Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Introduction
- Chain of Survival
- Leadership
- Practical Leadership Issues
- Technical
- Special Circumstances
- Cessation of CPR
- National Audit and Training
- Introduction
- Post-cardiac Arrest Syndrome
- Airway and Breathing
- Circulation
- Disability
- Exposure
- Prognostication and Organ Donation
- Introduction
- Considerations When Triaging
- Admission to ICU Ideals
- Discharge Planning
- Department of Health Guidelines 2000/Updated Review 2011
- Introduction
- Pre-arrival Preparation
- The Primary Survey
- Secondary Survey
- Consideration for the Need to Transfer
- The Multiple Injured Patient – Early Total Care versus Damage Control Surgery
- Conclusion
- Assessment
- Estimating Burn Depth and % TBSA
- Severe Burns
- Initial Management
- Acknowledgements
- Definitions
- Planning
- Principles of Treatment in a Mass Casualty Incident
- Declaration of a Mass Casualty Incident
- Command and Control
- Preparing for Arrival of Casualties
- Lessons from Previous Incidents
- 1.1 General Introduction to the Recognition, Assessment and Stabilisation of the Acutely Ill Patient with Disordered Physiology
- 1.2 Management of Cardiopulmonary Resuscitation – Advanced Life Support
- 1.3 Principles of Management of the Patient Post-resuscitation
- 1.4 Principles of Triaging and Prioritising Patients Appropriately, Including Timely Admission to ICU
- 1.5 Initial Assessment and Management of the Trauma Patient
- 1.6 Principles of Assessment and Initial Management of the Patient with Burns
- 1.7 Description and Management of Mass Casualties
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
1.4 - Principles of Triaging and Prioritising Patients Appropriately, Including Timely Admission to ICU
from Section 1 - Resuscitation and Management of the Acutely Ill Patient
Published online by Cambridge University Press: 27 July 2023
Book contents
- Intensive Care Medicine
- Intensive Care Medicine
- Copyright page
- Dedication
- Dedication
- Epigraph
- Contents
- Contributors
- Preface
- Foreword
- Abbreviations
- Section 1 Resuscitation and Management of the Acutely Ill Patient
- Introduction
- Chain of Survival
- Leadership
- Practical Leadership Issues
- Technical
- Special Circumstances
- Cessation of CPR
- National Audit and Training
- Introduction
- Post-cardiac Arrest Syndrome
- Airway and Breathing
- Circulation
- Disability
- Exposure
- Prognostication and Organ Donation
- Introduction
- Considerations When Triaging
- Admission to ICU Ideals
- Discharge Planning
- Department of Health Guidelines 2000/Updated Review 2011
- Introduction
- Pre-arrival Preparation
- The Primary Survey
- Secondary Survey
- Consideration for the Need to Transfer
- The Multiple Injured Patient – Early Total Care versus Damage Control Surgery
- Conclusion
- Assessment
- Estimating Burn Depth and % TBSA
- Severe Burns
- Initial Management
- Acknowledgements
- Definitions
- Planning
- Principles of Treatment in a Mass Casualty Incident
- Declaration of a Mass Casualty Incident
- Command and Control
- Preparing for Arrival of Casualties
- Lessons from Previous Incidents
- 1.1 General Introduction to the Recognition, Assessment and Stabilisation of the Acutely Ill Patient with Disordered Physiology
- 1.2 Management of Cardiopulmonary Resuscitation – Advanced Life Support
- 1.3 Principles of Management of the Patient Post-resuscitation
- 1.4 Principles of Triaging and Prioritising Patients Appropriately, Including Timely Admission to ICU
- 1.5 Initial Assessment and Management of the Trauma Patient
- 1.6 Principles of Assessment and Initial Management of the Patient with Burns
- 1.7 Description and Management of Mass Casualties
- Section 2 Diagnosis, Assessment, Investigation, Monitoring and Data Interpretation
- Domain 3 Disease Management: Recognition, Causes and Management
- Section 4 Therapeutic Interventions and Organ Support
- Domain 5 Practical Procedures
- Section 6 Perioperative Care
- Section 7 Comfort and Recovery
- Section 8 End-of-Life Care
- Section 9 Paediatric Care
- Section 10 Transport
- Section 11 Professionalism, Patient Safety, Governance and Health Systems Management
- Index
- References
Summary
Key Learning Points
1. Prioritise patient admission based on acute clinical needs and potential for deterioration.
2. Ensure daily ICU patient review to allow for appropriate admission and discharge planning.
3. Utilise local hospital policies for admission and discharge planning.
4. There must be a clear plan for escalation of treatment at all levels of care.
5. Patients should not be transferred to another ICU on non-clinical grounds where at all possible.
- Type
- Chapter
- Information
- Intensive Care MedicineThe Essential Guide, pp. 9 - 10Publisher: Cambridge University PressPrint publication year: 2021
References
References and Further Reading
Department of Health. Comprehensive critical care. London: Department of Health; 2000.Google Scholar
Faculty of Intensive Care Medicine and Intensive Care Society. Section 3.1: Critical care services process – admission, discharge and handover. In: Guidelines for the provision of intensive care services, 2nd edn. 2019; pp. 76–9.Google Scholar
General Medical Council. Good Medical Practice. London: General Medical Council; 2013.Google Scholar
National Institute for Health and Care Excellence. Acutely ill patients in hospital: Recognition of and response to acute illness in adults in hospital. Clinical guideline [CG50]. London: National Institute for Health and Care Excellence; 2007.Google Scholar
National Institute for Health and Care Excellence. Rehabilitation after critical illness in adults. Clinical guideline [CG83]. London: National Institute for Health and Care Excellence; 2009.Google Scholar