• 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Chest: The Journal of Circulation, Respiration and Related Systems >Definitive care for the critically ill during a disaster: a framework for allocation of scarce resources in mass critical care: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007, Chicago, IL.
【24h】

Definitive care for the critically ill during a disaster: a framework for allocation of scarce resources in mass critical care: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007, Chicago, IL.

机译：灾难中的重症患者的最终护理：在大规模重症监护中分配稀缺资源的框架：《大规模重症监护特别工作组》峰会，2007年1月26-27日，伊利诺伊州芝加哥。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

BACKGROUND: Anticipated circumstances during the next severe influenza pandemic highlight the insufficiency of staff and equipment to meet the needs of all critically ill victims. It is plausible that an entire country could face simultaneous limitations, resulting in severe shortages of critical care resources to the point where patients could no longer receive all of the care that would usually be required and expected. There may even be such resource shortfalls that some patients would not be able to access even the most basic of life-sustaining interventions. Rationing of critical care in this circumstance would be difficult, yet may be unavoidable. Without planning, the provision of care would assuredly be chaotic, inequitable, and unfair. The Task Force for Mass Critical Care Working Group met in Chicago in January 2007 to proactively suggest guidance for allocating scarce critical care resources. TASK FORCE SUGGESTIONS: In order to allocate critical care resources when systems are overwhelmed, the Task Force for Mass Critical Care Working Group suggests the following: (1) an equitable triage process utilizing the Sequential Organ Failure Assessment scoring system; (2) the concept of triage by a senior clinician(s) without direct clinical obligation, and a support system to implement and manage the triage process; (3) legal and ethical constructs underpinning the allocation of scarce resources; and (4) a mechanism for rapid revision of the triage process as further disaster experiences, research, planning, and modeling come to light.
机译：背景：下一次严重的流感大流行期间的预期情况凸显了人员和设备不足，无法满足所有重症患者的需求。整个国家可能同时面临局限，这可能导致重症监护资源严重短缺，以致患者无法再获得通常需要和期望的所有护理。甚至可能存在资源短缺的情况，以至于某些患者甚至无法获得最基本的维持生命的干预措施。在这种情况下，分配重症监护很困难，但可能是不可避免的。没有计划，照料提供肯定会混乱，不平等和不公平。大规模重症监护特别工作组于2007年1月在芝加哥举行会议，主动提出有关分配稀缺重症监护资源的指南。任务建议：为了在系统不堪重负时分配重症监护资源，大规模重症监护特别工作组建议以下内容：（1）利用顺序器官衰竭评估评分系统进行公平的分诊流程; （2）没有直接临床义务的高级临床医生进行分诊的概念，以及实施和管理分诊程序的支持系统; （3）分配稀缺资源的法律和道德构架; （4）随着更多灾难经验，研究，计划和模型的出现，可以快速修订分类程序的机制。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号