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Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report

Altevogt, B.M., Stroud, C., Hanson, S.L., Hanfling, D., and Gostin, L.O. (eds.). (2009). Guidance for Establishing Crisis Standards of Care for Use in Disaster Situations: A Letter Report. Institute of Medicine, Washington, DC: The National Academies Press.

In 2009, the United States (U.S) Department of Health and Human Services (HHS) Office of the Assistant Secretary for Preparedness and Response (ASPR) asked the Institute of Medicine to convene a committee to develop guidance for crisis standards of care in disaster situations. This report focuses on the key principles and guidance that can assist public health officials, health care facilities, and others in the development of systematic policies and protocols that can be applied in a disaster situation with scarce resources. The report includes two scenarios: (1) a sudden-onset, no-notice earthquake, and (2) a slow-onset, pervasive pandemic.
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