Triage decisions for ICU admission

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dc.contributor.author Blanch, Lluis
dc.contributor.author Abillama, Fayez Francois
dc.contributor.author Amin, Pravin
dc.contributor.author Christian, Michael
dc.contributor.author Joynt, Gavin M.
dc.date.accessioned 2019-05-28T08:09:57Z
dc.date.available 2019-05-28T08:09:57Z
dc.date.copyright 2016 en_US
dc.date.issued 2019-05-28
dc.identifier.issn 1557-8615 en_US
dc.identifier.uri http://hdl.handle.net/10725/10668
dc.description.abstract Demand for intensive care unit (ICU) resources often exceeds supply, and shortages of ICU beds and staff are likely to persist. Triage requires careful weighing of the benefits and risks involved in ICU admission while striving to guarantee fair distribution of available resources. We must ensure that the patients who occupy ICU beds are those most likely to benefit from the ICU's specialized technology and professionals. Although prognosticating is not an exact science, preference should be given to patients who are more likely to survive if admitted to the ICU but unlikely to survive or likely to have more significant morbidity if not admitted. To provide general guidance for intensivists in ICU triage decisions, a task force of the World Federation of Societies of Intensive and Critical Care Medicine addressed 4 basic questions regarding this process. The team made recommendations and concluded that triage should be led by intensivists considering input from nurses, emergency medicine professionals, hospitalists, surgeons, and allied professionals. Triage algorithms and protocols can be useful but can never supplant the role of skilled intensivists basing their decisions on input from multidisciplinary teams. Infrastructures need to be organized efficiently both within individual hospitals and at the regional level. When resources are critically limited, patients may be refused ICU admission if others may benefit more on the basis of the principle of distributive justice. en_US
dc.language.iso en en_US
dc.title Triage decisions for ICU admission en_US
dc.type Article en_US
dc.description.version Published en_US
dc.title.subtitle report from the task force of the world federation of societies of intensive and critical care medicine en_US
dc.author.school SOM en_US
dc.author.idnumber 201004805 en_US
dc.author.department N/A en_US
dc.description.embargo N/A en_US
dc.relation.journal Journal of Critical Care en_US
dc.journal.volume 36 en_US
dc.article.pages 301-305 en_US
dc.keywords Triage en_US
dc.keywords Intensive care en_US
dc.keywords Allocation of resources en_US
dc.keywords Health care delivery en_US
dc.identifier.doi https://doi.org/10.1016/j.jcrc.2016.06.014 en_US
dc.identifier.ctation Blanch, L., Abillama, F. F., Amin, P., Christian, M., Joynt, G. M., Myburgh, J., ... & Vincent, J. L. (2016). Triage decisions for ICU admission: report from the Task Force of the World Federation of Societies of Intensive and Critical Care Medicine. Journal of critical care, 36, 301-305. en_US
dc.author.email fayezfrancois.abillama@lau.edu.lb en_US
dc.identifier.tou http://libraries.lau.edu.lb/research/laur/terms-of-use/articles.php en_US
dc.identifier.url https://www.sciencedirect.com/science/article/pii/S0883944116301368 en_US
dc.author.affiliation Lebanese American University en_US

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