Burn Surge for Los Angeles County, California

Vandenberg, Victoria; Amara, Roel; Crabtree, Jim; Fruhwirth, Kay; Rifenburg, Jacqueline; Garner, W.L.

doi:10.1097/ta.0b013e3181af0b00

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…This "heads up" to create situational awareness assists the effort should additional intrastate or interstate resources be needed. [51][52][53][54] Burn resources are limited in North Carolina, as they are in most states.…”

Section: Discussionmentioning

confidence: 99%

Disaster Planning

Kearns¹,

Hubble²,

Holmes³

et al. 2014

Journal of Burn Care & Research

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A disaster scenario with a significant number of burn-injured patients creates a tremendous challenge for disaster planners. Directing the transport of patients to the most appropriate receiving facility as soon as reasonably possible remains the aim. This review focused on both the overall process as well as an analysis of one specific state (as an example). This included the capability and limitations of the intrastate and interstate resources should a burn disaster occur. Although the results for one state may be interesting, it is the process that is essential for those involved in burn disaster planning. An overview of the quantity and quality of available ambulances and how to access these resources is provided. Ground-based ambulances have an array of capacities and levels of services ranging from basic life support to advanced (paramedic) services and include ambulance buses. This review also included private and hospital-based specialty care ambulances and aeromedical services. Finally, the review identified military or federal resources that may be an option as well. There are various local, state, and federal resources that can be called upon to meet the transportation needs of these critically injured patients. Yet, there are barriers to access and limitations to their response. It is just as important to know both availability and capability as it is to know how to access these resources. A disaster is not the time to realize these hurdles.

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Section: Discussionmentioning

confidence: 99%

Disaster Planning

Kearns¹,

Hubble²,

Holmes³

et al. 2014

Journal of Burn Care & Research

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“…Regionalized systems play a vital role in disaster preparedness and mass‐casualty incidents evidenced in trauma, 96 , 97 , 98 burn, 99 , 100 , 101 and pediatric care. 102 By conducting resource assessments across the network and negotiating cooperative plans for surge events, regionalized systems can be well positioned to support the distribution of resources and care capacity that enable a rapid and organized disaster response.…”

Section: Components Of Regionalized Systemsmentioning

confidence: 99%

Concept review of regionalized systems of acute care: Is regionalization the next frontier in sepsis care?

Walton

Mohr

2022

JACEP Open

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Regionalization has become a buzzword in US health care policy. Regionalization, however, has varied meanings, and definitions have lacked contextual information important to understanding its role in improving care. This concept review is a comprehensive primer and summation of 8 common core components of the national models of regionalization informed by text‐based analysis of the writing of involved organizations (professional, regulatory, and research) guided by semistructured interviews with organizational leaders. Further, this generalized model of regionalized care is applied to sepsis care, a novel discussion, drawing on existing small‐scale applications. This discussion highlights the fit of regionalization principles to the sepsis care model and the actualized and perceived potential benefits. The principal aim of this concept review is to outline regionalization in the United States and provide a roadmap and novel discussion of regionalized care integration for sepsis care.

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“…Regionalized systems play a vital role in disaster preparedness and mass-casualty incidents (MCI) through trauma [83][84][85], burn [86][87][88], and pediatric care [89]. By conducting resource assessments across the network and negotiating cooperative plans for surge events, regionalized systems can be well-positioned to support the distribution of resources and care capacity that enable a rapid and organized disaster response [2].…”

Section: Preparednessmentioning

confidence: 99%

Regionalization of Emergency Care Conditions: Classifications, Comparisons, and Considerations

Walton¹,

Mohr²

2021

Preprint

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Background: Regionalization is a system of organizing hospitals and providers to optimize care by matching patient needs with the appropriate healthcare resources. Regionalized care has been shown to improve outcomes in trauma, burn, stroke, STEMI, cardiac arrest, and NICU/OB care.Methods: This study was a comprehensive literature review to develop a classification- based, comparative review of existing regionalized systems of care by their components and characteristics. We performed a text-based analysis of the writing of the involved organizations (professional, regulatory, etc.) and interviews with the organizational leaders directly involved with regionalized systems of care. The scope of the review was three-fold: (1) to provide a summation of the available literature and established models of regionalized emergency care, (2) to identify the common core components of regionalized systems, and (3) to apply lessons about regional networks to sepsis care.Results: Regionalization in the US has followed a predictable pattern of development. Systems center on the delivery of time- or volume-sensitive care that is limited due to scarcity of resources, available facilities, or expertise. In response to perceived differential quality or inefficiency, professional organizations have published clinical guidelines and suggested regionalized tiered systems of facilities by resources and expectations of participation. These guidelines are used by government or third party certifying organizations to apply criteria to participating facilities. These efforts have been effective in establishing regionalized networks characterized by eight core components: triage/transfer protocols, resource-stratified networks, prevention/outreach/education, emergency preparedness, rehabilitation, internal/benchmarked data registries, performance improvement, and research.Conclusions: Several national models for regionalized systems of care are gaining traction and improving outcomes within the United States’ healthcare delivery system. Insights from this process hold promise to improve existing systems and establish new ones, notably in sepsis.

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Burn Surge for Los Angeles County, California

Abstract: Education, equipment, and supply needs and transfer agreements are discussed. Costs associated with the project are outlined.

Cited by 7 publications

References 3 publications

Disaster Planning

Disaster Planning

Concept review of regionalized systems of acute care: Is regionalization the next frontier in sepsis care?

Regionalization of Emergency Care Conditions: Classifications, Comparisons, and Considerations

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