Crisis Standards of Care

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Publisher : National Academies Press
ISBN 13 : 9780309253468
Total Pages : 0 pages
Book Rating : 4.2/5 (534 download)

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Book Synopsis Crisis Standards of Care by : Institute of Medicine

Download or read book Crisis Standards of Care written by Institute of Medicine and published by National Academies Press. This book was released on 2012-08-26 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Catastrophic disasters occurring in 2011 in the United States and worldwide-from the tornado in Joplin, Missouri, to the earthquake and tsunami in Japan, to the earthquake in New Zealand-have demonstrated that even prepared communities can be overwhelmed. In 2009, at the height of the influenza A (H1N1) pandemic, the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services, along with the Department of Veterans Affairs and the National Highway Traffic Safety Administration, asked the Institute of Medicine (IOM) to convene a committee of experts to develop national guidance for use by state and local public health officials and health-sector agencies and institutions in establishing and implementing standards of care that should apply in disaster situations-both naturally occurring and man-made-under conditions of scarce resources. Building on the work of phase one (which is described in IOM's 2009 letter report, Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations), the committee developed detailed templates enumerating the functions and tasks of the key stakeholder groups involved in crisis standards of care (CSC) planning, implementation, and public engagement-state and local governments, emergency medical services (EMS), hospitals and acute care facilities, and out-of-hospital and alternate care systems. Crisis Standards of Care provides a framework for a systems approach to the development and implementation of CSC plans, and addresses the legal issues and the ethical, palliative care, and mental health issues that agencies and organizations at each level of a disaster response should address. Please note: this report is not intended to be a detailed guide to emergency preparedness or disaster response. What is described in this report is an extrapolation of existing incident management practices and principles. Crisis Standards of Care is a seven-volume set: Volume 1 provides an overview; Volume 2 pertains to state and local governments; Volume 3 pertains to emergency medical services; Volume 4 pertains to hospitals and acute care facilities; Volume 5 pertains to out-of-hospital care and alternate care systems; Volume 6 contains a public engagement toolkit; and Volume 7 contains appendixes with additional resources.

Crisis Standards of Care

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Publisher : National Academies Press
ISBN 13 : 0309285526
Total Pages : 217 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis Crisis Standards of Care by : Institute of Medicine

Download or read book Crisis Standards of Care written by Institute of Medicine and published by National Academies Press. This book was released on 2013-10-27 with total page 217 pages. Available in PDF, EPUB and Kindle. Book excerpt: Disasters and public health emergencies can stress health care systems to the breaking point and disrupt delivery of vital medical services. During such crises, hospitals and long-term care facilities may be without power; trained staff, ambulances, medical supplies and beds could be in short supply; and alternate care facilities may need to be used. Planning for these situations is necessary to provide the best possible health care during a crisis and, if needed, equitably allocate scarce resources. Crisis Standards of Care: A Toolkit for Indicators and Triggers examines indicators and triggers that guide the implementation of crisis standards of care and provides a discussion toolkit to help stakeholders establish indicators and triggers for their own communities. Together, indicators and triggers help guide operational decision making about providing care during public health and medical emergencies and disasters. Indicators and triggers represent the information and actions taken at specific thresholds that guide incident recognition, response, and recovery. This report discusses indicators and triggers for both a slow onset scenario, such as pandemic influenza, and a no-notice scenario, such as an earthquake. Crisis Standards of Care features discussion toolkits customized to help various stakeholders develop indicators and triggers for their own organizations, agencies, and jurisdictions. The toolkit contains scenarios, key questions, and examples of indicators, triggers, and tactics to help promote discussion. In addition to common elements designed to facilitate integrated planning, the toolkit contains chapters specifically customized for emergency management, public health, emergency medical services, hospital and acute care, and out-of-hospital care.

Emergency Medical Services

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Publisher : National Academies Press
ISBN 13 : 0309101743
Total Pages : 311 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Emergency Medical Services by : Institute of Medicine

Download or read book Emergency Medical Services written by Institute of Medicine and published by National Academies Press. This book was released on 2007-06-03 with total page 311 pages. Available in PDF, EPUB and Kindle. Book excerpt: Emergency Medical Services (EMS) is a critical component of our nation's emergency and trauma care system, providing response and medical transport to millions of sick and injured Americans each year. At its best, EMS is a crucial link to survival in the chain of care, but within the last several years, complex problems facing the emergency care system have emerged. Press coverage has highlighted instances of slow EMS response times, ambulance diversions, trauma center closures, and ground and air medical crashes. This heightened public awareness of problems that have been building over time has underscored the need for a review of the U.S. emergency care system. Emergency Medical Services provides the first comprehensive study on this topic. This new book examines the operational structure of EMS by presenting an in-depth analysis of the current organization, delivery, and financing of these types of services and systems. By addressing its strengths, limitations, and future challenges this book draws upon a range of concerns: • The evolving role of EMS as an integral component of the overall health care system. • EMS system planning, preparedness, and coordination at the federal, state, and local levels. • EMS funding and infrastructure investments. • EMS workforce trends and professional education. • EMS research priorities and funding. Emergency Medical Services is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Federal Register

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Publisher :
ISBN 13 :
Total Pages : 1130 pages
Book Rating : 4.:/5 (31 download)

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Book Synopsis Federal Register by :

Download or read book Federal Register written by and published by . This book was released on 1994-01-13 with total page 1130 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Collected Papers in Emergency Medical Services and Traumatology

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Publisher :
ISBN 13 :
Total Pages : 522 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Collected Papers in Emergency Medical Services and Traumatology by :

Download or read book Collected Papers in Emergency Medical Services and Traumatology written by and published by . This book was released on 1979 with total page 522 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Hospital-Based Emergency Care

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Publisher : National Academies Press
ISBN 13 : 0309133777
Total Pages : 424 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Hospital-Based Emergency Care by : Institute of Medicine

Download or read book Hospital-Based Emergency Care written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-03 with total page 424 pages. Available in PDF, EPUB and Kindle. Book excerpt: Today our emergency care system faces an epidemic of crowded emergency departments, patients boarding in hallways waiting to be admitted, and daily ambulance diversions. Hospital-Based Emergency Care addresses the difficulty of balancing the roles of hospital-based emergency and trauma care, not simply urgent and lifesaving care, but also safety net care for uninsured patients, public health surveillance, disaster preparation, and adjunct care in the face of increasing patient volume and limited resources. This new book considers the multiple aspects to the emergency care system in the United States by exploring its strengths, limitations, and future challenges. The wide range of issues covered includes: • The role and impact of the emergency department within the larger hospital and health care system. • Patient flow and information technology. • Workforce issues across multiple disciplines. • Patient safety and the quality and efficiency of emergency care services. • Basic, clinical, and health services research relevant to emergency care. • Special challenges of emergency care in rural settings. Hospital-Based Emergency Care is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency care providers, professional organizations, and policy makers looking to address the deficiencies in emergency care systems.

Emergency Medical Services, 2 Volumes

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Publisher : John Wiley & Sons
ISBN 13 : 1119756243
Total Pages : 1187 pages
Book Rating : 4.1/5 (197 download)

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Book Synopsis Emergency Medical Services, 2 Volumes by : Jane H. Brice

Download or read book Emergency Medical Services, 2 Volumes written by Jane H. Brice and published by John Wiley & Sons. This book was released on 2021-11-08 with total page 1187 pages. Available in PDF, EPUB and Kindle. Book excerpt: The two-volume Emergency Medical Services: Clinical Practice and Systems Oversight delivers a thorough foundation upon which to succeed as an EMS medical director and prepare for the NAEMSP National EMS Medical Directors Course and Practicum. Focusing on EMS in the 'real world', the book offers specific management tools that will be useful in the reader's own local EMS system and provides contextual understanding of how EMS functions within the broader emergency care system at a state, local, and national level. The two volumes offer the core knowledge trainees will need to successfully complete their training and begin their career as EMS physicians, regardless of the EMS systems in use in their areas. A companion website rounds out the book's offerings with audio and video clips of EMS best practice in action. Readers will also benefit from the inclusion of: A thorough introduction to the history of EMS An exploration of EMS airway management, including procedures and challenges, as well as how to manage ventilation, oxygenation, and breathing in patients, including cases of respiratory distress Practical discussions of medical problems, including the challenges posed by the undifferentiated patient, altered mental status, cardiac arrest and dysrhythmias, seizures, stroke, and allergic reactions An examination of EMS systems, structure, and leadership

Rural emergency medical services : special report.

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Publisher : DIANE Publishing
ISBN 13 : 1428922342
Total Pages : 102 pages
Book Rating : 4.4/5 (289 download)

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Book Synopsis Rural emergency medical services : special report. by : Maria Elizabeth Hewitt

Download or read book Rural emergency medical services : special report. written by Maria Elizabeth Hewitt and published by DIANE Publishing. This book was released on 1989 with total page 102 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Checklist of Official Publications of the State of Arizona

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Publisher :
ISBN 13 :
Total Pages : 80 pages
Book Rating : 4.:/5 (5 download)

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Book Synopsis Checklist of Official Publications of the State of Arizona by : Arizona. Department of Library, Archives & Public Records. Research Division

Download or read book Checklist of Official Publications of the State of Arizona written by Arizona. Department of Library, Archives & Public Records. Research Division and published by . This book was released on 1995 with total page 80 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Prehospital Care System

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Publisher :
ISBN 13 :
Total Pages : 144 pages
Book Rating : 4.3/5 (555 download)

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Book Synopsis The Prehospital Care System by : Charles R. McElroy

Download or read book The Prehospital Care System written by Charles R. McElroy and published by . This book was released on 1980 with total page 144 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Emergency Care for Children

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Publisher : National Academies Press
ISBN 13 : 0309133769
Total Pages : 360 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Emergency Care for Children by : Institute of Medicine

Download or read book Emergency Care for Children written by Institute of Medicine and published by National Academies Press. This book was released on 2007-05-08 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: Children represent a special challenge for emergency care providers, because they have unique medical needs in comparison to adults. For decades, policy makers and providers have recognized the special needs of children, but the system has been slow to develop an adequate response to their needs. This is in part due to inadequacies within the broader emergency care system. Emergency Care for Children examines the challenges associated with the provision of emergency services to children and families and evaluates progress since the publication of the Institute of Medicine report Emergency Medical Services for Children (1993), the first comprehensive look at pediatric emergency care in the United States. This new book offers an analysis of: • The role of pediatric emergency services as an integrated component of the overall health system. • System-wide pediatric emergency care planning, preparedness, coordination, and funding. • Pediatric training in professional education. • Research in pediatric emergency care. Emergency Care for Children is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency health care providers, professional organizations, and policy makers looking to address the pediatric deficiencies within their emergency care systems.

Crisis Standards of Care

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Publisher : National Academies Press
ISBN 13 : 030915037X
Total Pages : 175 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Crisis Standards of Care by : Institute of Medicine

Download or read book Crisis Standards of Care written by Institute of Medicine and published by National Academies Press. This book was released on 2010-01-22 with total page 175 pages. Available in PDF, EPUB and Kindle. Book excerpt: During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable health care providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them. Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges.

Rural Emergency Medical Services

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Publisher :
ISBN 13 :
Total Pages : 112 pages
Book Rating : 4.3/5 (121 download)

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Book Synopsis Rural Emergency Medical Services by : Maria Elizabeth Hewitt

Download or read book Rural Emergency Medical Services written by Maria Elizabeth Hewitt and published by . This book was released on 1989 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Strategies to Improve Cardiac Arrest Survival

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Publisher : National Academies Press
ISBN 13 : 030937202X
Total Pages : 291 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Strategies to Improve Cardiac Arrest Survival by : Institute of Medicine

Download or read book Strategies to Improve Cardiac Arrest Survival written by Institute of Medicine and published by National Academies Press. This book was released on 2015-09-29 with total page 291 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiac arrest can strike a seemingly healthy individual of any age, race, ethnicity, or gender at any time in any location, often without warning. Cardiac arrest is the third leading cause of death in the United States, following cancer and heart disease. Four out of five cardiac arrests occur in the home, and more than 90 percent of individuals with cardiac arrest die before reaching the hospital. First and foremost, cardiac arrest treatment is a community issue - local resources and personnel must provide appropriate, high-quality care to save the life of a community member. Time between onset of arrest and provision of care is fundamental, and shortening this time is one of the best ways to reduce the risk of death and disability from cardiac arrest. Specific actions can be implemented now to decrease this time, and recent advances in science could lead to new discoveries in the causes of, and treatments for, cardiac arrest. However, specific barriers must first be addressed. Strategies to Improve Cardiac Arrest Survival examines the complete system of response to cardiac arrest in the United States and identifies opportunities within existing and new treatments, strategies, and research that promise to improve the survival and recovery of patients. The recommendations of Strategies to Improve Cardiac Arrest Survival provide high-priority actions to advance the field as a whole. This report will help citizens, government agencies, and private industry to improve health outcomes from sudden cardiac arrest across the United States.

Acts, Resolutions, and Memorials

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Publisher :
ISBN 13 :
Total Pages : 976 pages
Book Rating : 4.:/5 (43 download)

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Book Synopsis Acts, Resolutions, and Memorials by : Arizona

Download or read book Acts, Resolutions, and Memorials written by Arizona and published by . This book was released on 1993 with total page 976 pages. Available in PDF, EPUB and Kindle. Book excerpt:

The CMS Hospital Conditions of Participation and Interpretive Guidelines

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Publisher :
ISBN 13 : 9781683086857
Total Pages : 546 pages
Book Rating : 4.0/5 (868 download)

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Book Synopsis The CMS Hospital Conditions of Participation and Interpretive Guidelines by :

Download or read book The CMS Hospital Conditions of Participation and Interpretive Guidelines written by and published by . This book was released on 2017-11-27 with total page 546 pages. Available in PDF, EPUB and Kindle. Book excerpt: In addition to reprinting the PDF of the CMS CoPs and Interpretive Guidelines, we include key Survey and Certification memos that CMS has issued to announced changes to the emergency preparedness final rule, fire and smoke door annual testing requirements, survey team composition and investigation of complaints, infection control screenings, and legionella risk reduction.

A National Trauma Care System

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Publisher : National Academies Press
ISBN 13 : 0309442850
Total Pages : 531 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis A National Trauma Care System by : National Academies of Sciences, Engineering, and Medicine

Download or read book A National Trauma Care System written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2016-10-12 with total page 531 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in trauma care have accelerated over the past decade, spurred by the significant burden of injury from the wars in Afghanistan and Iraq. Between 2005 and 2013, the case fatality rate for United States service members injured in Afghanistan decreased by nearly 50 percent, despite an increase in the severity of injury among U.S. troops during the same period of time. But as the war in Afghanistan ends, knowledge and advances in trauma care developed by the Department of Defense (DoD) over the past decade from experiences in Afghanistan and Iraq may be lost. This would have implications for the quality of trauma care both within the DoD and in the civilian setting, where adoption of military advances in trauma care has become increasingly common and necessary to improve the response to multiple civilian casualty events. Intentional steps to codify and harvest the lessons learned within the military's trauma system are needed to ensure a ready military medical force for future combat and to prevent death from survivable injuries in both military and civilian systems. This will require partnership across military and civilian sectors and a sustained commitment from trauma system leaders at all levels to assure that the necessary knowledge and tools are not lost. A National Trauma Care System defines the components of a learning health system necessary to enable continued improvement in trauma care in both the civilian and the military sectors. This report provides recommendations to ensure that lessons learned over the past decade from the military's experiences in Afghanistan and Iraq are sustained and built upon for future combat operations and translated into the U.S. civilian system.