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., faculty for this educational activity, has indicated that he is a consultant with Data and Monitoring Committee, Phase III Sepsis Study, Asahi Kasei Pharma America and has indicated that the presentation or discussion will not include off-label or unapproved product usage. 

All of the relevant financial relationships listed for this individual has been mitigated.

Louis T. Gidel, M.D., Ph.D., conference director for this educational activity, has no relevant financial relationship with ineligible companies* to disclose.

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

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

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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
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