Markovitz Barry P
Department of Anesthesiology Critical Care Medicine, Childrens Hospital Los Angeles, CA, USA.
J Trauma. 2009 Aug;67(2 Suppl):S140-2. doi: 10.1097/TA.0b013e3181ac81b2.
For many pediatric intensive care units that routinely operate at near maximal census, planning for a surge of critically ill children in the event of a disaster can be daunting. This brief review discusses the framework of surge planning, alterations of standards of care, and providing critical care outside of the pediatric intensive care unit. There are general consensus-based guidelines on conceptualizing and operationalizing critical care surge planning, but there is little published on modeling outcomes of disasters affecting large numbers of children.
对于许多日常运营床位使用率接近最高限度的儿科重症监护病房而言,在灾难发生时规划应对重症患儿数量激增的情况可能颇具挑战性。本简要综述讨论了应对激增情况的规划框架、护理标准的调整以及在儿科重症监护病房之外提供重症护理。在将重症护理应对激增情况的规划概念化和实施方面,存在基于共识的通用指南,但关于影响大量儿童的灾难后果建模的文献却很少。