title: [Emergency and disaster response in critical care unit in the Mexican Social Security Institute: triage and evacuation].
abstract: Providing medical assistance in emergencies and disaster in advance makes the need to maintain Medical Units functional despite the disturbing phenomenon that confronts the community, but conflict occurs when the Medical Unit needs support and needs to be evacuated, especially when the evacuation of patients in a Critical Care Unit is required. In world literature there is little on this topic, and what is there usually focuses on the conversion of areas and increased ability to care for mass casualties, but not about how to evacuate if necessary, and when a wrong decision can have fatal consequences. That is why the Mexican Social Security Institute gave the task of examining these problems to a working group composed of specialists of the Institute. The purpose was to evaluate and establish a method for performing a protocol in the removal of patients and considering always to safeguard both staff and patients and maintain the quality of care.
authors.affiliation: Dirección de Prestaciones Médicas, Instituto Mexicano del Seguro Social, México, DF Mexico.
authors.forename: Santiago
authors.initials: S
authors.lastname: Echevarría-Zuno
authors.forename: Felipe
authors.initials: F
authors.lastname: Cruz-Vega
authors.forename: Sandra
authors.initials: S
authors.lastname: Elizondo-Argueta
authors.forename: Everardo
authors.initials: E
authors.lastname: Martínez Valdés
authors.forename: Rubén
authors.initials: R
authors.lastname: Franco-Bey
authors.forename: Luis Miguel
authors.initials: LM
authors.lastname: Méndez-Sánchez
mesh_terms: D000047:Academies and Institutes / Q000458:organization & administration*; D003128:Coma; D004189:Disaster Planning; D004632:Emergency Medical Services / Q000458:organization & administration* / Q000600:supply & distribution; D060447:Emergency Shelter / Q000458:organization & administration; D004865:Equipment and Supplies, Hospital; D005392:First Aid / Q000295:instrumentation; D006301:Health Services Needs and Demand; D006801:Humans; D007362:Intensive Care Units; D054527:Mass Casualty Incidents; D008800:Mexico; D009102:Multiple Organ Failure / Q000517:prevention & control / Q000628:therapy; D010348:Patient Care Team; D004364:Pharmaceutical Preparations / Q000600:supply & distribution; D012121:Respiration, Artificial / Q000295:instrumentation; D012720:Severity of Illness Index; D012943:Social Security / Q000458:organization & administration*; D014187:Transportation of Patients / Q000379:methods / Q000458:organization & administration; D014218:Triage / Q000941:ethics / Q000458:organization & administration
chemical_list: D004364:Pharmaceutical Preparations
keywords: Critical Care; Disaster; Evacuation; desastres; evacuación; terapia intensiva; triage