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Augmenting Critical Care Capacity During A Disaster

In a medical context, the term surge capacity refers to a healthcare delivery system’s ability to rapidly accommodate an increased demand for services under extenuating circumstances. The 3 most commonly identified components of surge capacity are staff, stuff (equipment, supplies, and pharmaceuticals), and space (room to accommodate patients, providers, and equipment) (1). A fourth, usually problematic, component is structure (delineation of management infrastructure). How a modern intensive care unit might respond to a major catastrophic event is informed by how it deals with everyday stressors.

This chapter from SCCM's Fundamental Disaster Management, Third Edition seeks to:

  • Explain how surge capacity relates to intensive care unit (ICU) readiness for a mass casualty incident.
  • Discuss the challenges inherent in maintaining high surge capacity in the ICU.
  • Explain how ICU surge capacity fits within the larger framework of disaster medical response.

Author(s):
Alex Gifford, MD
Peter Spiro, MD

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Categories: Disaster,
Content Type: Book Chapters,