LEADER 03806cam 2200457 a 4500001 ocn480590356 003 OCoLC 005 20141212051322.0 008 091211s2010 dcua b 100 0 eng c 020 0309126665 020 9780309126663 035 (Sirsi) o480590356 035 (OCoLC)480590356 040 YDXCP |cYDXCP |dNRZ |dAZS |dUBY |dCOO |dUtOrBLW 042 pcc 043 n-us--- 049 NEHH 050 4 RA645.5 |b.C75 2010 245 00 Crisis standards of care : |bsummary of a workshop series / |cClare Stroud [and others], rapporteurs; Forum on Medical and Public Health Preparedness for Catastrophic Events, Board on Health Sciences Policy, Institute of Medicine of the National Academies. 260 Washington, D.C. : |bNational Academies Press, |c©2010. 300 xii, 162 pages : |billustrations ; |c23 cm 336 text |2rdacontent 337 unmediated |2rdamedia 338 volume |2rdacarrier 504 Includes bibliographical references (p. 65-68). 505 0 Forum and workshop objectives -- Related IOM work on crisis standards of care -- Crisis standards of care protocols -- Continuum of surge capacity and standards of care -- Clinical operations -- Provider involvement and engagement -- Public engagement and education -- Developing intrastate and interstate cooperation and consistency -- The role of the federal government and national leadership -- Ethical considerations -- Legal issues for crisis standards of care. 520 "During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable healthcare providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them. Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges."--Publisher's description. 530 Also available online. 650 0 Disaster medicine |xStandards |zUnited States |vCongresses. |=^A125020 650 0 Emergency medical services |xStandards |zUnited States |vCongresses. |=^A157 650 0 Integrated delivery of health care |xStandards |zUnited States |vCongresses. |=^A477115 650 12 Disaster Medicine |xstandards |zUnited States. |=^A1004911 650 22 Delivery of Health Care |xstandards |zUnited States. |=^A920712 700 1 Stroud, Clare. |=^A1016779 710 2 Institute of Medicine (U.S.). |bForum on Medical and Public Health Preparedness for Catastrophic Events. |=^A1016530 994 C0 |bNEH 590 Laupus-WCP 096 WA 295 C932 2010 596 4 998 2264689