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The proposed guidelines are designed to be a blueprint for hospitals "so that everybody will be thinking in the same way'' when pandemic flu or another widespread health care disaster hits, said Dr. Asha Devereaux. She is a critical care specialist in San Diego and lead writer of the task force report.
The idea is to try to make sure that scarce resources — including ventilators, medicine and doctors and nurses — are used in a uniform, objective way, task force members said.
Their recommendations appear in a report appearing Monday in the May edition of Chest, the medical journal of the American College of Chest Physicians.
"If a mass casualty critical care event were to occur tomorrow, many people with clinical conditions that are survivable under usual health care system conditions may have to forgo life-sustaining interventions owing to deficiencies in supply or staffing,'' the report states.
To prepare, hospitals should designate a triage team with the Godlike task of deciding who will and who won't get lifesaving care, the task force wrote. Those out of luck are the people at high risk of death and a slim chance of long-term survival. But the recommendations get much more specific, and include:
People older than 85
Those with severe trauma, which could include critical injuries from car crashes and shootings.
Severely burned patients older than 60.
Those with severe mental impairment, which could include advanced Alzheimer's disease.
Those with a severe chronic disease, such as advanced heart failure, lung disease or poorly controlled diabetes.
They include the very elderly, seriously hurt trauma victims, severely burned patients and those with severe dementia.
Originally posted by pynner
Im not sure why some of you are "worried" or freaking out about this...
c) survival of the fittest / thinning the herd probably isn't a bad thing.
People with dementia may not be able to think well enough to do normal activities, such as getting dressed or eating. They may lose their ability to solve problems or control their emotions. Their personalities may change. They may become agitated or see things that are not there.
- Recent memory loss
- Difficulty performing familiar tasks.
- Problems with language.
- Time and place disorientation.
- Poor judgment.
- Problems with abstract thinking.
- Misplacing things.
- Changes in mood.
- Personality changes.
- Loss of initiative.