Guidelines for officials on how to plan for delivering health and medical care in a mass casualty event are outlined in a new report from an expert panel convened by the Agency for Healthcare Research and Quality and the HHS Office of Public Health Emergency Preparedness. The report presents the recommendations of a 39-member panel of experts in bioethics, emergency medicine, emergency management, health administration, health law and policy, and public health that was convened in August 2004 to examine this challenge.
The report, Altered Standards of Care in Mass Casualty Events: Bioterrorism and Other Public Health Emergencies, offers a framework for how to provide optimal care during a potential bioterrorism or other public health emergency involving thousands, or even tens of thousands, of victims. For example, planners at the Federal, State, regional, community, and health systems levels should develop or revise triage guidelines for specific types of events and allocation guidelines for the use of scarce resources such as ventilators, burn beds, or surgical suites, according to the report.
In addition to examining the reallocation of health and medical resources among hospitals and other health facilities, the report considers a number of important nonmedical issues, including:
The report suggests that public- and private-sector entities take a collaborative approach when developing next steps in responding to public health emergencies.
Go to www.ahrq.gov/research/altstand/ to access Altered Standards of Care in Mass Casualty Events: Bioterrorism and Other Public Health Emergencies online. Print copies (AHRQ Publication No. 05-0043) are available from the AHRQ Publications Clearinghouse.