admission criteria to ICU

D. Renal
1. Requirement for acute renal replacement therapies in an unstable patient
2. Acute rhabdomyolysis with renal insufficiency
E. Endocrine
1. Diabetic ketoacidosis complicated by haemodynamic instability, altered
mental status
2. Severe metabolic acidotic states
3. Thyroid storm or myxedema coma with haemodynamic instability
4. Hyperosmolar state with coma and/or haemodynamic instability
5. Adrenal crises with haemodynamic instability
6. Other severe electrolyte abnormalities, such as:
- Hypo or hyperkalemia with dysrhythmias or muscular weakness
- Severe hypo or hypernatremia with seizures, altered mental status
- Severe hypercalcemia with altered mental status, requiring
haemodynamic monitoring
F. Gastrointestinal
1. Life threatening gastrointestinal bleeding
2. Acute hepatic failure leading to coma, haemodynamic instability
3. Severe acute pancreatitis
G Haematology
1. Severe coagulopathy and/or bleeding diasthesis
2. Severe anemia resulting in haemodynamic and/or respiratory
compromise
3. Severe complications of sickle cell crisis
4. Haematological malignancies with multi-organ failure
H. Obstetric
1. Medical conditions complicating pregnancy
2. Severe pregnancy induced hypertension/eclampsia
3. Obstetric haemorrhage
4. Amniotic fluid embolism

I Multi-system
1. Severe sepsis or septic shock
2. Multi-organ dysfunction syndrome
3. Polytrauma
4. Dengue haemorrhagic fever/dengue shock syndrome
5. Drug overdose with potential acute decompensation of major organ
systems
6. Environmental injuries (lightning, near drowning, hypo/hyperthermia)
7. Severe burns
J Surgical
1. High risk patients in the peri-operative period
2. Post-operative patients requiring continuous haemodynamic
monitoring/ ventilatory support, usually following:
- vascular surgery
- thoracic surgery
- airway surgery
- craniofacial surgery
- major orthopaedic and spine surgery
- general surgery with major blood loss/ fluid shift
- neurosurgical procedures