Department of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Intensive Care Med. 2010 Apr;36 Suppl 1:S4-10. doi: 10.1007/s00134-010-1760-5.
In December 2007, the European Society of Intensive Care Medicine established a Task Force to develop standard operating procedures (SOPs) for operating intensive care units (ICU) during an influenza epidemic or mass disaster.
To provide direction for health care professionals in the preparation and management of emergency ICU situations during an influenza epidemic or mass disaster, standardize activities, and promote coordination and communication among the medical teams.
Based on a literature review and contributions of content experts, a list of essential categories for managing emergency situations in the ICU were identified. Based on three cycles of a modified Delphi process, consensus was achieved regarding the categories. A primary author along with an expert group drafted SOPs for each category.
Based on the Delphi cycles, the following key topics were found to be important for emergency preparedness: triage, infrastructure, essential equipment, manpower, protection of staff and patients, medical procedures, hospital policy, coordination and collaboration with interface units, registration and reporting, administrative policies and education.
The draft SOPs serve as benchmarks for emergency preparedness and response of ICUs to emergencies or outbreak of pandemics.
2007 年 12 月，欧洲危重病医学会成立了一个工作组，旨在制定在流感流行或大规模灾害期间运作重症监护病房（ICU）的标准操作程序（SOP）。
为应对流感流行或大规模灾害期间的紧急 ICU 情况的医疗保健专业人员提供指导，使活动标准化，并促进医疗团队之间的协调和沟通。
基于文献回顾和内容专家的贡献，确定了管理 ICU 紧急情况的基本类别清单。通过三轮修改后的 Delphi 流程，就这些类别达成了共识。主要作者和专家组为每个类别起草了 SOP。
根据 Delphi 周期，发现以下关键主题对紧急准备很重要：分诊、基础设施、基本设备、人力、医护人员和患者的保护、医疗程序、医院政策、与接口单位的协调与合作、登记和报告、行政政策和教育。
草案 SOP 可作为 ICU 应对紧急情况或大流行爆发的应急准备和响应的基准。
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