Triage of Scarce Critical Care Resources in COVID-19 An Implementation Guide for Regional Allocation: An Expert Panel Report of the Task Force for Mass Critical Care and the American College of Chest Physicians.
Betacoronavirus
/ isolation & purification
COVID-19
Coronavirus Infections
/ epidemiology
Critical Care
/ methods
Humans
Pandemics
Pneumonia, Viral
/ epidemiology
Public Health
/ ethics
Resource Allocation
/ organization & administration
SARS-CoV-2
Surge Capacity
/ ethics
Triage
/ organization & administration
COVID-19 pandemic
disaster preparedness
scarcity of resources
surge capacity
triage
Journal
Chest
ISSN: 1931-3543
Titre abrégé: Chest
Pays: United States
ID NLM: 0231335
Informations de publication
Date de publication:
07 2020
07 2020
Historique:
received:
27
03
2020
accepted:
31
03
2020
pubmed:
15
4
2020
medline:
21
7
2020
entrez:
15
4
2020
Statut:
ppublish
Résumé
Public health emergencies have the potential to place enormous strain on health systems. The current pandemic of the novel 2019 coronavirus disease has required hospitals in numerous countries to expand their surge capacity to meet the needs of patients with critical illness. When even surge capacity is exceeded, however, principles of critical care triage may be needed as a means to allocate scarce resources, such as mechanical ventilators or key medications. The goal of a triage system is to direct limited resources towards patients most likely to benefit from them. Implementing a triage system requires careful coordination between clinicians, health systems, local and regional governments, and the public, with a goal of transparency to maintain trust. We discuss the principles of tertiary triage and methods for implementing such a system, emphasizing that these systems should serve only as a last resort. Even under triage, we must uphold our obligation to care for all patients as best possible under difficult circumstances.
Identifiants
pubmed: 32289312
pii: S0012-3692(20)30691-7
doi: 10.1016/j.chest.2020.03.063
pmc: PMC7151463
pii:
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
212-225Informations de copyright
Copyright © 2020. Published by Elsevier Inc.
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