CMAJ • November 21, 2006; 175 (11). doi:10.1503/cmaj.060911.
© 2006 CMA Media Inc. or its licensors
All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association.
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Development of a triage protocol for critical care during an influenza pandemic

Michael D. Christian, Laura Hawryluck, Randy S. Wax, Tim Cook, Neil M. Lazar, Margaret S. Herridge, Matthew P. Muller, Douglas R. Gowans, Wendy Fortier and Frederick M. Burkle

From the Division of Infectious Diseases and Critical Care, Department of Postgraduate Medicine, McMaster University, Hamilton, Ont. (Christian); the Division of Critical Care, Department of Medicine, University of Toronto (Hawryluck, Wax, Herridge), and University Health Network (Hawryluck, Lazar, Herridge), Toronto, Ont.; the Program for Resuscitation Education and Patient Safety, Department of Medicine, Mount Sinai Hospital, Toronto, Ont. (Wax); Medcan Travel Clinic, Medcan Health Management Inc., Toronto, Ont. (Cook); the Faculty of Medicine and Joint Center for Bioethics (Lazar), the Division of Infectious Diseases, Department of Medicine, and the Department of Health Policy, Management and Evaluation (Muller), University of Toronto, Toronto, Ont.; the Divisions of Acute Services and Community Health, Ontario Ministry of Health and Long-Term Care, Toronto, Ont. (Gowans); the Ottawa Hospital, Ottawa, Ont. (Fortier); and the Asia-Pacific Center for Biosecurity, Disaster and Conflict Research, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii (Burkle)


Figure 115
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  		Fig. 1: Prioritization tool used in triage protocol for the initial assessment of patients' needs for critical care during an influenza pandemic. See online Appendix 1 for the SOFA scoring criteria and online Appendix 2 for the complete prioritization tool, which includes details on reassessing patients at 48 and 120 hours (appendices are available at www.cmaj.ca/cgi/content/full/175/11/1377/DC1). See Box 2 for exclusion criteria.

 

Figure 115
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  		Box 1.

 

Figure 215
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  		Box 2.