Titre : | Intensive Care Unit Triage Decision-Making in Disasters: A Scoping Review Marina ROGERS |
Auteurs : | Marina Roger ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
Type de document : | Mémoire |
Année de publication : | 2023 |
Langues: | Anglais |
Classement : | MPH23/ (Master EHESP International master of public health - MPH) |
Mots-clés : | Covid 19 ; Crise ; Epidémie ; Triage médical ; Ethique ; Guide ; Protocole ; Revue de littérature ; Unité de soins intensifs (USI) ; Choix priorité |
Résumé : |
Background: The global impact of COVID-19 and the increase in natural disasters has highlighted a global lack of preparedness for mounting disaster risks. In the event of a disaster, Intensive Care Units (ICU) serve as a critical resource to provide lifesaving treatments, yet the number of beds is limited. For this reason, ICU beds require hospitals to triage patients, prioritizing them for care. The aim of this thesis is to map the available evidence on ICU triage in disaster contexts.
Methods: A scoping review of ethical principles guiding triage and triage protocols was conducted for the allocation of scarce resources in disasters. The search was conducted using PubMed and Web of Science databases, and relevant grey literature of triage protocols from January 2002- February 2023. Full-text screening and data extraction were conducted by the thesis author (M.R) and verified by a second author (M.H). Publications were included in the review if they were related to 1) ethical principles guiding triage 2) triage protocols key components and validation. Data was extracted using excel and a narrative synthesis was conducted. Results: A total of 66 publications were included, 38 of which were publications from databases on ethical principles in triage, and 28 were on triage protocols. Utilitarianism was seen as the guiding principle behind triage in 63.2% of publications. A common structure of activation, ethical principles, clinical assessment tools, and decision-making processes was used throughout triage in 67.9% protocols. None of the protocols were validated in their entirety for use in a disaster. Conclusion: This review highlights the complexities of triage protocol development and underscores the need to adapt triage protocols to their cultural contexts and the need for future research. This thesis serves as guidance for governments aiming to develop triage protocols. |
Diplôme : | Master MPH of public health |
Plan de classement simplifié : | Master of Public Health - master international de Santé Public (MPH) |
En ligne : | https://documentation.ehesp.fr/memoires/2023/mph/marina_roger.pdf |
Exemplaires (1)
Code-barres | Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|---|
096529 | MPH23/0015 | Mémoire | Rennes | Salle des Glénan | Empruntable Disponible |