One of the important issues to consider in disaster planning is “altered care.” Currently, a…

One of the important issues to consider in disaster planning is “altered care.” Currently, a debate is going on among disaster professionals and health care workers about the reality of health and care standards in the disaster environment. The Agency for Healthcare Research and Quality has stated that to save as many people as possible during a disaster, compromises in health care delivery are necessary; this is called “altered care.” The AHRQ points out that this may mean restricting medical supplies to certain types of patients or using ventilators only for surgical patients. It also might mean compromise in normal isolation techniques. In some disasters, two or more surgical patients might be operated on side-by-side in the same operating room. If you were asked to discuss this topic among your peers, what would you add to the discussion? This is both an ethical and a technical discussion. What is your opinion about what surgical practices could be altered during a disaster?

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