1405: Prehospital Identification of Elevated Lactic Acid Levels and Sepsis-Related Outcomes (Lasr Study)

Bethea, Audis; Seidler, David; Coleman, Cynthia M.; Johnson, Kimberly; Davis, Eric; Thompson, Stephanie

doi:10.1097/01.ccm.0000529407.05908.9b

Cited by 2 publications

(1 citation statement)

References 0 publications

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“…Emergency department decision-making algorithms combined laboratory tests and clinical history or examination: Severe community acquired pneumonia score (SCAP), Infectious Diseases Society of America/American Thoracic Society IDSA/ATS), the Shock Index (SI), Mortality in Emergency Department Sepsis (MEDS) score, Simple Clinical Score (SCS), Emergency Severity Index (ESI), Triage Information Mortality model (TIMM), and Criteria for screening and triaging to appropriate alternative care (CriSTAL). Two studies predicted in-patient mortality based only on frailty syndrome [52,68], and six studies based mortality predictions purely on laboratory test results [48,50,63,64,66,67].…”

Section: Resultsmentioning

confidence: 99%

Supporting decision-making on allocation of ICU beds and ventilators in pandemics

Cardona

Dobler

Koreshe

et al. 2020

Preprint

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As the world struggles with the COVID-19 pandemic, health service demands have increased to a point where healthcare resources may prove inadequate to meet demand. Guidelines and tools on how to best allocate intensive care beds and ventilators developed during previous epidemics can assist clinicians and policy-makers to make consistent, objective and ethically sounds decisions about resource allocation when healthcare rationing is inevitable. This scoping review of 62 published guidelines, triage protocols, consensus statements and prognostic tools from crisis and non-crisis situations sought to identify a multiplicity of objective factors to inform healthcare rationing of critical care and ventilator care. It also took ethical considerations into account. Prognostic indicators and other decision tools presented here can be combined to create locally-relevant triage algorithms for clinical services and policy makers deciding about allocation of ICU beds and ventilators during a pandemic. Community awareness of the triage protocol is recommended to build trust and alleviate anxiety among the public. This review provides a unique resource and is intended as a discussion starter for clinical services and policy makers to consider formalising an objective triage consensus document that fits the local context.

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