Crisis standards of care is a seven volume set volume 1 provides an overview volume 2 pertains to state and local governments volume 3 pertains to emergency medical services volume 4 pertains to hospitals and acute care facilities volume 5 pertains to out of hospital care and alternate care systems volume 6 contains a public engagement . Suggested citationvolume 5 alternate care systemsinstitute of medicine 2012 crisis standards of care a systems framework for catastrophic disaster response volume 1 introduction and csc framework. Crisis standards of care a systems framework for catastrophic disaster response the national academy of sciences is a private nonprofit self perpetuating society of distinguished schol ars engaged in scientific and engineering research dedicated to the furtherance of science and technology. Disasters can stress health care systems to the breaking point and disrupt delivery of vital medical services following its 2009 report which defined crisis standards of care csc the iom develops important templates to guide the efforts of professionals and organizations responsible for csc planning and implementation the latest report provides a foundation of underlying principles . Crisis standards of care provides a framework for a systems approach to the development and implementation of csc plans and addresses the legal issues and the ethical palliative care and mental health issues that agencies and organizations at each level of a disaster response should address
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