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Social Media and Crisis Care Principles During Pandemics and Disasters: A Consensus Report From a Subgroup of the Task Force for Mass Critical Care

Jason Persoff, A. Devereaux, Ryan C. Maves, Anuj B. Mehta, Lisa D. Burry, Aloke Chakravarti, Deborah R. Levy, Henry J. Feldman et al.

Chest, 2026

Abstract

BACKGROUND

Effective communication and coordination are fundamental determinants of the healthcare system's performance during disasters. Failures in these domains during COVID-19 contributed to disrupted care delivery, strained staff, resource shortages, and adverse patient outcomes.

RESEARCH QUESTION

Drawing on pandemic lessons, the Task Force for Mass Critical Care (TFMCC) conducted a comprehensive assessment of peer-reviewed literature, gray sources, and firsthand experience using a modified Delphi process to develop consensus-based suggestions to strengthen communication strategies and operational coordination.

STUDY DESIGN AND METHODS

Methodological frameworks from the World Health Organization and Guidelines International Network-McMaster Guideline Development Checklist for rapid guidelines were merged to establish a consensus development process, integrating evidence synthesized from the literature with expert opinions. The previously described process used a three-round modified Delphi approach to synthesize published evidence, collect anecdotal evidence, and develop suggestions.

RESULTS

A total of 147 evidence statements were evaluated, resulting in 22 suggestions substantiated by other supporting literature and anecdotal experiences. The TFMCC identified transparent, timely, and scientifically grounded public communication with proactive engagement through social media as indispensable for information dissemination and misinformation mitigation. Planning and…

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