Preparing the Intensive Care Unit for Disaster

Crit Care Clin. 2019 Oct;35(4):551-562. doi: 10.1016/j.ccc.2019.06.008.

Abstract

Critical care teams can face a dramatic surge in demand for ICU beds and organ support during a disaster. Through effective preparedness, teams can enable a more effective response and hasten recovery back to normal operations. Disaster preparedness needs to balance an all-hazards approach with focused hazard-specific preparation guided by a critical care-specific hazard-vulnerability analysis. Broad stakeholder input from within and outside the critical care team is necessary to avoid gaps in planning. Evaluation of critical care disaster plans require frequent exercises, with a mechanism in place to ensure lessons learned effectively prompt improvements in the plan.

Keywords: Critical care; Disaster; Disaster exercise; Disaster preparedness; Disaster simulation; Emergency preparedness; Hazard-vulnerability analysis; Intensive care.

Publication types

  • Review

MeSH terms

  • Critical Care / organization & administration
  • Disaster Planning* / organization & administration
  • Disasters
  • Humans
  • Intensive Care Units* / organization & administration