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本文引用的文献

1
Impact of pandemic (H1N1) 2009 influenza on critical care capacity in Victoria.2009年甲型H1N1流感大流行对维多利亚州重症监护能力的影响。
Med J Aust. 2009 Nov 2;191(9):502-6. doi: 10.5694/j.1326-5377.2009.tb02914.x.
2
Critically ill patients with 2009 influenza A(H1N1) infection in Canada.加拿大2009年甲型H1N1流感感染的重症患者。
JAMA. 2009 Nov 4;302(17):1872-9. doi: 10.1001/jama.2009.1496. Epub 2009 Oct 12.
3
Critically Ill patients with 2009 influenza A(H1N1) in Mexico.墨西哥2009年甲型H1N1流感危重症患者。
JAMA. 2009 Nov 4;302(17):1880-7. doi: 10.1001/jama.2009.1536. Epub 2009 Oct 12.
4
Critical care services and 2009 H1N1 influenza in Australia and New Zealand.澳大利亚和新西兰的重症监护服务与2009年甲型H1N1流感
N Engl J Med. 2009 Nov 12;361(20):1925-34. doi: 10.1056/NEJMoa0908481. Epub 2009 Oct 8.
5
Definitive care for the critically ill during a disaster: current capabilities and limitations: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007, Chicago, IL.灾难期间危重症患者的确定性治疗:当前的能力与局限:源自2007年1月26 - 27日于伊利诺伊州芝加哥市召开的重症医学特遣部队峰会会议
Chest. 2008 May;133(5 Suppl):8S-17S. doi: 10.1378/chest.07-2707.
6
Dr. Pou and the hurricane--implications for patient care during disasters.Pou医生与飓风——灾难期间对患者护理的启示。
N Engl J Med. 2008 Jan 3;358(1):1-5. doi: 10.1056/NEJMp0707917.
7
Hospice utilization during the SARS outbreak in Taiwan.台湾严重急性呼吸道综合征疫情期间临终关怀服务的利用情况。
BMC Health Serv Res. 2006 Aug 4;6:94. doi: 10.1186/1472-6963-6-94.

缓解大流行:“所有患者都必须得到照顾”。

Palliating a pandemic: "all patients must be cared for".

机构信息

Department of Medicine, University of Toronto, Toronto, Ontario M5G 2C4, Canada.

出版信息

J Pain Symptom Manage. 2010 Feb;39(2):291-5. doi: 10.1016/j.jpainsymman.2009.11.241.

DOI:10.1016/j.jpainsymman.2009.11.241
PMID:20152591
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7135517/
Abstract

In the event of an overwhelming influenza pandemic, many health care systems will implement a triage system that would potentially deny critical care treatment to some seriously ill patients. Although all triage systems have guaranteed palliative care for those who are denied critical care, no jurisdiction has yet developed a plan to accommodate the anticipated "surge" in demand for palliative care. The authors present a mathematical and ethical justification for a palliative care surge plan and outline some of the key elements that should be included in such a plan.

摘要

在流感大流行的情况下,许多医疗保健系统将实施分诊系统,这可能会拒绝为一些重病患者提供重症治疗。尽管所有分诊系统都保证为那些被拒绝重症治疗的人提供姑息治疗,但没有任何司法管辖区制定计划来满足预期的姑息治疗需求“激增”。作者为姑息治疗激增计划提供了数学和伦理依据,并概述了该计划应包含的一些关键要素。