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Chapter 2. Surge capacity and infrastructure considerations for mass critical care. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.
Intensive Care Med. 2010 Apr; 36 Suppl 1:S11-20.IC

Abstract

PURPOSE

To provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for a mass disaster or influenza epidemic with a specific focus on surge capacity and infrastructure considerations.

METHODS

Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including surge capacity and infrastructure considerations.

RESULTS

Key recommendations include: (1) hospitals should increase their ICU beds to the maximal extent by expanding ICU capacity and expanding ICUs into other areas; (2) hospitals should have appropriate beds and monitors for these expansion areas; hospitals should develop contingency plans at the facility and government (local, state, provincial, national) levels to provide additional ventilators; (3) hospitals should develop a phased staffing plan (nursing and physician) for ICUs that provides sufficient patient care supervision during contingency and crisis situations; (4) hospitals should provide expert input to the emergency management personnel at the hospital both during planning for surge capacity as well as during response; (5) hospitals should assure that adequate infrastructure support is present to support critical care activities; (6) hospitals should prioritize locations for expansion by expanding existing ICUs, using postanesthesia care units and emergency departments to capacity, then step-down units, large procedure suites, telemetry units and finally hospital wards.

CONCLUSIONS

Judicious planning and adoption of protocols for surge capacity and infrastructure considerations are necessary to optimize outcomes during a pandemic.

Authors+Show Affiliations

Department of Emergency Medicine, Hennepin County Medical Center, Minneapolis, MN, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Guideline
Journal Article

Language

eng

PubMed ID

20213417

Citation

Hick, John L., et al. "Chapter 2. Surge Capacity and Infrastructure Considerations for Mass Critical Care. Recommendations and Standard Operating Procedures for Intensive Care Unit and Hospital Preparations for an Influenza Epidemic or Mass Disaster." Intensive Care Medicine, vol. 36 Suppl 1, 2010, pp. S11-20.
Hick JL, Christian MD, Sprung CL, et al. Chapter 2. Surge capacity and infrastructure considerations for mass critical care. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. Intensive Care Med. 2010;36 Suppl 1:S11-20.
Hick, J. L., Christian, M. D., & Sprung, C. L. (2010). Chapter 2. Surge capacity and infrastructure considerations for mass critical care. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. Intensive Care Medicine, 36 Suppl 1, S11-20. https://doi.org/10.1007/s00134-010-1761-4
Hick JL, et al. Chapter 2. Surge Capacity and Infrastructure Considerations for Mass Critical Care. Recommendations and Standard Operating Procedures for Intensive Care Unit and Hospital Preparations for an Influenza Epidemic or Mass Disaster. Intensive Care Med. 2010;36 Suppl 1:S11-20. PubMed PMID: 20213417.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Chapter 2. Surge capacity and infrastructure considerations for mass critical care. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster. AU - Hick,John L, AU - Christian,Michael D, AU - Sprung,Charles L, AU - ,, PY - 2010/3/10/entrez PY - 2010/3/23/pubmed PY - 2010/6/24/medline SP - S11 EP - 20 JF - Intensive care medicine JO - Intensive Care Med VL - 36 Suppl 1 N2 - PURPOSE: To provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for a mass disaster or influenza epidemic with a specific focus on surge capacity and infrastructure considerations. METHODS: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including surge capacity and infrastructure considerations. RESULTS: Key recommendations include: (1) hospitals should increase their ICU beds to the maximal extent by expanding ICU capacity and expanding ICUs into other areas; (2) hospitals should have appropriate beds and monitors for these expansion areas; hospitals should develop contingency plans at the facility and government (local, state, provincial, national) levels to provide additional ventilators; (3) hospitals should develop a phased staffing plan (nursing and physician) for ICUs that provides sufficient patient care supervision during contingency and crisis situations; (4) hospitals should provide expert input to the emergency management personnel at the hospital both during planning for surge capacity as well as during response; (5) hospitals should assure that adequate infrastructure support is present to support critical care activities; (6) hospitals should prioritize locations for expansion by expanding existing ICUs, using postanesthesia care units and emergency departments to capacity, then step-down units, large procedure suites, telemetry units and finally hospital wards. CONCLUSIONS: Judicious planning and adoption of protocols for surge capacity and infrastructure considerations are necessary to optimize outcomes during a pandemic. SN - 1432-1238 UR - https://www.unboundmedicine.com/medline/citation/20213417/Chapter_2__Surge_capacity_and_infrastructure_considerations_for_mass_critical_care__Recommendations_and_standard_operating_procedures_for_intensive_care_unit_and_hospital_preparations_for_an_influenza_epidemic_or_mass_disaster_ L2 - https://dx.doi.org/10.1007/s00134-010-1761-4 DB - PRIME DP - Unbound Medicine ER -