GuidelineIntensive care medicine2010
Chapter 2. Surge capacity and infrastructure considerations for mass critical care. Recommendations and standard operating procedures for intensive care unit and hospital preparations for an influenza epidemic or mass disaster.
Guideline in Intensive care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
30 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Health systems' "surge capacity": state of the art and priorities for future research.The Milbank quarterly · 2013Pooled it
- Guideline
- Contingency Plan for the Intensive Care Services for the COVID-19 pandemic.Enfermeria intensivaGuideline
- Adjustment of medical standards in disaster, crises and war: a scoping review of the literature.BMJ public health · 2024Article
- Assessment of Hospital Readiness to Respond to COVID-19 Pandemic in Jordan-A Cross Sectional Study.International journal of environmental research and public health · 2023Article
- Intensive Care Unit Occupancy in Japan, 2015-2018: A Nationwide Inpatient Database Study.Journal of epidemiology · 2022Article
- Impact of the COVID-19 pandemic on critical care utilization in Japan: a nationwide inpatient database study.Journal of intensive care · 2022Article
- Hospital Surge Capacity Preparedness in Disasters and Emergencies: Protocol for a Systematic Review.International journal of environmental research and public health · 2022Article
- Experience of the Coronavirus Disease (COVID-19) Patient Care in the Amsterdam Region: Optimization of Acute Care Organization.Disaster medicine and public health preparedness · 2022Review
- Augmentation of a Hospital Incident Command System to Support Continued Waves of the COVID-19 Pandemic.Journal of healthcare leadership · 2022Article
- Prevalence and associated factors of COVID-19 across Italian regions: a secondary analysis from a national survey on physiotherapists.Archives of physiotherapy · 2021Article
- The Feasibility of Implementing the Flexible Surge Capacity Concept in Bangkok: Willing Participants and Educational Gaps.International journal of environmental research and public health · 2021Article
- Should we ration extracorporeal membrane oxygenation during the COVID-19 pandemic?The Lancet. Respiratory medicine · 2021Article
- Rapid response to COVID-19, escalation and de-escalation strategies to match surge capacity of Intensive Care beds to a large scale epidemic.Revista espanola de anestesiologia y reanimacion · 2021Article
- Review
- Design and evaluation of a portable negative pressure hood with HEPA filtration to protect health care workers treating patients with transmissible respiratory infections.American journal of infection control · 2020Article
- Translating COVID-19 Pandemic Surge Theory to Practice in the Emergency Department: How to Expand Structure.Disaster medicine and public health preparedness · 2020Review
- Review
- Impact of the COVID-19 epidemic on census, organization and activity of a large urban Emergency Department.Acta bio-medica : Atenei Parmensis · 2020Article
- Preparing for the Maximum Emergency with a Simulation: A Table-Top Test to Evaluate Bed Surge Capacity and Staff Compliance with Training.Open access emergency medicine : OAEM · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo provide recommendations and standard operating procedures for intensive care unit (ICU) and hospital preparations for a mass disaster or influenza epidemic with a specific focus on surge capacity and infrastructure considerations.
methodsBased on a literature review and expert opinion, a Delphi process was used to define the essential topics including surge capacity and infrastructure considerations.
resultsKey recommendations include: (1) hospitals should increase their ICU beds to the maximal extent by expanding ICU capacity and expanding ICUs into other areas; (2) hospitals should have appropriate beds and monitors for these expansion areas; hospitals should develop contingency plans at the facility and government (local, state, provincial, national) levels to provide additional ventilators; (3) hospitals should develop a phased staffing plan (nursing and physician) for ICUs that provides sufficient patient care supervision during contingency and crisis situations; (4) hospitals should provide expert input to the emergency management personnel at the hospital both during planning for surge capacity as well as during response; (5) hospitals should assure that adequate infrastructure support is present to support critical care activities; (6) hospitals should prioritize locations for expansion by expanding existing ICUs, using postanesthesia care units and emergency departments to capacity, then step-down units, large procedure suites, telemetry units and finally hospital wards.
conclusionsJudicious planning and adoption of protocols for surge capacity and infrastructure considerations are necessary to optimize outcomes during a pandemic.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.