title: Planning and response to Ebola virus disease: An integrated approach.
abstract: The care of patients with Ebola virus disease (EVD) requires the application of critical care medicine principles under conditions of stringent infection control precautions. The care of patients with EVD requires a number of elements in terms of physical layout, personal protective apparel, and other equipment. Provision of care is demanding in terms of depth of staff and training. The key to safely providing such care is a system that brings many valuable skills to the table, and allows communication between these individuals. We present our approach to leadership structure and function--a variation of incident command--in providing care to 3 patients with EVD.
authors.affiliation: Division of Infectious Diseases, College of Medicine, University of Nebraska Medical Center, Omaha, NE; Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE. Electronic address: pwsmith@unmc.edu.
authors.forename: Philip W
authors.initials: PW
authors.lastname: Smith
authors.affiliation: Nebraska Medicine, Omaha, NE.
authors.forename: Kathleen C
authors.initials: KC
authors.lastname: Boulter
authors.affiliation: Division of Infectious Diseases, College of Medicine, University of Nebraska Medical Center, Omaha, NE; Department of Epidemiology, College of Public Health, University of Nebraska Medical Center, Omaha, NE.
authors.forename: Angela L
authors.initials: AL
authors.lastname: Hewlett
authors.affiliation: Vice Chancellor for Clinical Research, University of Nebraska Medical Center, Omaha, NE.
authors.forename: Christopher J
authors.initials: CJ
authors.lastname: Kratochvil
authors.affiliation: College of Nursing, University of Nebraska Medical Center, Omaha, NE.
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Beam
authors.affiliation: Department of Environmental, Agricultural and Occupational Health, College of Public Health, University of Nebraska Medical center, Omaha, NE.
authors.forename: Shawn G
authors.initials: SG
authors.lastname: Gibbs
authors.affiliation: Department of Environmental, Agricultural and Occupational Health, College of Public Health, University of Nebraska Medical center, Omaha, NE.
authors.forename: John-Martin J
authors.initials: JM
authors.lastname: Lowe
authors.affiliation: Nebraska Medicine, Omaha, NE.
authors.forename: Michelle M
authors.initials: MM
authors.lastname: Schwedhelm
mesh_terms: D019033:Delivery of Health Care, Integrated; D018562:Disease Transmission, Infectious / Q000517:prevention & control*; D004632:Emergency Medical Services / Q000379:methods*; D019142:Hemorrhagic Fever, Ebola / Q000453:epidemiology* / Q000517:prevention & control*; D006801:Humans; D017053:Infection Control / Q000379:methods* / Q000458:organization & administration*
keywords: Biocontainment; Incident command; Leadership