Triaging for adult critical care in the event of overwhelming need

Intensive Care Medicine

Volumn 36, Issue 6, 2010, Pages 1076-1082

  Eastman, Nigel ^a   Philips, Barbara ^a   Rhodes, Andrew ^b  

^a ST GEORGE'S UNIVERSITY OF LONDON   (United Kingdom)

^b ST GEORGE'S UNIVERSITY HOSPITALS NHS FOUNDATION TRUST   (United Kingdom)

Author keywords

Critical care; Ethical; Ethics; Failure; Fairness; Human Rights Act; Influenza A (H1N1); Law; Model; Need; Organ; Rationing; SOFA; Triage; Utilitarian; Withdrawal

Indexed keywords

CLINICAL DECISION MAKING; EMERGENCY HEALTH SERVICE; HEALTH CARE PERSONNEL; HUMAN; INFLUENZA VIRUS A H1N1; INTENSIVE CARE; MEDICAL ETHICS; MEDICAL SPECIALIST; MENTAL STRESS; MORBIDITY; MORTALITY; MULTIPLE ORGAN FAILURE; NONHUMAN; PANDEMIC INFLUENZA; POLITICAL SYSTEM; PRACTICE GUIDELINE; PREDICTION; PUBLIC HEALTH SERVICE; REVIEW; SCORING SYSTEM; UNITED KINGDOM;

ADULT; CRITICAL ILLNESS; EMERGENCY SERVICE, HOSPITAL; GREAT BRITAIN; HEALTH SERVICES NEEDS AND DEMAND; HUMAN RIGHTS; HUMANS; INFLUENZA A VIRUS, H1N1 SUBTYPE; INFLUENZA, HUMAN; MODELS, THEORETICAL; POLITICS; SURGE CAPACITY; TRIAGE;

EID: 77954458893     PISSN: 03424642     EISSN: 14321238     Source Type: Journal    
DOI: 10.1007/s00134-010-1862-0     Document Type: Review

References (23)

1. Webb SAR, Seppelt IM, the ANZIC Influenza Investigators (2009) Pandemic (H1N1) 2009 influenza ("swine flu'') in Australian and New Zealand intensive care. Crit Care Resusc 11:170-172
2. Jamieson DJ, Honein MA, Rasmussen SA, Williams JL, Swerdlow DL, Biggerstaff MS, Lindstrom S, Louie JK, Christ CM, Bohm SR, Fonseca VP, Ritger KA, Kuhles DJ, Eggers P, Bruce H, Davidson HA, Lutterloh E, Harris ML, Burke C, Cocoros N, Finelli L, MacFarlane KF, Shu B, Olsen SJ, Novel Influenza A (H1N1) Pregnancy Working Group (2009) H1N1 2009 influenza virus infection during pregnancy in the USA. Lancet 374:451-458
3. Perez-Padilla R, de la Rosa-Zamboni D, Ponce de Leon S, Hernandez M, Quiñones-Falconi F, Bautista E, Ramirez-Venegas A, Rojas-Serrano J, Ormsby CE, Corrales A, Higuera A, Mondragon E, INER Working Group on Influenza (2009) Pneumonia and respiratory failure from Swine-Origin Influenza A (H1N1) in Mexico. N Engl J Med 361:680-689
4. Novel Swine-Origin Influenza A (H1N1) Virus Investigation Team (2009) Emergence of a Novel Swine-Origin Influenza A (H1N1) virus in humans. N Engl J Med 360:2605-2615
5. Rello J, Rodriguez A, Ibanez P, Socias L, Cebrian J, Marques A, Guerrero J, Ruiz-Santana S, Marquez E, Del Nogal-Saez F, Alvarez-Lerma F, Mart́inez S, Ferrer M, Avellanas M, Granada R, Marav́i-Poma E, Albert P, Sierra R, Vidaur L, Ortiz P, Prieto del Portillo I, Galván B, León-Gil C, H1N1 SEMICYUC Working Group (2009) Intensive care adult patients with severe respiratory failure caused by Influenza A (H1N1) in Spain. Crit Care 13:R148
6. Ercole A, Taylor BL, Rhodes A, Menon DK (2009) Modelling the impact of an influenza A H1N1 pandemic on critical care demand from early pathogenicity data: the case for sentinel reporting. Anaesthesia 64:937-941
7. Department of Health (2009) Swine Flu: UK planning assumptions. http://www.dh.gov.uk/prod-consum-dh/groups/dh-digitalassets/@dh/@en/@ps/@sta/ @perf/documents/digitalasset/dh-107428.pdf
8. Department of Health (2009) Critical Care beds. 17 September 2009. http://www.dh.gov.uk/prod-consum- dh/groups/dh-digitalassets/@dh/@en/@ps/@sta/ @perf/documents/digitalasset/dh-104711.xls
9. Department of Health (2007) Pandemic flu-a national framework for responding to an influenza pandemic. http://www.dh.gov.uk/prod-consum-dh/groups/ dh-digitalassets/@dh/@en/documents/digitalasset/dh-080745.pdf
10. Department of Health (2009) DoH draft guidance: pandemic influenza. Surge capacity and prioritisation in health services. http://www.dh.gov.uk/prod- consum-dh/groups/dh-digitalassets/@dh/@en/documents/digitalasset/dh-087734.pdf
11. Department of Health (2005) Emergency preparedness division. The NHS Emergency Planning Guidance. http://www.dh.gov.uk/prod-consum-dh/groups/dh- digitalassets/@dh/@en/documents/digitalasset/dh-4121236.pdf
12. Christian MD, Hawryluck L, Wax RS, Cook T, Lazar NM, Herridge MS, Muller MP, Gowans DR, Fortier W, Burkle FM (2006) Development of a triage protocol for critical care during an influenza pandemic. CMAJ 175:1377-1381
13. British Infection Society; British Thoracic Society; Health Protection Agency; Department of Health (2006) Pandemic flu. Clinical management of patients with an influenza-like illness during an influenza pandemic. J Infect 53:S1-S58
14. Department of Health (2007) NHS Emergency Planning Guidance 2005: underpinning materials-critical care contingency planning in the event of an emergency where the numbers of patients substantially exceeds normal critical care capacity. Best practice guidance. http://www.dh.gov.uk/prod-consum-dh/ groups/dh- digitalassets/@dh/@en/documents/digitalasset/dh-081303.pdf
15. Daniels N (2000) Accountability for reasonableness. BMJ 321:1300-1301
16. Department of Health (2007) Responding to pandemic influenza: the ethical framework for policy and planning. http://www.dh.gov.uk/prod- consum-dh/groups/dh-digitalassets/@dh/@en/documents/digitalasset/dh-080729.pdf
17. Society of Critical Care Medicine Ethics Committee (1994) Consensus statement on the triage of critically ill patients. JAMA 271:1200-1203
18. Vincent JL, Moreno R, Takala J, Willatts S, De Mendonça A, Bruining H, Reinhart CK, Suter PM, Thijs LG (1996) The SOFA (sepsis-related organ failure assessment) score to describe organ dysfunction/failure. On behalf of the working group on sepsis-related problems of the European Society of intensive care medicine. Intensive Care Med 22:707-710
19. Jones AE, Trzeciak S, Kline JA (2009) The sequential organ failure assessment score for predicting outcome in patients with severe sepsis and evidence of hypoperfusion at the time of emergency department presentation. Crit Care Med 37:1649-1654
20. Khan Z, Hulme J, Sherwood N (2009) An assessment of the validity of SOFA score based triage in H1N1 critically ill patients during an influenza pandemic. Anaesthesia 64(12):1283-1288
21. Christian MD, Hamielec C, Lazar NM, Wax RS, Griffith L, Herridge MS, Lee D, Cook DJ (2009) A retrospective cohort pilot study to evaluate a triage tool for use in a pandemic. Crit Care 13:R170
22. White DB, Angus DC (2009) Preparing for the sickest patients with 2009 Influenza A (H1N1). JAMA 302:1905-1906
23. Guest T, Tantam G, Donlin N, Tantam K, McMillan H, Tillyard A (2009) An observational cohort study of triage for critical care provision during pandemic influenza: 'clipboard physicians' or 'evidenced based medicine'? Anaesthesia 64:1199-1206