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Title:
Too Many Patients…A Framework to Guide Statewide Allocation of Scarce Mechanical Ventilation During Disasters
Authors:
Elizabeth Lee Daugherty Biddison, Ruth Faden, Howard S. Gwon, Darren P. Mareiniss, Alan C. Regenberg, Monica Schoch-Spana, Jack Schwartz, Eric S. Toner
Date posted:
October 11, 2018
Publication type:
Article
Publication:

Chest

DOI:
10.1016/j.chest.2018.09.025
See also:
Introduction:

The authors describe a critical care disaster resource allocation framework developed following a state-wide community engagement process in Maryland. It is intended to assist hospitals and public health agencies in their independent and coordinated response to an officially declared catastrophic health emergency in which demand for mechanical ventilators exceeds the capabilities of all surge response efforts and in which there has been an executive order to implement scarce resource allocation procedures. The framework, built on a basic scoring system with modifications for specific considerations, also creates an opportunity for the legal community to review existing laws and liability protections in light of a specific disaster response process.