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Pandemic Influenza Triage in the Clinical Setting

Published online by Cambridge University Press:  28 June 2012

Steven J. Rottman ,
Kimberley I. Shoaf ,
Jennifer Schlesinger ,
Eva Klein Selski ,
Joey Perman ,
Kerry Lamb  and
Janet Cheng
Steven J. Rottman*
Affiliation:
University of California Los Angeles Center for Public Health and Disasters, Los Angeles, California USA David Geffen School of Medicine, University of California Los Angeles Center for Public Health and Disasters, Los Angeles, California USA
Kimberley I. Shoaf
Affiliation:
University of California Los Angeles Center for Public Health and Disasters, Los Angeles, California USA
Jennifer Schlesinger
Affiliation:
University of California Los Angeles Center for Public Health and Disasters, Los Angeles, California USA
Eva Klein Selski
Affiliation:
University of California Los Angeles Center for Public Health and Disasters, Los Angeles, California USA
Joey Perman
Affiliation:
University of California Los Angeles Center for Public Health and Disasters, Los Angeles, California USA
Kerry Lamb
Affiliation:
University of California Los Angeles Center for Public Health and Disasters, Los Angeles, California USA
Janet Cheng
Affiliation:
University of California Los Angeles Center for Public Health and Disasters, Los Angeles, California USA
*
Adj. Professor Emergency Medicine and Community Health Sciences David Geffen School of Medicine and UCLA School of Public Health Director, UCLA Center for Public Health and Disasters 1145 Gayley Avenue Suite 304 Los Angeles, California 90024 USA E-mail: [email protected]
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Abstract

Introduction:

There has been much federal and local health planning for an influenza pandemic in the United States, but little is known about the ability of the clinical community to deal quickly and effectively with a potentially overwhelming surge of pandemic influenza patients.

Problem:

The attitudes and expectations of emergency physicians, emergency nurses, hospital nursing supervisors, hospital administrators, and infection control personnel concerning clinical care in a pandemic were assessed.

Methods:

Key informant structured interviews of 46 respondents from 34 randomly selected emergency receiving hospitals in Los Angeles County were conducted using an Institutional Review Board-approved protocol. The interview asked about supplies/resources, triage, quality of care, and decision-making. At the conclusion of each interview, the informant was asked to provide the contact information for at least two others within their respective professional group. Interviews were transcribed and coded for key themes using qualitative analytical software.

Results:

There was little salience that an influx of variably ill patients with influenza would force stratified healthcare decision-making. There also was a general lack of preparation to address the ethics and practices of triaging patients in the clinical setting of a pandemic.

Conclusions:

Guidelines must be developed in concert with public health, medical society, and legislative authorities to help clinicians define, adopt, and communicate to the public those practice standards that will be followed in a mass population, infectious disease emergency.

Keywords

emergency triageethicspandemic influenzastandards of care
Type
Research Article
Information
Prehospital and Disaster Medicine , Volume 25 , Issue 2 , April 2010 , pp. 99 - 104
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2010

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