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Tag: Disaster Response

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Configuring the ICU in the COVID-19 Era: Real-World Experience

Because all of us are learning as we go and hungry for insights from other healthcare professionals and facilities that have been treating patients who are critically ill with COVID-19, SCCM has created the report Configuring ICUs in the COVID-19 Era.

Consensus Statement on Multiple Patients Per Ventilator

The Society of Critical Care Medicine (SCCM), American Association for Respiratory Care (AARC), American Society of Anesthesiologists (ASA), Anesthesia Patient Safety Foundation (ASPF), American Association of Critical-Care Nurses (AACN), and American College of Chest Physicians (CHEST) issue this consensus statement on the concept of placing multiple patients on a single mechanical ventilator.

Impact and response in a Houston trauma center intensive care unit

This article aims to increase awareness of specific risks to healthcare systems during a natural or civil disaster.

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).

Countering COVID-19 Delirium with the ICU Liberation Bundle

The ICU liberation Bundle (formerly known as the A-F bundle) is more important than ever in the COVID-19 era. While the pandemic has changed much inside intensive care units (ICUs), the commitment to provide multiprofessional, high-quality care is unwavering.

COVID-19 Response

Resources for healthcare professionals responding to the COVID-19 pandemic.

Augmenting Critical Care Capacity During a Disaster

This complimentary chapter from Fundamental Disaster Management aims to: identify the 4 components of surge capacity, 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

Disaster Triage and Allocation of Scarce Resources

When disaster strikes, effective management of resources can significantly influence the overall outcome of the response. If the number of victims and the complexity of their injuries are low and resources are abundant, resource allocation will have little impact on the disaster outcome. However, if there is a high number of victims with complex injuries and available resources are limited, how those resources are used will determine the outcome for some individuals.

PPE Strategies for the COVID-19 Era

The supply of personal protective equipment (PPE) has been uncertain since the start of the COVID-19 pandemic. Months into this healthcare crisis, supply chains are unpredictable as reports of shortages continue. Follow these key strategies for managing PPE.

Critical Care for Non-ICU Clinicians

Access the Society of Critical Care Medicine's (SCCM) complimentary online training, Critical Care for Non-ICU Clinicians.

Conventional Explosions and Blast Injuries

This complimentary chapter from Fundamental Disaster Management aims to describe the mechanisms of injury associated with conventional explosions, outline triage strategies and markers of severe injury in patients wounded in conventional explosions, explain the general principles of critical care and procedural support in mass casualty incidents caused by conventional explosions, discuss organ-specific support for victims of conventional explosions.

United States Resource Availability for COVID-19

With the onset of COVID-19, and the strong possibility of large percentages of the U.S. population being admitted to the hospital and intensive care unit (ICU), the Society of Critical Care Medicine (SCCM) has updated its statistics on critical care resources available in the United States.

Disaster and Emergency Resources

SCCM assists the critical care community during disasters and emergencies by providing resources and updates and is actively responding to the coronavirus disease 2019 (COVID-19) outbreak.

Critical Care Management of Chemical Exposures

This complimentary chapter from Fundamental Disaster Management aims to: review measures of preparedness and planning and describe the purpose of decontamination

SCCM-ASA Joint Statement to Address the COVID-19 Pandemic

The Society of Critical Care Medicine (SCCM) and the American Society of Anesthesiologists (ASA) announce their plans to collaborate to address the COVID-19 crisis.

Critical Care of the Burn Patient

This complimentary chapter from Current Concepts aims to describe at least 3 components of a burn-specific secondary survey, plan fluid resuscitation for a patient with a large burn, list at least 3 important burn-related issues that arise in the ICU when caring for patients with large burns

Sign Up for COVID-19 Email Updates

The Society of Critical Care Medicine (SCCM) is rapidly developing and deploying resources to respond to coronavirus disease 2019 (COVID-19). Enter your email to receive updates about this information.

Delivering Acute Care to Chronically Ill Adults in Shelters

This complimentary chapter from Fundamental Disaster Management aims to: describe the most likely settings from which affected adults or children will seek care in shelters during disasters.

Disaster Triage and Allocation of Scare Resources

This complimentary chapter from Fundamental Disaster Management aims to: describe the types and characteristics of surges, summarize key events in the history of triage, identify what critical care resources may have to be allocated or triaged during a disaster, explain the differences between resource allocation, rationing, and triage.

Intensive Care Unit Microcosm Within Disaster Medical Response

This complimentary chapter from Fundamental Disaster Management aims to: explain the concept of all-hazard preparedness as it relates to critical care disaster response.

Mass Casualty Burn Care

This complimentary chapter from Fundamental Disaster Management aims to describe the physiological injury and pathology of burn injury.

Provision of Sophisticated Critical Care Beyond the Hospital

"The provision of sophisticated critical care beyond the hospital: Lessons from physiology and military experiences that apply to civil disaster medical response," published in Critical Care Medicine (CCM), explores existing ICU care systems such as military aeromedical transport that may be applicable to disaster medicine and to providing critical care outside of an ICU setting.

Public health issues in disasters

This article outlines a number of important areas in which public health can contribute to making overall disaster management more effective. This article discusses health effects of some of the more important sudden impact natural disasters and potential future threats (e.g., intentional or deliberately released biologic agents) and outlines the requirements for effective emergency medical and public health response to these events.

Strategies to improve pediatric disaster surge response

This article aims to estimate the potential for disaster mortality reduction with two surge response strategies: 1) control distribution of disaster victims to avoid hospital overcrowding near the scene, and 2) expand capacity by altering standards of care to only “essential” interventions.

Sustained Mechanical Ventilation Outside of Traditional Intensive Care Units

This complimentary chapter from Fundamental Disaster Management aims to: describe the medical response capability needed for mass casualty respiratory failure, summarize the functional requirements of space to be adapted for disaster critical care, identify the essential characteristics of positive pressure ventilation equipment for use in a mass casualty incident, summarize the ancillary respiratory equipment recommended for use in mass casualty critical care.


This appendix from Fundamental Critical Care Support provides a summary of tetanus prophylaxis in routine wound management. 

What Do I Need to Know About Rationing in the ICU?

This chapter from Critical Care Ethics discusses rationing, with an emphasis on ethical principles and practice. Rationing refers to the distribution of resources, and the application of justice to this practice implies that resources are distributed fairly. Most people would say that it is only fair to invoke the principle of justice (as opposed to the principles of autonomy, nonmaleficence, and beneficence) before you approach the patient’s bedside.