Читать книгу Emergency Medical Services - Группа авторов - Страница 497

The individual in the community who is dialysis dependent requires unique resources for his or her survival. While under normal conditions the patient likely has established mechanisms for obtaining transportation and treatment, this system can be disrupted in the case of a disaster or disruptive weather event. The local emergency management agency should work alongside EMS medical directors and the dialysis providers to develop contingency plans appropriate for the local environment. Large dialysis center networks may operate a central command/tracking system that can be a resource for planning and disaster management. Other government and local agencies will need to contribute to this planning process, as operation of a hemodialysis machine requires infrastructure that is easily disrupted. Identification and registry of the patients who will require emergent dialysis services in times of need can allow for continued access to life‐sustaining care.