Publications

Our publications keep professionals working across the public, private, and academic sectors informed on the most important developments and issues in health security and biosecurity.

Find an article or report by keywords:

Find an article or report or see all by area, author, or year:

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:

View HTML

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.