Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Clinical review: Allocating ventilators during large-scale disasters - problems, planning, and process. | Available online http content 11 3 217 Review Clinical review Allocating ventilators during large-scale disasters - problems planning and process John L Hick1 2 Lewis Rubinson3 Daniel T O Laughlin1 4 and J Christopher Farmer5 1 University of Minnesota Medical School Minneapolis MN USA 2Emergency Medicine MC 825 Hennepin County Medical Center 701 Park Ave. S. Minneapolis MN 55415 USA 3Disaster Medicine Director Public Health- Seattle King County 999 3rd Avenue Suite 1200 Seattle WA 98104 USA 4Abbott Northwestern Hospital 2925 Chicago Ave. S. Emergency Medicine Minneapolis MN 55407 USA 5Mayo Clinic School of Graduate Medical Education. Division of Critical Care Medicine Mayo Clinic Rochester MN USA 55905 USA Corresponding author John L Hick Published 19 June 2007 This article is online at http content 11 3 217 2007 BioMed Central Ltd Critical Care 2007 11 217 doi cc5929 Abstract Catastrophic disasters particularly a pandemic of influenza may force difficult allocation decisions when demand for mechanical ventilation greatly exceeds available resources. These situations demand integrated incident management responses on the part of the health care facility and community including resource management provider liability protection community education and information and health care facility decision-making processes designed to allocate resources as justly as possible. If inadequate resources are available despite optimal incident management a process that is evidence-based and as objective as possible should be used to allocate ventilators. The process and decision tools should be codified pre-event by the local and regional healthcare entities public health agencies and the community. A proposed decision tool uses predictive scoring systems diseasespecific prognostic factors response to current mechanical ventilation duration of current and expected therapies and underlying disease states to guide decisions .
