Advertisement

Intensive Care Unit (ICU): Resources and Demands

  • Andrew J. Kamien
  • Christopher S. Davis
  • Marc A. de MoyaEmail author
Chapter
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)

Abstract

Recent events have reinforced the notion that mass casualty events (MCEs) (both natural and man-made) are an ever-present threat to public safety. Though each mass casualty incident is unique, there is a similar pattern of challenges for the intensive care unit. This chapter will review those commonly encountered challenges of resource planning and provide a guide for allocation of resources once all efforts of extending care have been exhausted.

Keywords

Intensive care unit Mass casualty event Emergency mass critical car Intensive care unit triage Intensive care unit allocation Disaster critical care 

References

  1. 1.
    Corcoran SP, et al. Critical care management of major disasters: a practical guide to disaster preparation in the intensive care unit. J Intensive Care Med. 2012;27(1):3–10.CrossRefGoogle Scholar
  2. 2.
    Parker MM. Critical care and disaster management. Crit Care Med. 2006;34(3 Suppl):S52–5.CrossRefGoogle Scholar
  3. 3.
    Hirshberg A, Holcomb JB, Mattox KL. Hospital trauma care in multiple-casualty incidents: a critical review. Ann Emerg Med. 2001;37:647–52.CrossRefGoogle Scholar
  4. 4.
    Devereaux AV, et al. Summary of suggestions from the Task Force for Mass Critical Care Summit, January 26–27, 2007. Chest. 2008;133:1S–7S.CrossRefGoogle Scholar
  5. 5.
    Ceballos, et al. 11 March 2004: The terrorist bomb explosions in Madrid, Spain – an analysis of the logistics, injuries sustained and clinical management of casualties treated at the closest hospital. Crit Care. 2005;9:104–11.CrossRefGoogle Scholar
  6. 6.
    Mahoney EJ, Harrington DT, Biffl WL, Metzger J, Oka T, Cioffi WG. Lessons learned from a nightclub fire: institutional disaster preparedness. J Trauma. 2005;58:487–91.CrossRefGoogle Scholar
  7. 7.
    Shirley PJ, Mandersloot G. Clinical review: the role of the intensive care physician in mass casualty incidents: planning, organisation, and leadership. Crit Care. 2008;12:214.CrossRefGoogle Scholar
  8. 8.
    Vered Avidan V, et al. Civilian hospital response to a mass casualty event: the role of the intensive care unit. J Trauma. 2007;62:1234–9.CrossRefGoogle Scholar
  9. 9.
    Christian MD, et al. Definitive care the critically ill during disaster: Current capabilities and limitations: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007, Chicago, IL. Chest. 2008;133(5 Suppl):8S–17S.CrossRefGoogle Scholar
  10. 10.
    Mahoney EJ, et al. Mass-casualty incidents: how does an ICU prepare. J Intensive Care Med. 2008;23(4):219–35.CrossRefGoogle Scholar
  11. 11.
    Lynn M, Gurr D, Memon A, Kaliff J. Management of conventional mass casualty incidents: ten commandments for hospital planning. J Burn Care Res. 2006;27(5):649–58.CrossRefGoogle Scholar
  12. 12.
    Sumie Okumura S, et al. Clinical review: Tokyo – protecting the health care worker during a chemical mass casualty event: an important issue of continuing relevance. Crit Care. 2005;9:397–400.CrossRefGoogle Scholar
  13. 13.
    Hawryluck L, Lapinsky SE, Stewart TE. Clinical review: SARS – lessons in disaster management. Crit Care. 2005;9(4):384–9.CrossRefGoogle Scholar
  14. 14.
    Devereaux AV, et al. 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. Chest. 2008;133:51S–66S.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Andrew J. Kamien
    • 1
  • Christopher S. Davis
    • 1
  • Marc A. de Moya
    • 1
    Email author
  1. 1.Medical College of Wisconsin/Froedtert HospitalMilwaukeeUSA

Personalised recommendations