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Care of the Critically ill and Injured During Pandemics and Disasters: Portable Mobile Support Information Networks
We suggest hospitals have the ability to effectively and quickly download all patient-related information into a mobile package (eg, a flash drive or disk) that can be easily read by other information systems, and can be rapidly prepared for transport with the patient. This should obey the clinical document architecture/continuity of care document documents currently […]
Care of the Critically ill and Injured During Pandemics and Disasters: Health Information Technology Continuity in Disasters
Strategy 5: Once an impending medication or supply shortage is identified, health-care facilities should institute protocols to encourage the use of alternative products whenever possible and to restrict use of the product in shortage such that it is only used when there is no available alternative or when the use of alternatives is prohibited due […]
Care of the Critically ill and Injured During Pandemics and Disasters: Strategies
Strategy 2: Pre-event planning should be tailored at individual health-care facilities to identify commonly used critical care products and alternatives for which providers at the facility already have some degree of familiarity. To limit adverse events, it is preferable to use alternative products already in use and familiar to health-care workers rather than similar product […]
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Care of the Critically ill and Injured During Pandemics and Disasters: Strategy 1
In critical care medicine, supply chain vulnerabilities have already resulted in many key medication shortages, including antimicrobials, sedatives, vasopressor medications, and anesthetics (Table 2, e-Table 1). These shortages are not due to disasters, and, hence, when disasters occur, they will exacerbate these preexisting vulnerabilities. cheap wellbutrin When medication shortages occur, alternative agents are often used, […]
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Care of the Critically ill and Injured During Pandemics and Disasters: Results
Periodic disruptions in medical supply chains can occur along the continuum of the manufacturing process from the availability of raw materials to final packaging and distribution. Although large-scale disasters can result in large and far-reaching shortages of a wide array of manufactured goods, substantial supply chain disruptions can be caused by seemingly benign events, such […]
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Care of the Critically ill and Injured During Pandemics and Disasters: Materials and Methods
The Business and Continuity of Operations panel followed the American College of Chest Physicians (CHEST) Guidelines Oversight Committee’s methodology to develop suggestions, based on a consensus development process (see “Methodology” article by Ornelas et al in this consensus statement). The Business and Continuity of Operations panel developed 13 key questions. (See e-Appendix 1 for key […]
Care of the Critically ill and Injured During Pandemics and Disasters
Business and Continuity of Operations in a disaster is a broad area; therefore, the task force chose to focus on medication/medical supply shortages and continuity of information technology (IT) operations, as they are both key issues affecting critical care patients identified by several of the topic groups (see “Evacuation of the ICU” article by King […]
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