Cargando…

Introduction and Executive Summary: Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement

Natural disasters, industrial accidents, terrorism attacks, and pandemics all have the capacity to result in large numbers of critically ill or injured patients. This supplement provides suggestions for all of those involved in a disaster or pandemic with multiple critically ill patients, including...

Descripción completa

Detalles Bibliográficos
Autores principales: Christian, Michael D., Devereaux, Asha V., Dichter, Jeffrey R., Rubinson, Lewis, Kissoon, Niranjan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The American College of Chest Physicians. Published by Elsevier Inc. 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094437/
https://www.ncbi.nlm.nih.gov/pubmed/25144202
http://dx.doi.org/10.1378/chest.14-0732
_version_ 1783510470168150016
author Christian, Michael D.
Devereaux, Asha V.
Dichter, Jeffrey R.
Rubinson, Lewis
Kissoon, Niranjan
author_facet Christian, Michael D.
Devereaux, Asha V.
Dichter, Jeffrey R.
Rubinson, Lewis
Kissoon, Niranjan
author_sort Christian, Michael D.
collection PubMed
description Natural disasters, industrial accidents, terrorism attacks, and pandemics all have the capacity to result in large numbers of critically ill or injured patients. This supplement provides suggestions for all of those involved in a disaster or pandemic with multiple critically ill patients, including front-line clinicians, hospital administrators, professional societies, and public health or government officials. The current Task Force included a total of 100 participants from nine countries, comprised of clinicians and experts from a wide variety of disciplines. Comprehensive literature searches were conducted to identify studies upon which evidence-based recommendations could be made. No studies of sufficient quality were identified. Therefore, the panel developed expert-opinion-based suggestions that are presented in this supplement using a modified Delphi process. The ultimate aim of the supplement is to expand the focus beyond the walls of ICUs to provide recommendations for the management of all critically ill or injured adults and children resulting from a pandemic or disaster wherever that care may be provided. Considerations for the management of critically ill patients include clinical priorities and logistics (supplies, evacuation, and triage) as well as the key enablers (systems planning, business continuity, legal framework, and ethical considerations) that facilitate the provision of this care. The supplement also aims to illustrate how the concepts of mass critical care are integrated across the spectrum of surge events from conventional through contingency to crisis standards of care.
format Online
Article
Text
id pubmed-7094437
institution National Center for Biotechnology Information
language English
publishDate 2014
publisher The American College of Chest Physicians. Published by Elsevier Inc.
record_format MEDLINE/PubMed
spelling pubmed-70944372020-03-25 Introduction and Executive Summary: Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement Christian, Michael D. Devereaux, Asha V. Dichter, Jeffrey R. Rubinson, Lewis Kissoon, Niranjan Chest Article Natural disasters, industrial accidents, terrorism attacks, and pandemics all have the capacity to result in large numbers of critically ill or injured patients. This supplement provides suggestions for all of those involved in a disaster or pandemic with multiple critically ill patients, including front-line clinicians, hospital administrators, professional societies, and public health or government officials. The current Task Force included a total of 100 participants from nine countries, comprised of clinicians and experts from a wide variety of disciplines. Comprehensive literature searches were conducted to identify studies upon which evidence-based recommendations could be made. No studies of sufficient quality were identified. Therefore, the panel developed expert-opinion-based suggestions that are presented in this supplement using a modified Delphi process. The ultimate aim of the supplement is to expand the focus beyond the walls of ICUs to provide recommendations for the management of all critically ill or injured adults and children resulting from a pandemic or disaster wherever that care may be provided. Considerations for the management of critically ill patients include clinical priorities and logistics (supplies, evacuation, and triage) as well as the key enablers (systems planning, business continuity, legal framework, and ethical considerations) that facilitate the provision of this care. The supplement also aims to illustrate how the concepts of mass critical care are integrated across the spectrum of surge events from conventional through contingency to crisis standards of care. The American College of Chest Physicians. Published by Elsevier Inc. 2014-10 2016-01-07 /pmc/articles/PMC7094437/ /pubmed/25144202 http://dx.doi.org/10.1378/chest.14-0732 Text en © 2014 The American College of Chest Physicians Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Article
Christian, Michael D.
Devereaux, Asha V.
Dichter, Jeffrey R.
Rubinson, Lewis
Kissoon, Niranjan
Introduction and Executive Summary: Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement
title Introduction and Executive Summary: Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement
title_full Introduction and Executive Summary: Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement
title_fullStr Introduction and Executive Summary: Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement
title_full_unstemmed Introduction and Executive Summary: Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement
title_short Introduction and Executive Summary: Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement
title_sort introduction and executive summary: care of the critically ill and injured during pandemics and disasters: chest consensus statement
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094437/
https://www.ncbi.nlm.nih.gov/pubmed/25144202
http://dx.doi.org/10.1378/chest.14-0732
work_keys_str_mv AT christianmichaeld introductionandexecutivesummarycareofthecriticallyillandinjuredduringpandemicsanddisasterschestconsensusstatement
AT devereauxashav introductionandexecutivesummarycareofthecriticallyillandinjuredduringpandemicsanddisasterschestconsensusstatement
AT dichterjeffreyr introductionandexecutivesummarycareofthecriticallyillandinjuredduringpandemicsanddisasterschestconsensusstatement
AT rubinsonlewis introductionandexecutivesummarycareofthecriticallyillandinjuredduringpandemicsanddisasterschestconsensusstatement
AT kissoonniranjan introductionandexecutivesummarycareofthecriticallyillandinjuredduringpandemicsanddisasterschestconsensusstatement