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ASPR TRACIE.
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SOFA Score: What it is and How to Use it in Triage
Author:
ASPR TRACIE.
Date Published:
2020
Annotation:
The Sequential Organ Failure Assessment (SOFA) score was designed as a research tool so that groups of patients could be categorized based on their risk of death. This fact sheet in...
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The Sequential Organ Failure Assessment (SOFA) score was designed as a research tool so that groups of patients could be categorized based on their risk of death. This fact sheet includes an overview of the score, how it is calculated, and how it can be used in triage situations.
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URL: https://files.asprtracie.hhs.gov/documents/aspr-tracie-sofa-score-fact-sheet.pdf
ID: 3981
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Preintubation Sequential Organ Failure Assessment Score for Predicting COVID-19 Mortality
Author:
Keller, M., Want, J., Nason, M., et al.
Date Published:
2022
Annotation:
The authors reviewed a U.S. cohort of 15,000 ventilated patients with COVID-19 hospitalized between January 1, 2020, and February 14, 2021 to validate the predictive capacity of the...
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The authors reviewed a U.S. cohort of 15,000 ventilated patients with COVID-19 hospitalized between January 1, 2020, and February 14, 2021 to validate the predictive capacity of the preintubation SOFA score. They found the tool has low accuracy for predicting mortality and recommend reviewing triage pathways.
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Notes:
(Abstract only.)
URL: https://journals.lww.com/ccmjournal/Fulltext/2022/07000/Preintubation_Sequential_Organ_Failure_Assessment.3.aspx
ID: 10793
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Nevada Crisis Standards of Care (CSC) Plan
Author:
Nevada Division of Public and Behavioral Health.
Date Published:
2017
Annotation:
This state crisis standards of care plan supports state medical surge capacity and capability planning and provides a mechanism for expanding medical surge operations. It includes s...
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This state crisis standards of care plan supports state medical surge capacity and capability planning and provides a mechanism for expanding medical surge operations. It includes sections on: Statewide Concept of Operations, Clinical Concept of Operations, Healthcare Sector Adaptations and Considerations, Public Information, Communications Plans and Protocols, Legal Considerations, Plan Development and Maintenance, and several helpful appendices. While this plan serves as a replicable example of coordination, the critical care triage criteria uses SOFA cutoff levels; these need to be updated.
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URL: https://files.asprtracie.hhs.gov/documents/nv-csc-plan-070317--final-508.pdf
ID: 4700
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Arizona Crisis Standards of Care Plan: A Comprehensive and Compassionate Response
Author:
Arizona Department of Health Services.
Date Published:
2020
Annotation:
This comprehensive plan is the result of years of collaboration between the state public health, healthcare, legal, ethical, and emergency management disciplines and can serve as a ...
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This comprehensive plan is the result of years of collaboration between the state public health, healthcare, legal, ethical, and emergency management disciplines and can serve as a model for others. Sections include: Statewide Concept of Operations; Clinical Concept of Operations; Organization and Assignment of Responsibilities; Direction, Control, and Coordination; Information Collection, Analysis, and Dissemination; Communications; Administration, Finance, and Logistics; and Legal Considerations. Note that the specific triage tools are dated as they use SOFA as a primary determinant.
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URL: https://int.nyt.com/data/documenthelper/6855-arizona-triage-guidelines/d95555bb486d68f7007c/optimized/full.pdf
ID: 2847
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Healthcare Ethics: The Experience after the Haitian Earthquake
Author:
Etienne, M., Powell, C., and Amundson, D.
Source:
American Journal of Disaster Medicine. 5(3):141-7.
Date Published:
2010
Annotation:
The authors describe the multidisciplinary Healthcare Ethics Committee set up aboard the USNS Comfort after the 2010 earthquake that devastated Haiti. The principles and some of the...
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The authors describe the multidisciplinary Healthcare Ethics Committee set up aboard the USNS Comfort after the 2010 earthquake that devastated Haiti. The principles and some of the processes the authors illustrate in the article can be applied to future disaster medical relief efforts.
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Notes:
(Abstract only.)
URL: https://pubmed.ncbi.nlm.nih.gov/20701171/
Keywords:
morphine, scarce resources, intravenous,
SOFA, shortage
ID: 1246
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Patient Care: Strategies for Scarce Resource Situations
Author:
Minnesota Department of Health, Office of Emergency Preparedness, Minnesota Healthcare System Preparedness Program.
Date Published:
2021
Annotation:
This card set can help facilitate an orderly approach to resource shortfalls (e.g., blood, IV fluids) at a healthcare facility. It is a decision support tool to be used by key perso...
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This card set can help facilitate an orderly approach to resource shortfalls (e.g., blood, IV fluids) at a healthcare facility. It is a decision support tool to be used by key personnel, along with incident management, who are familiar with ethical frameworks and processes that underlie these decisions.
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URL: https://www.health.state.mn.us/communities/ep/surge/crisis/standards.pdf
Keywords:
scarce resources, Oxygen, Analgesia, Morphine, Benzodiazepine, Antibiotics, sodium bicarbonate, ventilator,
SOFA, blood, O negative, O positive, plasma, dialysis, shortage
ID: 2848
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