Emergency Preparedness by Paul V. Creighton
By Paul V. Creighton
Strength terrorist assaults and the potential for clearly happening affliction outbreaks have raised matters concerning the 'surge skill' of the nation's overall healthiness care platforms to reply to mass casualty occasions. GAO pointed out 4 key elements of getting ready for scientific surge: expanding health facility ability, picking out exchange care websites, registering scientific volunteers, and making plans for changing proven criteria of care. the dept of overall healthiness and Human companies (HHS) is the first business enterprise for health center preparedness, together with clinical surge. this is often an edited and excerpted variation.
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State could identify at least one health care facility in each definedsubstate regionc that could support initial evaluation and treatment of at least 10 patients (adult and pediatric) at a time in negative pressure isolation within 3 hours of an event. State reported that all participating hospitals in the state were ableto maintain at least one suspected highly infectious disease case in negative pressure isolation. State reported that within 24 hours of a mass casualty event, its hospitals would be able to add enough additional hospital beds to the state’s current daily staffed bed capacity to provide triage treatment and initial stabilization for an additional 500 patients per million population.
These agencies’ comments are reprinted in appendixes V, VI, VII, and VIII, respectively. In commenting on this draft, HHS said our chapter was a fair representation of the progress that has been made to improve medical surge capacity. HHS was silent regarding our recommendation that the department serve as a clearinghouse for sharing among the states altered standards of care guidelines developed by individual states or medical experts. HHS provided technical comments, which we incorporated where appropriate.
Another state had developed a “white paper” discussing the need for an altered standards of care initiative and planned to fund a symposium to discuss this initiative. Six of the seven states that had adopted or were drafting altered standards of care guidelines reported using AHRQ documents, such as Altered Standards of Care in Mass Casualty Events and Mass Medical Care with Scarce Resources: A Community Planning Guide. Officials from one state reported that they had also used CDC documents and the federal government’s pandemic influenza Web site40 when planning for altered standards of care.