Eliminating Categorical Exclusion Criteria in Crisis Standards of Care Frameworks. [PDF]
During public health crises including the COVID-19 pandemic, resource scarcity and contagion risks may require health systems to shift-to some degree-from a usual clinical ethic, focused on the well-being of individual patients, to a public health ethic, focused on population health.
Auriemma CL +5 more
europepmc +5 more sources
AbstractIn this essay, we suggest practical ways to shift the framing of crisis standards of care toward disability justice. We elaborate on the vision statement provided in the 2010 Institute of Medicine (National Academy of Medicine) “Summary of Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations,” which emphasizes ...
Laura Guidry-Grimes +2 more
exaly +6 more sources
Disaster preparedness for intensive care units: Priorities to inform crisis standards of care
The number of disasters occurring globally is increasing. Natural hazards, changing geopolitical situations, and increasing population densities may lead to an increased likelihood of a surge of patients requiring health care, some of whom might be requiring intensive care-level treatment.
David Sellers +2 more
exaly +5 more sources
Correction: Investigating ethical tradeoffs in crisis standards of care through simulation of ventilator allocation protocols. [PDF]
[This corrects the article DOI: 10.1371/journal.pone.0300951.].
Jonathan Herington +8 more
doaj +3 more sources
Crisis standards of care in a pandemic: navigating the ethical, clinical, psychological and policy-making maelstrom. [PDF]
The COVID-19 pandemic has caused clinicians at the frontlines to confront difficult decisions regarding resource allocation, treatment options and ultimately the life-saving measures that must be taken at the point of care.
Hertelendy AJ +4 more
europepmc +3 more sources
US State Government Crisis Standards of Care Guidelines: Implications for Patients With Cancer. [PDF]
State crisis standards of care (CSC) guidelines in the US allocate scarce health care resources among patients. Anecdotal reports suggest that guidelines may disproportionately allocate resources away from patients with cancer, but no comprehensive evaluation has been performed.To examine the implications of US state CSC guidelines for patients with ...
Hantel A +5 more
europepmc +3 more sources
Age and Saving Lives in Crisis Standards of Care: A Multicenter Cohort Study of Triage Score Prognostic Accuracy [PDF]
IMPORTANCE:. Current protocols to triage life support use scores that are biased and inaccurate. OBJECTIVES:. To determine if adding age to triage protocols used in disaster scenarios improves the identification of critically ill patients likely to ...
Michael Hermsen, MD, MS +10 more
doaj +2 more sources
Standard Racism: Trying to Use “Crisis Standards of Care” in the COVID-19 Pandemic [PDF]
Lowering the standard of care in a pandemic is a recipe for inferior care and discrimination. Wealthy white patients will continue to get “standard of care” medicine, while the poor and racial mino...
George J, Annas, Sondra S, Crosby
core +5 more sources
Crisis Standards of Care Implementation at the State Level in the United States [PDF]
AbstractIntroduction:In 2009, the Institute of Medicine published guidelines for implementation of Crisis Standards of Care (CSC) at the state level in the United States (US). Based in part on the then concern for H1N1 pandemic, there was a recognized need for additional planning at the state level to maintain health system preparedness and ...
Margus, Colton +3 more
openaire +5 more sources
Empirical Assessment of COVID-19 Crisis Standards of Care Guidelines [PDF]
Abstract Background Several states have released Crisis Standards of Care (CSC) guidelines for the allocation of scarce critical care resources. Most guidelines rely on Sequential Organ Failure Assessment (SOFA) scores to maximize lives saved, but states have adopted different stances on whether to ...
Jezmir JL +6 more
europepmc +3 more sources

