Revised May 14, 2008

Joy sent me this list of who won't get care in case of some kind of disaster. It's scary when they decide who isn't savable. (Phyllis)

Rick, I found the list of who will not get treatment.  This includes any type of mass problem, even a burn from a nuclear explosion...

 

 

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Table 6. Exclusion Criteria

1. SOFA score criteria: patients excluded from critical care if risk of hospital mortality 80%  A. SOFA > 15  B. SOFA > 5 for 5 d, and with flat or rising trend  C. 6 organ failures 2. Severe, chronic disease with a short life expectancy  A. Severe trauma  B. Severe burns on patient with any two of the following:   i. Age > 60 yr   ii. > 40% of total body surface area affected   iii. Inhalational injury  C. Cardiac arrest   i. Unwitnessed cardiac arrest   ii. Witnessed cardiac arrest, not responsive to electrical therapy (defibrillation or pacing)   iii. Recurrent cardiac arrest  D. Severe baseline cognitive impairment  E. Advanced untreatable neuromuscular disease  F. Metastatic malignant disease  G. Advanced and irreversible neurologic event or condition  H. End-stage organ failure meeting the following criteria:   i. Heart    a. New York Heart Association class III or IV heart failure   ii. Lungs    a. COPD with FEV1 < 25% predicted, baseline PaO2 <55 mm Hg, or secondary pulmonary hypertension    b. Cystic fibrosis with postbronchodilator FEV1 < 30% or baseline PaO2 < 55 mm Hg    c. Pulmonary fibrosis with vital capacity or total lung capacity < 60% of predicted, baseline PaO2 < 55 mm Hg, or secondary pulmonary hypertension   d. Primary pulmonary hypertension with New York Heart Association class III or IV heart failure, right atrial pressure > 10 mm Hg, or mean pulmonary arterial pressure > 50 mm Hg   iii. Liver    a. Child-Pugh score 7  I. Age > 85 yr  J. Elective palliative surgery

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