Abstract
At any moment regular television programming could be interrupted with news of the emergence of a new strain of infective agent, a major industrial accident, or a terrorist event. Many devastating events are widespread and naturally occurring, like hurricanes, in which we have ample warning time to enact preparation plans; while others, like earthquakes, volcanoes, or tsunamis may kill or injure thousands before the news reports hit the airwaves. Industrial accidents and terrorist events are usually sudden and occur without any warning. Any of these events may have a local or regional effect; some may even have a global impact [1]. Regardless of the cause, after such an event, large amounts of the populace will be seeking medical care, whether from their primary care providers, public health departments, or local hospitals.
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References
EM-DAT: The International Disaster Database. Available at:http://www.emdat.be/Database/terms.html. Accessed May 11, 2009
Devereaux A, Christian M, Dichter J et al (2008): Definitive care for the critically ill during a disaster: Summary of suggestions from the task force for mass critical care summit 133:1S
Rubinson L, Hick J, Hanfling D et al (2008) Definitive care for the critically ill during a disaster: a framework for optimizing critical care surge capacity. Chest 133: 18S
Grissom T, Farmer J (2005) The provision of sophisticated critical care beyond the hospital: lessons from physiology and, military experiences that apply to civil disaster medical response. Crit Care Med 33(1 Suppl):S13
Dara S, Ashton R, Farmer J (2005) Engendering enthusiasm for sustainable disaster critical care response: why this is of consequence to critical care professionals? Crit Care 9:125–127
Daugherty E, Branson R, Rubinson L (2007) Mass casualty respiratory failure. Curr Opin Crit Care 13:51–56
Aylwin C, Konig T, Brennan N et al (2007) Reduction incritical mortality in urban mass casualty incidents: analysis of triage, surge, and resource use after the London bombings on JULY 7 368:2219–2225
Cushman J, Pachter H, Beaton H (2003) Two New York Cityhospitals’ surgical response to the September 11, 2001, terrorist attack in New York City. J Trauma 2003 54:147–154
de Ceballos J, Turegano-Fuentes F, Perez-Diaz D et al (2005) 11 March 2004: the terrorist bomb explosions in Madrid, Spain an analysis of the logistics, injuries sustained and clinicalmanagement of casualties treated at the closest hospital. Crit Care 9:104–111
Manthous C, Jackson W Jr. (2007) The 9–11 Commission’sinvitation to imagine: a pathophysiology-based approach to critical care of nuclear explosion victims. Crit Care Med 35:716–723
Baker D (2005) Critical care requirements after mass toxic agentrelease. Crit Care Med 2005 33(1 Suppl):S66–S74
Barbera J, Macintyre A (2004) Medical surge capacity andcapability: a management system for integrating medical and health resources during large-scale emergencies. CNA Corporation, Alexandria, VA
Morens D, Fauci AS (2007) The 1918 influenza pandemic: insights for the 21st century. J Infect Dis 195:1018–1028
Shirley P (2006) Critical care delivery: the experience of a civilian terrorist attack. J R Army Med Corps 152:17–21
Centers for Disease Control and Prevention. Flu Surge 2.0, 2006. Available at: http://www.cdc.gov/flu/tools/flusurge/. Accessed May 11, 2009
California Emergency Medical Services Authority (EMSA). Hospital Incident Command System Guidebook — August 2006. Available at: http://www.emsa.ca.gov/HICS/files/Guidebook_Glossary.pdf. Accessed May 11, 2009
Kaiser Permanente Hazard-Vulnerability Analysis (HVA) tool. Available at: http://www.njha.com/ep/pdf/627200834041 PM.pdf. Accessed: May 11, 2009
Joint Commission on Accreditation of Hospital Organizations: Hazard Vulnerability Analysis. Available at: http://www.gnyha.org/23/File.aspx. Accessed May 11, 2009
Joint Commission on Accreditation of Healthcare Organizations (2006) Comprehensive Accreditation Manual for Hospitals: The Official Handbook. Joint Commission Resources Oakbrook Terrace, IL, p EC-4.10
Fundamentals of Disaster Management course book. 3rd ed. Chicago, Society of Critical Care Medicine 2009. Available at: http://www.sccm.org/FCCS_and_Training_Courses/FDM/Pages/default.aspx. Accessed May 11, 2009
Fundamental Critical Care Support course book. 4th ed. Chicago, Society of Critical Care Medicine 2007. Available at: http://www.sccm.org/FCCS_and_Training_Courses/FCCS/Pages/default.aspx. Accessed May 11, 2009
Christian M, Hawryluck L, Wax R et al (2006) Development of a triage protocol for critical care during an influenza pandemic. CMAJ 175(11) 1377
Hick J, Rubinson L, O’Laughlin D et al (2007) Clinical review: allocating ventilators during large-scale disasters-problems, planning, and process. Crit Care 11:217–226
Jimenez E, Poalillo E (2009) Bioterrorism (Chapter 176). In Civetta, Taylor, & Kirby’s Critical Care. 4th ed. Gabrielli A, Layon J, Yu M (ed) Lippincott-Williams-Wilkins, Philadelphia.
Jimenez E, Poalillo E (2008) Personal Protective Equipment. In: Fundamentals of Disaster Management. 3rd ed. Chicago, Society of Critical Care Medicine
Zamora J, Murdoch J, Simchison B (2006) Contamination: a comparison of 2 personal protective systems. CMAJ 175(3):249–254
Daugherty E, Perl T, Needham D (2009) The use of personal protective equipment for control of influenza among critical care clinicians: a survey study. Crit Care Med 37:1210–1216
Casanova L, Alfano-Sobsey E, Rutala W et al (2008) Virus transfer from personal protective equipment to healthcare employees’ skin and clothing. Emerg Infect Dis 14:1291–1293.
Upshur R, Singer P (2005) Stand on guard for thee: ethical considerations in preparedness planning for pandemic influenza: a report of the University of Toronto Joint Centre for Bioethics Pandemic Influenza Working Group. University of Toronto Joint Centre for Bioethics. Toronto, Ontario, Canada, pp 1–29
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Jimenez, E.J. (2009). Emergency Mass Critical Care. In: Gullo, A., Lumb, P.D., Besso, J., Williams, G.F. (eds) Intensive and Critical Care Medicine. Springer, Milano. https://doi.org/10.1007/978-88-470-1436-7_30
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