Ardagh Michael
Christchurch School of Medicine and Health Sciences, Emergency Department, Christchurch Hospital.
N Z Med J. 2006 Oct 13;119(1243):U2256.
During overwhelming demand for resources, such as during an influenza pandemic, clinicians may be required to deny some patients access to a resource (for example ventilation, or hospital admission). However, no pragmatic guidance exists to help clinicians do this. This paper presents criteria for the prioritisation of access to resources during overwhelming demand. The criteria are in the form of eight questions related to the resource and the patients competing for it and are intended to be sufficiently comprehensive and sufficiently succinct to be useful to clinicians who might be required to make such decisions.
在资源需求极大的情况下,比如流感大流行期间,临床医生可能会被要求拒绝一些患者使用某种资源(例如呼吸机或住院治疗)。然而,目前尚无实用的指导意见来帮助临床医生做到这一点。本文提出了在资源需求极大时确定资源使用优先级的标准。这些标准以八个与资源及争夺该资源的患者相关的问题形式呈现,旨在足够全面且足够简洁,以便可能需要做出此类决策的临床医生使用。