Rubinson Lewis, O'Toole Tara
Division of Pulmonary and Critical Care Medicine, Johns Hopkins University, Baltimore, Maryland, USA.
Crit Care. 2005 Aug;9(4):311-3. doi: 10.1186/cc3533. Epub 2005 Apr 27.
We recommend several actions that could improve hospitals' abilities to deliver critical care during epidemics involving large numbers of victims. In the absence of careful pre-event planning, demand for critical care services may quickly exceed available intensive care unit (ICU) staff, beds and equipment, leaving the bulk of the infected populace without benefit of potentially lifesaving critical care. The toll of death may be inversely proportional to the ability to augment critical care capacity, so critical care health care professionals must take the lead for planning and preparing to care for numbers of seriously ill patients that far exceed available ICU beds.
我们建议采取多项行动，以提高医院在涉及大量受害者的疫情期间提供重症护理的能力。如果没有事先精心规划，对重症护理服务的需求可能会迅速超过重症监护病房（ICU）现有的工作人员、床位和设备，导致大部分感染者无法获得可能挽救生命的重症护理。死亡人数可能与增强重症护理能力的能力成反比，因此重症护理医疗专业人员必须带头规划和准备，以护理数量远远超过现有ICU床位的重症患者。
