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10.1017/S1049023X20001089 http://scihub22266oqcxt.onion/10.1017/S1049023X20001089 32907650!ä!32907650 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Deprecated: Implicit conversion from float 209.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534       Prehosp+Disaster+Med 2020 ; 35 (6): 599-603 Nephropedia Template TP {{tp|p=32907650|t=2020. Crisis Standards of Care Implementation at the State Level in the United States |pdf=|usr=}}{{32907650}} gab.com Text Crisis Standards of Care Implementation at the State Level in the United States JO: Prehosp Disaster Med http://www.kidney.de/pget.php?&tw=1&pmid=32907650 #FOAvip INTRODUCTION: 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 conventional care standards when available resources become scarce. Despite the availability of this framework, in the years since and despite repeated large-scale domestic events, implementation remains mixed. PROBLEM: Coronavirus disease 2019 (COVID-19) rejuvenates concern for how health systems can maintain quality care when faced with unrelenting burden. This study seeks to outline which states in the US have developed CSC and which areas of care have thus far been addressed. METHODS: An online search was conducted for all 50 states in 2015 and again in 2020. For states without CSC plans online, state officials were contacted by email and phone. Public protocols were reviewed to assess for operational implementation capabilities, specifically highlighting guidance on ventilator use, burn management, sequential organ failure assessment (SOFA) score, pediatric standards, and reliance on influenza planning. RESULTS: Thirty-six states in the US were actively developing (17) or had already developed (19) official CSC guidance. Fourteen states had no publicly acknowledged effort. Eleven of the 17 public plans had updated within five years, with a majority addressing ventilator usage (16/17), influenza planning (14/17), and pediatric care (15/17), but substantially fewer addressing care for burn patients (9/17). CONCLUSION: Many states lacked publicly available guidance on maintaining standards of care during disasters, and many states with specific care guidelines had not sufficiently addressed the full spectrum of hazard to which their health care systems remain vulnerable. Twit Text FOAVip Crisis Standards of Care Implementation at the State Level in the United States ????Prehosp Disaster Med http://www.kidney.de/pget.php?&tw=1&pmid=32907650 #FOAvip Twit Text # Free Paper on # # # # # LINK http://www.kidney.de/pget.php?&tw=1&pmid=32907650 #FOAvip English Wikipedia <ref>{{Cite pmid|32907650}}</ref> Crisis Standards of Care Implementation at the State Level in the United States #MMPMID32907650 Margus C; Sarin RR; Molloy M; Ciottone GR Prehosp Disaster Med 2020[Dec]; 35 (6): 599-603 PMID32907650show ga INTRODUCTION: 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 conventional care standards when available resources become scarce. Despite the availability of this framework, in the years since and despite repeated large-scale domestic events, implementation remains mixed. PROBLEM: Coronavirus disease 2019 (COVID-19) rejuvenates concern for how health systems can maintain quality care when faced with unrelenting burden. This study seeks to outline which states in the US have developed CSC and which areas of care have thus far been addressed. METHODS: An online search was conducted for all 50 states in 2015 and again in 2020. For states without CSC plans online, state officials were contacted by email and phone. Public protocols were reviewed to assess for operational implementation capabilities, specifically highlighting guidance on ventilator use, burn management, sequential organ failure assessment (SOFA) score, pediatric standards, and reliance on influenza planning. RESULTS: Thirty-six states in the US were actively developing (17) or had already developed (19) official CSC guidance. Fourteen states had no publicly acknowledged effort. Eleven of the 17 public plans had updated within five years, with a majority addressing ventilator usage (16/17), influenza planning (14/17), and pediatric care (15/17), but substantially fewer addressing care for burn patients (9/17). CONCLUSION: Many states lacked publicly available guidance on maintaining standards of care during disasters, and many states with specific care guidelines had not sufficiently addressed the full spectrum of hazard to which their health care systems remain vulnerable. |COVID-19/*epidemiology[MESH] |Communicable Disease Control/*standards[MESH] |Disaster Medicine/*standards[MESH] |Disaster Planning/*standards[MESH] |Health Planning Councils[MESH] |Humans[MESH] |Pandemics[MESH] |SARS-CoV-2[MESH] |Standard of Care[MESH] |State Government[MESH]Crisis Standards of Care Implementation at the State Level in the Unit(epmc).pdf DeepDyve Pubget Overpricing