For example, it would be an error to assume that principles of triage, recognition of smallpox, antibiotics for anthrax, proper dosing of atropine, and so forth, represent a sufficient knowledge base.
They acquire their training and skills in the inpatient wards of large tertiary care hospitals in urban areas where the emphasis is on making the right diagnosis rather than on the principles of triage and emergency management (34).
Once they land in an ICU bed, the time-honored principles of triage evaporate into an antipaternalistic haze and occupants own that bed as long as they desire it.
The principle of sacrificing the needs of the one for those of the many was translated to modern triage via the 'Spock principle'.
They final report read:... a basic principle of triage is to treat victims having the most life-threatening injuries first with available medical resources and to utilize limited medical personnel in a manner that will provide maximum effectiveness.
The overall aim of this paper is to review the medical literature on this timely subject and delineate a prioritization schema for ventilator (or other resources) triage and allocation based on principles that are useful to facilities providing obstetrical care, either in isolation (freestanding maternity hospital) or as part of a large multidisciplinary acute-care facility.
There needs to be a legal and ethical framework for the process decided in advance, the rationale for triage should be fair and transparent and it should meet the principles of distributive justice [ 30- 32].
Improving critical care in low income countries requires a focus on hospital design, training, triage, monitoring & treatment modifications, the basic principles of critical care, hygiene and the involvement of multi-disciplinary teams.
To achieve these principles a regional five-scale triage system was planned and implemented.
Once need is established, most intensivists will still triage based on a first come, first served principle.
