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  • 4 - The Boarding ICU Patient in the Emergency Department

  • from Section 1 - General Critical Care
  • Edited by Kaushal Shah, Weill Cornell Medical Center, New York, Jarone Lee, Massachusetts General Hospital, Boston
  • Edited in association with Clark G. Owyang, Weill Cornell Medical Center, New York, Benjamin Christian Renne, Massachusetts General Hospital, Boston
  • Book:
    Practical Emergency Resuscitation and Critical Care
    Published online:
    02 November 2023
    Print publication:
    23 November 2023, pp 39-46

  • Summary

    Critical illness should be viewed as a continuum from prehospital development of disease, through emergency department (ED) presentation to intensive care unit (ICU) admission to post-ICU care and ultimately to hospital discharge. Over two million patients are admitted to ICUs from EDs each year in the US. Critical care visits increased by 80% between 2006 and 2014. More than 50% of ICU admissions remain in the ED in excess of 6 hours. ICU patients who remain in the ED have been shown to have worse outcomes.