Surge Capacity Principles: Care of the Critically Ill and Injured During Pandemics and Disasters: CHEST Consensus Statement

• 2014

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• John Hick; Sharon Einav; Dan Hanfling; Niranjan Kissoon; Jeffrey Dichter; Asha Devereaux
PMID: 25144334DOI: https://doi.org/10.1378/chest.14-0733

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About

This article offers consensus recommendations for expanding critical care surge capacity and enhancing intensive care services during disasters or pandemics. It highlights key principles for scaling intensive care in developed world hospitals and addresses the role of critical care in disaster planning. The article details 10 expert opinion-based suggestions on systems, equipment, staffing, and informatics developed through a modified Delphi process. It emphasizes the importance of population-based outcomes and logistical planning for future critical care surge reports, advocating for standardized ICU management forms and patient data assessments during disaster events.

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Tags

Hazards: Infectious Disease; Natural Disasters

Audiences: Emergency Managers; EMS Clinicians; Nurses; Physicians

Emergency Management Stage: Preparedness (Prevention / Protection)

Keywords: Critical Care; Critical Illness; Disaster Planning; Disasters; Emergency Medical Services; Health Services Needs and Demand; Intensive Care Units; Triage; Wounds and Injuries; Consensus; Pandemics; Mass Casualty Incidents; Surge Capacity

Institutions: University of Minnesota; The Hebrew University of Jerusalem; George Washington University; University of British Columbia; Sharp Healthcare; Allina Health Care

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