{"id":2964,"date":"2020-12-01T16:05:00","date_gmt":"2020-12-01T09:05:00","guid":{"rendered":"https:\/\/infosite.hitap.net\/prioritizing-critical-care-resources-in-response-to-covid-19-lessons-from-the-development-of-thailands-triage-protocol\/"},"modified":"2022-03-01T14:30:52","modified_gmt":"2022-03-01T07:30:52","slug":"prioritizing-critical-care-resources-in-response-to-covid-19-lessons-from-the-development-of-thailands-triage-protocol","status":"publish","type":"post","link":"https:\/\/infosite.hitap.net\/en\/prioritizing-critical-care-resources-in-response-to-covid-19-lessons-from-the-development-of-thailands-triage-protocol\/","title":{"rendered":"Prioritizing critical-care resources in response to COVID-19: lessons from the development of Thailand\u2019s Triage protocol"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"2964\" class=\"elementor elementor-2964 elementor-2748\">\n\t\t\t\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4e2dc2b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4e2dc2b6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7c42cd9b\" data-id=\"7c42cd9b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-48851999 elementor-widget elementor-widget-text-editor\" data-id=\"48851999\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.10.0 - 09-01-2023 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#818a91;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#818a91;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p><div class=\"post-views content-post post-2964 entry-meta\">\r\n\t\t\t\t<span class=\"post-views-icon dashicons dashicons-welcome-view-site\"><\/span> <span class=\"post-views-label\">\u0e08\u0e33\u0e19\u0e27\u0e19\u0e1c\u0e39\u0e49\u0e40\u0e02\u0e49\u0e32\u0e0a\u0e21:<\/span> <span class=\"post-views-count\">1,157<\/span>\r\n\t\t\t<\/div><\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6b3960b6 elementor-widget elementor-widget-text-editor\" data-id=\"6b3960b6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Abstract<\/p>\n<p>As COVID-19 ravages the world, many countries are faced with the grim reality of not having enough critical-care resources to go around. Knowing what could be in store, the Thai Ministry of Public Health called for the creation of an explicit protocol to determine how these resources are to be rationed in the situation of demand exceeding supply. This paper shares the experience of developing triage criteria and a mechanism for prioritizing intensive care unit resources in a middle-income country with the potential to be applied to other low- and middle-income countries (LMICs) faced with a similar (if not more of a) challenge when responding to the global pandemic. To the best of our knowledge, this locally developed guideline would be among the first of its kind from an LMIC setting. In summary, the experience from the Thai protocol development highlights three important lessons. First, stakeholder consultation and public engagement are crucial steps to ensure the protocol reflects the priorities of society and to maintain public trust in the health system. Second, all bodies and actions proposed in the protocol must not conflict with existing laws to ensure smooth implementation and adherence by professionals. Last, all components of the protocol must be compatible with the local context including medical culture, physician\u2013patient relationship, and religious and societal norms.<\/p>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-577aa0f0 elementor-align-justify elementor-widget elementor-widget-button\" data-id=\"577aa0f0\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t<a href=\"https:\/\/www.hitap.net\/wp-content\/uploads\/2020\/12\/prioritizing_criticalcare_resources_in_response_to_covid19_lessons_from_the_development_of_thailands_triage_protocol.pdf\" class=\"elementor-button-link elementor-button elementor-size-sm\" role=\"button\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-text\">\u0e14\u0e32\u0e27\u0e19\u0e4c\u0e42\u0e2b\u0e25\u0e14\u0e40\u0e2d\u0e01\u0e2a\u0e32\u0e23<\/span>\n\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-471b043d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"471b043d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-1f322954\" data-id=\"1f322954\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t\t<div class=\"elementor-element elementor-element-739bbf07 elementor-widget elementor-widget-image\" data-id=\"739bbf07\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.10.0 - 09-01-2023 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/www.hitap.net\/wp-content\/uploads\/2020\/12\/prioritizing_criticalcare_resources_in_response_to_covid19_lessons_from_the_development_of_thailands_triage_protocol.pdf\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1920\" height=\"2560\" src=\"https:\/\/infosite.hitap.net\/wp-content\/uploads\/2021\/08\/prioritizing_criticalcare_resources_in_response_to_covid19_lessons_from_the_development_of_thailands_triage_protocol_001-scaled.jpg\" class=\"attachment-full size-full wp-image-2966\" alt=\"\" srcset=\"https:\/\/infosite.hitap.net\/wp-content\/uploads\/2021\/08\/prioritizing_criticalcare_resources_in_response_to_covid19_lessons_from_the_development_of_thailands_triage_protocol_001-scaled.jpg 1920w, https:\/\/infosite.hitap.net\/wp-content\/uploads\/2021\/08\/prioritizing_criticalcare_resources_in_response_to_covid19_lessons_from_the_development_of_thailands_triage_protocol_001-225x300.jpg 225w, https:\/\/infosite.hitap.net\/wp-content\/uploads\/2021\/08\/prioritizing_criticalcare_resources_in_response_to_covid19_lessons_from_the_development_of_thailands_triage_protocol_001-768x1024.jpg 768w, https:\/\/infosite.hitap.net\/wp-content\/uploads\/2021\/08\/prioritizing_criticalcare_resources_in_response_to_covid19_lessons_from_the_development_of_thailands_triage_protocol_001-1152x1536.jpg 1152w, https:\/\/infosite.hitap.net\/wp-content\/uploads\/2021\/08\/prioritizing_criticalcare_resources_in_response_to_covid19_lessons_from_the_development_of_thailands_triage_protocol_001-1536x2048.jpg 1536w\" sizes=\"auto, (max-width: 1920px) 100vw, 1920px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Abstract As COVID-19 ravages the world, many countries are faced with the grim reality of not having enough critical-care resources to go around. Knowing what could be in store, the Thai Ministry of Public Health called for the creation of an explicit protocol to determine how these resources are to be rationed in the situation [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":2968,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[72],"tags":[],"class_list":["post-2964","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-international-publications-en"],"acf":[],"_links":{"self":[{"href":"https:\/\/infosite.hitap.net\/en\/wp-json\/wp\/v2\/posts\/2964","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/infosite.hitap.net\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/infosite.hitap.net\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/infosite.hitap.net\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/infosite.hitap.net\/en\/wp-json\/wp\/v2\/comments?post=2964"}],"version-history":[{"count":2,"href":"https:\/\/infosite.hitap.net\/en\/wp-json\/wp\/v2\/posts\/2964\/revisions"}],"predecessor-version":[{"id":3266,"href":"https:\/\/infosite.hitap.net\/en\/wp-json\/wp\/v2\/posts\/2964\/revisions\/3266"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/infosite.hitap.net\/en\/wp-json\/wp\/v2\/media\/2968"}],"wp:attachment":[{"href":"https:\/\/infosite.hitap.net\/en\/wp-json\/wp\/v2\/media?parent=2964"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/infosite.hitap.net\/en\/wp-json\/wp\/v2\/categories?post=2964"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/infosite.hitap.net\/en\/wp-json\/wp\/v2\/tags?post=2964"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}