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Schell, Carl Otto, Khalid, Karima, Wharton-Smith, Alexandra, Oliwa, Jacquie, Sawe, Hendry R, Roy, Nobhojit, Sanga, Alex, Marshall, John C, Rylance, Jamie 
ORCID: https://orcid.org/0000-0002-2323-3611, Hanson, Claudia, Kayambankadzanja, Raphael K., Wallis, Lee A, Jirwe, Maria and Baker, Tim
(2021)
'Essential Emergency and Critical Care: a consensus among global clinical experts'. BMJ Global Health, Vol 6, Issue 9, e006585.
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e006585.full.pdf - Published Version Available under License Creative Commons Attribution. Download (1MB) | Preview |
Abstract
Background
Globally, critical illness results in millions of deaths every year. Although many of these deaths are potentially preventable, the basic, life-saving care of critically ill patients are often overlooked in health systems. Essential Emergency and Critical Care (EECC) has been devised as the care that should be provided to all critically ill patients in all hospitals in the world. EECC includes the effective care of low cost and low complexity for the identification and treatment of critically ill patients across all medical specialties. This study aimed to specify the content of EECC and additionally, given the surge of critical illness in the ongoing pandemic, the essential diagnosis-specific care for critically ill patients with COVID-19.
Methods
In a Delphi process, consensus (>90% agreement) was sought from a diverse panel of global clinical experts. The panel iteratively rated proposed treatments and actions based on previous guidelines and the WHO/ICRC’s Basic Emergency Care. The output from the Delphi was adapted iteratively with specialist reviewers into a coherent and feasible package of clinical processes plus a list of hospital readiness requirements.
Results
The 269 experts in the Delphi panel had clinical experience in different acute medical specialties from 59 countries and from all resource settings. The agreed EECC package contains 40 clinical processes and 67 requirements, plus additions specific for COVID-19.
Conclusion
The study has specified the content of care that should be provided to all critically ill patients. Implementing EECC could be an effective strategy for policy makers to reduce preventable deaths worldwide.
| Item Type: | Article |
|---|---|
| Subjects: | WA Public Health > WA 20.5 Research (General) WA Public Health > Health Administration and Organization > WA 530 International health administration WC Communicable Diseases > Virus Diseases > Viral Respiratory Tract Infections. Respirovirus Infections > WC 505 Viral respiratory tract infections WX Hospitals and Other Health Facilities > Clinical Departments and Units > WX 215 Emergency service. Ambulance service |
| Faculty: Department: | Clinical Sciences & International Health > Clinical Sciences Department Clinical Sciences & International Health > Malawi-Liverpool-Wellcome Programme (MLW) |
| Digital Object Identifer (DOI): | https://doi.org/10.1136/bmjgh-2021-006585 |
| Depositing User: | Stacy Murtagh |
| Date Deposited: | 05 Oct 2021 10:00 |
| Last Modified: | 05 Oct 2021 10:00 |
| URI: | https://archive.lstmed.ac.uk/id/eprint/19082 |
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