ICU Triage: Who Will Live and Who Will Die?

Life-and-death triage decisions are made daily by intensive care unit(ICU) physicians. The Society of Critical Care Medicine has issued guidelines for ICU admission, discharge and triage, providing a framework for clinical practice. Dr. Charles Sprung will provide an update on the latest consensus triage statements as he explains methods used to triage patients into the intensive care unit and provides data from his triage studies demonstrating who the patients are that benefit most from ICU care.

Target Audience

Critical Care Physicians, Cardiologists, Surgeons, Anesthesiologists, Emergency Medicine Physicians, Nephrologists, Pulmonologists, Infectious Disease Physicians, Neurologists, Gastroenterologists, Hospitalists, Physician Assistants and other interested healthcare providers. 
 

Learning Objectives

  • Identify the methods used to triage patients into the ICU.
  • Recognize the patients who benefit most from ICU care.
  • Describe the latest consensus triage statements.
Additional information
Bibliography: 
  • Sprung, C. L., Artigas, A., Kesecioglu, J., Pezzi, A., Wiis, J., Pirracchio, R., ... & Hargreaves, C. (2012). The Eldicus prospective, observational study of triage decision making in European intensive care units. Part II: intensive care benefit for the elderly. Critical care medicine, 40(1), 132-138.
  • Sprung, C. L., Danis, M., Iapichino, G., Artigas, A., Kesecioglu, J., Moreno, R., ... & Levy, M. M. (2013). Triage of intensive care patients: identifying agreement and controversy. Intensive care medicine, 39(11), 1916-1924.
  • Nates, J. L., Nunnally, M., Kleinpell, R., Blosser, S., Goldner, J., Birriel, B., ... & Sprung, C. L. (2016). ICU admission, discharge, and triage guidelines: a framework to enhance clinical operations, development of institutional policies, and further research. Critical care medicine, 44(8), 1553-1602.
Course summary
Available credit: 
  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
Course opens: 
11/01/2018
Course expires: 
10/31/2021

Charles Sprung, M.D., J.D.
Director Emeritus, General Intensive Care Unit
Department of Anesthesiology and Critical Care Medicine
Hadassah Hebrew University Medical Center
Jerusalem, Israel

Charles Sprung, M.D., has indicated that he is a consultant with Data and Monitoring Committee, Phase III Sepsis Study, Asahi Kasei Pharma America.

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 0.75 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 0.75 AMA PRA Category 1 Credit™
  • 0.75 General certificate of attendance
Please login or register to take this course.

Required Hardware/software

PC/Mac Users
PC/Mac Users

This site is supported on the most recent stable releases of the following browsers:

Click Here to Download Google Chrome
Google Chrome
Microsoft Edge
Microsoft Edge
Safari
Safari
Moxilla Firefox
Mozilla Firefox
Internet Explorer

Attention: Internet Explorer Users
This site offers limited support for Internet Explorer 11 (IE11). When using IE11, you will be prompted to download course videos instead of viewing them in the browser. After the course video downloads, the recordings will play.

Mobile Users
Mobile Users

This site is supported on the following mobile devices:

  • Apple iOS mobile devices running iOS 10 or later
  • Android mobile devices running Android 4.4 or later, with the latest release of Google Chrome or Mozilla Firefox
Technical Support
Technical Support

If you are experiencing technical difficulties or have received an error message, please send an email to CME@baptisthealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.