We suggest local, regional, and national critical care pharmacists and resources be identified during disaster preparedness. We suggest access to critical care or specialist pharmacists and resources include consideration for special populations such as those with burns, cirrhosis, organ transplant, and need for dialysis. naturalbreastenhancementpill.com
We suggest pharmacists, especially those with critical care and specialty training, be an integral part of any mass critical care disaster team.
Local Pharmacist Disaster Response Teams have been developed along with integration of National Pharmacy Response Teams as part of the US Department of Health and Human Services National Disaster Medical System response teams. The American Society of Health-System Pharmacists has committed to help maintain emergency preparedness and just-in-time care, including maintenance of an electronic communications network of hospital pharmacy department directors that can be used to transmit urgent information related to emergency preparedness.
The mass critical care special population pharmaceutical challenges include, but are not limited to, (1) varied volumes of distribution, (2) altered or changing kinetics, (3) multiple drug interactions, (4) dosing challenges, (5) antimicrobial resistance, and (6) frequent drug order changes. Including pharmacists and identification of and access to critical care pharmacist resources during disasters, even remotely, is important to the care of special populations.
Crisis Standards of Care for Special Populations
We suggest research be conducted in crisis standard of care triggers for special populations that includes clinical, planning, and ethical domains across the life cycle of a disaster.
We suggest experts in the care of technology- and resource-dependent special populations convene to discuss and determine the acceptable parameters for crisis standards of care for a disaster.