Practical, Ethical, and Legal Challenges Underlying Crisis Standards of Care

Journal of Law, Medicine and Ethics

Volumn 41, Issue SUPPL. 1, 2013, Pages 50-55

  Hodge, James G ^a   Hanfling, Dan ^b,c   Powell, Tia P ^d,e  

^a ARIZONA STATE UNIVERSITY   (United States)

^b BETTY AND GUY BEATTY CENTER FOR INTEGRATED RESEARCH   (United States)

^c GEORGE WASHINGTON UNIVERSITY   (United States)

^d MONTEFIORE MEDICAL CENTER   (United States)

^e ALBERT EINSTEIN COLLEGE OF MEDICINE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; DISASTER PLANNING; EMERGENCY HEALTH SERVICE; ETHICS; HEALTH CARE QUALITY; HUMAN; LEGAL ASPECT; ORGANIZATION; PRACTICE GUIDELINE; PUBLIC HEALTH SERVICE; RESOURCE ALLOCATION; STANDARD; UNITED STATES;

DISASTER PLANNING; EMERGENCY MEDICAL SERVICES; HUMANS; INSTITUTE OF MEDICINE (U.S.); PRACTICE GUIDELINES AS TOPIC; PUBLIC HEALTH ADMINISTRATION; RESOURCE ALLOCATION; STANDARD OF CARE; UNITED STATES;

EID: 84876964369     PISSN: 10731105     EISSN: 1748720X     Source Type: Journal    
DOI: 10.1111/jlme.12039     Document Type: Article

References (18)

1. Government Accountability Office, Emergency Preparedness: States Are Planning for Medical Surge, but Could Benefit from Shared Guidance for Allocating Scarce Medical Resources, 2008, GAO-08 668, available at (last visited January 9, 2013).
2. Institute of Medicine, Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response (2012).
3. E. L. Quarantelli, University of Delaware Disaster Research Center, "Emergencies, Disaster and Catastrophes Are Different Phenomena, " Preliminary Paper no. 304, available at (last visited January 9, 2013).
4. J. L. Hick, J. A. Barbera, and G. D. Kelen, "Refining Surge Capacity: Conventional, Contingency, and Crisis Capacity, " Disaster Medicine and Public Health Preparedness 3, Supp. 2 (2009): S59-S67.
5. Agency for Healthcare Research and Quality, "Altered Standards of Care in Mass Casualty Events: Bioterrorism and Other Public Health Emergencies, " Publication no. 05-0043 (2005).
6. Institute of Medicine, Committee on Guidance for Establishing Standards of Care for Use in Disaster Situations, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report (September 24 2009).
7. C. B. Irvin, L. Cindrich, et al., "Survey of Hospital Healthcare Personnel Response During a Potential Avian Influenza Pandemic: Will They Come to Work?" Prehospital and Disaster Medicine 23, no. 4 (2008): 328-335.
8. A. H. Antommaria, T. Powell, et al., "Ethical Issues in Pediatric Emergency Mass Critical Care, " Pediatric Critical Care Medicine 12, Supp. 6 (2011): S163-S168.
9. J. G. Hodge, Jr., "Legal Triage During Public Health Emergencies and Disasters, " Administrative Law Review 58, no. 3 (2006): 627-644.
10. J. G. Hodge, Jr. and E. D. Anderson, "Principles and Practice of Legal Triage During Public Health Emergencies, " New York University Annual Survey of American Law 64, no. 2 (2008): 249-291.
11. M. Carpenter, J. G. Hodge, Jr., and R. Pepe, "Deploying and Using Volunteer Health Practitioners in Response to Emergencies: Proposed Uniform State Legislation Provides Liability Protections and Workers' Compensation Coverage, " American Journal of Disaster Medicine 3, no. 4 (2008): 17-23.
12. A. Nossiter and S. Dewan, "Patient Deaths in New Orleans Bring Arrests, " New York Times, July 19 2006, available at (last visited January 9, 2013).
13. J. G. Hodge, Jr. and E. F. Brown, "Assessing Liability for Health Care Entities That Insufficiently Prepare for Catastrophic Emergencies, " JAMA 306, no. 3 (2011): 308-309.
14. S. Hoffman, R. A. Goodman, and D. D. Stier, "Law, Liability, and Public Health Emergencies, " Disaster Medicine and Public Health Preparedness 3, no. 2 (2009): 117-125.
15. S. Hoffman, "Responders' Responsibility: Liability and Immunity in Public Health Emergencies, " Georgetown Law Journal 96, (2008): 1913.
16. G. J. Annas, "Standard of Care - In Sickness and in Health and in Emergencies, " New England Journal of Medicine 362 (2010): 2126.
17. J. G. Hodge, Jr. and B. Courtney, "Assessing the Legal Standard of Care in Public Health Emergencies, " JAMA 303, no. 4 (2010): 361-362.
18. Department of Health and Human Services, Emergency System for Advance Registration of Volunteer Health Professionals (ESAR-VHP): Legal and Regulatory Issues (2009).