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Care of the Critically ill and Injured During Pandemics and Disasters: Hospitals and Health-care IT Preparedness Planning
We suggest hospitals have a plan for rapid movement of the data center to offsite remote operations in the case of prolonged local power disruption for critical functions. We suggest a plan be in place to provide power to the client machines, analyzers, networking equipment, etc along with the data center for an extended period […]
Care of the Critically ill and Injured During Pandemics and Disasters: The information priorities
For these reasons, we strongly suggest setting up emergency networks that use consumer products, including laptop computers, “smart” cell phones, and electronic note pads, among others. The power of consumer mobile computing devices now rivals traditional desktop computers. They are ideal devices for use during mass casualty events because of high mobility and built-in network […]
Care of the Critically ill and Injured During Pandemics and Disasters: Functioning Information Network
Wireless local area networks are suggested, as they may be less vulnerable to damage, can be used for monitoring patients and for high-speed data applications (eg, picture archiving and communication system), and are capable of supporting most portable or handheld hardware (Fig 1). Cellular-based solutions maybe less preferred, as cellular networks are not available in […]
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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