Department of Critical Care Medicine, Lakeridge Health, Lakeridge/Durham Clinical Hub, Queen's University, 1 Hospital Court, Oshawa, Ontario L1G 2B9, Canada.
Crit Care Clin. 2019 Oct;35(4):551-562. doi: 10.1016/j.ccc.2019.06.008.
Critical care teams can face a dramatic surge in demand for ICU beds and organ support during a disaster. Through effective preparedness, teams can enable a more effective response and hasten recovery back to normal operations. Disaster preparedness needs to balance an all-hazards approach with focused hazard-specific preparation guided by a critical care-specific hazard-vulnerability analysis. Broad stakeholder input from within and outside the critical care team is necessary to avoid gaps in planning. Evaluation of critical care disaster plans require frequent exercises, with a mechanism in place to ensure lessons learned effectively prompt improvements in the plan.
在灾难期间,重症监护团队可能会面临对 ICU 床位和器官支持的巨大需求。通过有效的准备,团队可以做出更有效的响应,并加速恢复正常运营。灾难准备需要平衡全灾害方法和由特定重症监护危害脆弱性分析指导的重点危害特定准备。需要来自重症监护团队内外的广泛利益相关者的投入,以避免规划中的差距。需要经常进行重症监护灾难计划的评估,并建立机制,以确保从经验中吸取的教训能够有效地促使计划得到改进。