The Washington State Disaster Medical Advisory Committee (DMAC) was established in 2015 to provide clinical guidance and expertise to support state-level decision making on key issues such as medical surge, allocation of limited resources (conservation and rationing), and clinical care strategies, including crisis standards of care in a disaster. The WA State DMAC serves as an advisory body to the WA State Health Officer and the WA State Secretary of Health. The WA State DMAC is administered by the Northwest Healthcare Response Network (NWHRN) on behalf of the WA State Department of Health.

The development of the materials below started in 2012 with the Central District Disaster Clinical Advisory Committee. (DCAC Central) and continues with the WA State DMAC. This work is built upon evidence-based literature review, national recommendations, regional committee meetings and individual subject matter expert workgroups.

The Scarce Resource Management and Crisis Standards of Care materials are documents that are frequently updated. It is the user’s responsibility to ensure you are referring to the most current versions.

For further information on the Network’s Disaster Clinical Advisory Committees, please email us at:

Last updated: 11/2021.

Washington State Crisis Standards of Care Triage Team Operational Guidebook (as of 10/15/21): Click here

Scarce Resource Management and Crisis Standards of Care – Individual Cards and Algorithms

 Standards of C

Resource Card, Capacity, Triage

Algorithm, Blood, Burn Treatment

IV Fluids, Oxygen, Renal Replacement, Resource