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1 Introduction
Pages 1-6

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From page 1...
... 1 began to assess the need for better defined medical and public health crisis standards of care (CSC) for catastrophic disasters and public health emergencies.
From page 2...
... Yet, in the span of just a few years, the United States was forced to respond to the 9/11 attacks in 2001 and Hurricane Katrina in 2005, and preparedness professionals suddenly had to learn to manage large-scale events with difficult decisions on how to save lives under austere conditions. While this effort has continued to be a work in progress, Hanfling noted that the process has given the community a methodology for thinking through these difficult and sometimes overwhelming issues.
From page 3...
... But this new continuum reflects the available standard of care, given the conditions in which you are practicing. As codified in the 2009 letter report, Hanfling said that the definition of CSC is a "substantial change in usual health care operations and the level of care possible to deliver, which is made necessary by a pervasive (e.g., pandemic influence)
From page 4...
... "We have dealt with more than a decade of disasters since 2009," Hanfling remarked, "but the 2014–2015 Ebola crisis really drove home the consideration that these planning principles need to be woven into the global health setting, not just in the United States." Quickly following that were back-to-back Hurricanes Harvey and Maria in 2017, which emphasized the criticality of resource constraints and allocation as many federal assets were stretched thin and unable to respond everywhere. Hanfling concluded that all of these have an element of CSC planning that is worthy of continued exploration, concluding "If the model of the Lincoln Memorial as a framework still holds true, there is work still to be done." WORKSHOP BACKGROUND On November 21–22, 2019, the Forum on Medical and Public Health Preparedness for Disasters and Emergencies held a workshop titled Crisis Standards of Care: Ten Years of Successes and Challenges.
From page 5...
... Chapter 3 presents the critical ethical and legal considerations for jurisdictions, as well as issues that have ethical consensus at this point in the national landscape. Chapter 4 describes various case study examples of CSC application at the federal and state levels, as well as clinical and other operational settings.

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