Emergency department surge capacity: recommendations of the Australasian Surge Strategy Working Group

Bradt, David A., Aitken, Peter, FitzGerald, Gerry, Swift, Roger, O'Reilly, Gerard, and Bartley, Bruce (2009) Emergency department surge capacity: recommendations of the Australasian Surge Strategy Working Group. Academic Emergency Medicine , 16 (12). pp. 1350-1358.

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For more than a decade, emergency medicine (EM) organizations have produced guidelines, training, and leadership for disaster management. However, to date there have been limited guidelines for emergency physicians (EPs) needing to provide a rapid response to a surge in demand. The aim of this project was to identify strategies that may guide surge management in the emergency department (ED).

A working group of individuals experienced in disaster medicine from the Australasian College for Emergency Medicine Disaster Medicine Subcommittee (the Australasian Surge Strategy Working Group) was established to undertake this work. The Working Group used a modified Delphi technique to examine response actions in surge situations and identified underlying assumptions from disaster epidemiology and clinical practice. The group then characterized surge strategies from their corpus of experience; examined them through available relevant published literature; and collated these within domains of space, staff, supplies, and system operations. These recommendations detail 22 potential actions available to an EP working in the context of surge, along with detailed guidance on surge recognition, triage, patient flow through the ED, and clinical goals and practices. The article also identifies areas that merit future research, including the measurement of surge capacity, constraints to strategy implementation, validation of surge strategies, and measurement of strategy impacts on throughput, cost, and quality of care.

Item ID: 10063
Item Type: Article (Research - C1)
ISSN: 1553-2712
Keywords: emergency medicine; disaster management; surge capacity
Date Deposited: 13 Apr 2010 22:43
FoR Codes: 11 MEDICAL AND HEALTH SCIENCES > 1117 Public Health and Health Services > 111799 Public Health and Health Services not elsewhere classified @ 100%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920407 Health Protection and/or Disaster Response @ 100%
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