%0 Book %A Institute of Medicine %E Altevogt, Bruce M. %E Stroud, Clare %E Nadig, Lori %E Hougan, Matthew %T Medical Surge Capacity: Workshop Summary %@ 978-0-309-14674-6 %D 2010 %U https://nap.nationalacademies.org/catalog/12798/medical-surge-capacity-workshop-summary %> https://nap.nationalacademies.org/catalog/12798/medical-surge-capacity-workshop-summary %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 176 %X During natural disasters, disease pandemics, terrorist attacks, and other public health emergencies, the health system must be prepared to accommodate a surge in the number of individuals seeking medical help. For the health community, a primary concern is how to provide care to individuals during such high demand, when the health system's resources are exhausted and there are more patients than the system can accommodate. The IOM's Forum on Medical and Public Health Preparedness for Catastrophic Events held a workshop June 10-11, 2009, to assess the capability of and tools available to federal, state, and local governments to respond to a medical surge. In addition, participants discussed strategies for the public and private sectors to improve preparedness for such a surge. The workshop brought together leaders in the medical and public health preparedness fields, including policy makers from federal agencies and state and local public health departments; providers from the health care community; and health care and hospital administrators. This document summarizes the workshop. %0 Book %A Institute of Medicine %E Stroud, Clare %E Altevogt, Bruce M. %E Nadig, Lori %E Hougan, Matthew %T Crisis Standards of Care: Summary of a Workshop Series %@ 978-0-309-12666-3 %D 2010 %U https://nap.nationalacademies.org/catalog/12787/crisis-standards-of-care-summary-of-a-workshop-series %> https://nap.nationalacademies.org/catalog/12787/crisis-standards-of-care-summary-of-a-workshop-series %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 174 %X 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.