RT Book, Section A1 Walsh, B. Corbett A1 Sunseri, Maria A1 Mukherjee, Vikram A1 Hunt, Richard C. A2 Schmidt, Gregory A. A2 Kress, John P. A2 Douglas, Ivor S. SR Print(0) ID 1201804633 T1 Expanding Medical Surge Capacity and Capability During a Pandemic T2 Hall, Schmidt and Wood’s Principles of Critical Care, 5th Edition YR 2023 FD 2023 PB McGraw Hill PP New York, NY SN 9781264264353 LK accessmedicine.mhmedical.com/content.aspx?aid=1201804633 RD 2024/10/11 AB KEY POINTSSurge capacity is composed of the domains space, staff, supplies, and systems. Progressive strain across any of these domains compromises the quality of care provided for patients.Hospitals should develop mitigating strategies that are proportionally implemented as strain compromises patient care, codified as conventional, contingency, and crisis standards of care.The worldwide pandemic caused by COVID-19 strained the international health care system, causing numerous hospitals to operate under contingency and crisis standards of care.A pandemic can cause unique and sometimes unforeseen strain in space, staff, supplies, and systems.Staff mental health may be overlooked in disaster planning, but resiliency is particularly important for prolonged disasters as well as for individuals practicing outside their routine duties.Despite the most detailed and contingency pandemic planning, preparations should remain operation focused as plans do not always align with a disaster’s actual trajectory.