Crisis Standards of Care Implementation at the State Level in the United States

• 2020

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• Colton Margus; Ritu Sarin; Michael Molloy; Gregory Ciottone
PMID: 32907650DOI: https://doi.org/10.1017/s1049023x20001089

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About

This study examined the development of crisis standards of care (CSC) in United States. A search was conducted in 2015 and 2020 to identify states with CSC plans. Results showed that 36 states were actively developing or had developed official CSC guidance. Most plans addressed ventilator use, influenza planning, and pediatric care, but fewer covered burn patient care. Some states lacked publicly available guidance on maintaining care standards during disasters. This highlights the importance of having clear guidelines for using resources like ventilators and making tough decisions during crises to ensure everyone gets fair treatment even when supplies are low.

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Tags

Focus Areas: Everyday Emergency; Infectious Disease; Trauma

Audiences: Emergency Managers; Physicians; Public Health Professionals

Emergency Management Stage: Preparedness (Prevention / Protection)

Collection: Disaster Research Literature Review

Keywords: Burns; Disaster Planning; Emergency Medical Services; Emergency Medicine; Health Policy; Influenza, Human; State Government; United States; Ventilators, Mechanical; Resource Allocation; Pandemics; Disaster Medicine; Standard of Care; COVID-19; Pandemic Preparedness

Institutions: Icahn School of Medicine at Mount Sinai; Harvard Medical School; Beth Israel Deaconess Medical Center; University College Dublin

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