Mass Critical Care: Pediatric Considerations in Extending and Rationing Care in Public Health Emergencies

• 2009

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• Robert Kanter; Arthur Cooper
PMID: 19794308DOI: https://doi.org/10.1097/dmp.0b013e3181be6844

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About

This article focuses on how to care for children during public health emergencies when resources are limited. It describes the need to prioritize lifesaving treatments and delay less urgent care. Pediatric hospitals should be identified, but all hospitals must prepare for child patients. Challenges include keeping families together and using adult equipment for infants. Rationing may be needed, using scores like the Pediatric Index of Mortality 2 to decide who gets treatment first. The goal is to save as many lives or life-years as possible while considering public views on prioritizing children's care in emergencies.

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Tags

Focus Area: Everyday Emergency

Audiences: Emergency Managers; Public Health Professionals

Emergency Management Stages: Mitigation; Preparedness (Prevention / Protection)

Collection: Disaster Research Literature Review

Keywords: Critical Care; Disaster Planning; Equipment and Supplies; Health Care Rationing; Intensive Care Units; Intensive Care Units, Pediatric; Pediatrics; Public Health; Respiration, Artificial; Triage; Ventilators, Mechanical; Resource Allocation; Mass Casualty Incidents; Emergencies

Institutions: State University of New York - Upstate Medical University

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