The linked discussion paper focuses on hospital application of Crisis Standards of Care (CSC) and provides suggestions on revising CSC based on COVID-19 experiences.

The relationships between each vaccine and interactions of different patient demographics or pre-existing diseases with resultant survival outcomes are undoubtedly complex and currently unknown. But if it is ethically questionable to apply vaccination status as a first-order consideration for critical care triage, might it be ethically defensible to use ..

Excellent article on the politics of CSC activation and involvement of government . Reviews triage and life saving care.

Excellent article on the ethics around contingency and crisis standards from a historical perspective

To address the anticipated hospital surge due to the Covid-19 pandemic, a single statewide system was developed to expedite patient transfers and equitably distribute patients infected with SARS-CoV-2 across hospitals. The effort, featuring a 24/7 call line, was initiated by the Arizona Department of Health Services and collaboratively protocolized ..

The Arizona Surge Line was active for two years during the COVID-19 pandemic, facilitating the movement of nearly 10,000 patients with COVID-19 and load-leveling hospitals to postpone crisis standards of care in the state. With the end of the declared state of emergency in Arizona, the Arizona Surge Line ..

Care of pediatrics during a surge in adult facilities and considerations and strategies for care.

Solving the challenges of law and legal repercussions when CSC is invoked.

State emergency declarations during COVID 19.

Factors and criteria that may lawfully be used to determine CSC for specific patients in addition to factors that are unlawful to use.

Pediatric Crisis Standards of Care Reference Table for conventional, contingency and crisis care. Shows triggers, activation requirements and potential strategies.

This memo identifies (1) factors or criteria generally interpreted or viewed as “unlawful” for purposes of Crisis Standards of Care (CSC) decision-making; and (2) remaining lawful bases for which CSC decisions may be made.

Provides references and information to develop pediatric crisis standards of care (CSC). Also outlines triggers of CSC and legal considerations.

This rapid expert consultation responds to a March 25 request to provide a rationale for the implementation of crisis standards of care (CSC) in response to the COVID-19 outbreak. Also discussed are the broad principles and core elements of CSC planning and implementation.

Crisis Standards of Care: A Systems Framework for Catastrophic Disaster Response: Volume 1: Introduction and CSC Framework (2012)