - 3 N2 - 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. SN - 1432-1238 UR - https://www.unboundmedicine.com/medline/citation/20135090/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_ L2 - https://dx.doi.org/10.1007/s00134-010-1759-y DB - PRIME DP - Unbound Medicine ER -