Intensive Care Unit Preparedness During Pandemics and Other Biological Threats

Crit Care Clin. 2019 Oct;35(4):609-618. doi: 10.1016/j.ccc.2019.06.001. Epub 2019 Jul 12.

Abstract

In the twenty-first century, severe acute respiratory syndrome (SARS), 2009 A(H1N1) influenza, and Ebola have all placed strains on critical care systems. In addition to the increased patient needs common to many disasters, epidemics may further degrade ICU capability when staff members fall ill, including in the course of direct patient care. In a large-scale pandemic, shortages of equipment and medications can further limit an ICU's ability to provide the normal standard of care. Hospital preparedness for epidemics must include strategies to maintain staff safety, secure adequate supplies, and have plans for triage and prioritization of care when necessary.

Keywords: Disaster preparedness; Influenza; Pandemic.

Publication types

  • Review

MeSH terms

  • Disaster Planning*
  • Hemorrhagic Fever, Ebola / epidemiology
  • Hemorrhagic Fever, Ebola / therapy
  • Humans
  • Influenza A Virus, H1N1 Subtype
  • Influenza, Human / epidemiology
  • Influenza, Human / therapy
  • Intensive Care Units* / organization & administration
  • Pandemics*
  • Severe Acute Respiratory Syndrome / epidemiology
  • Severe Acute Respiratory Syndrome / therapy