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Disaster Triage: who gets what?
Sara Gray
Guidingprinciples
Inclusion & exclusion criteria
Defined process
Guidingprinciples
Inclusion & exclusion criteria
Defined process
Inclusion Criteria
1. Mechanical ventilation2. Vasopressors
Exclusi
on Criteria
1. Cardiac arrest2. Severe trauma3. Severe burns4. Metastatic malignancy5. DNR6. Severe end organ failure
End organ failure = excluded?• NYHA III/IV• FEV1 < 25%• MELD > 20• Severe dementia• Severe irreversible neuro condition• Severe irreversible immunocompromise
Guidingprinciples
Inclusion & exclusion criteria
Defined process
Triage of Scarce ResourcesMitigate
Utilitarian ethicsClear activation triggers
Broad buy-in and engagementDedicated team
Fair process
This discussion is worth it, if it saves more lives.
www.saragray.org @EmICUcanada