Surge Capacity Principles

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Surge Capacity Principles John L. Hick, MD, Sharon Einav, MD, Dan Hanfling, MD, Niranjan Kissoon, MBBS, FRCPC, Jeffrey R. Dichter, MD, Asha V. Devereaux, MD, MPH, FCCP, Michael D. Christian, MD, FRCPC, FCCP  CHEST  Volume 146, Issue 4, Pages e1S-e16S (October 2014) DOI: 10.1378/chest.14-0733 Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 1 A framework for critical care surge capacity planning, outlining the conventional, contingency, and crisis surge responses. PACU = postanesthesia care unit. CHEST 2014 146, e1S-e16SDOI: (10.1378/chest.14-0733) Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 2 Various tiers of authority are involved in health-care surge response. Not all jurisdictions have Regional Health Authorities, in which cases, health-care coalitions work directly with the state or province. Hosp = hospital. (Adapted from the Medical Surge Capacity and Capability Handbook.49) CHEST 2014 146, e1S-e16SDOI: (10.1378/chest.14-0733) Copyright © 2014 The American College of Chest Physicians Terms and Conditions

Figure 3 Matrix for deescalation planning. CHEST 2014 146, e1S-e16SDOI: (10.1378/chest.14-0733) Copyright © 2014 The American College of Chest Physicians Terms and Conditions