突发公共卫生事件与综合性医院重症监护超负荷扩容

医院是社会应对突发公共卫生事件的主要机构。在超出正常负荷的情况下,合理有序地进行基础卫生设施扩容是保证医院成功应对突发事件的关键。医院必须能够通过增加重症监护单元（Intensive Care Unit,ICU）容量或通过改造其他区域增加实际ICU收治能力;有次序地将相关区域改造为临时重症监护单元;储备充足的病床和相关监护设施,在应对偶发事件时必须能得到政府协助以获取额外的呼吸机;制定ICU阶段性扩容人员工作计划,保证在应对偶发事件或危机时重症监护的仍可有效执行;抽调临床专业人员参与应急管理组,共同制定和执行扩容计划;为重症监护活动提供充足的基础设施支持。

Dealing with Public Health Emergencies through the Expansion of Surge Capacity and Infrastructure

Hospital is the main institution to response to public health emergency.Performing surge capacity and preparing infrastructure legitimately and orderly is the key point of successful response.Hospitals should increase their ICU capacity by expanding ICU and remodeling some other areas.Hospitals should prioritize locations for expansion by expanding existing ICUs.Hospitals should have enough beds and monitors for these expansion areas.Hospitals should develop contingency plans with the help of government to acquire additional ventilators.Hospitals should develop a phased staffing plan that provides sufficient patient care supervision during contingency and crisis situations.Hospitals should make experts transfer to the emergency management personnel in hospitals during planning for surge capacity as well as during response.Hospitals should assure that adequate infrastructure support is present to support critical care activities.