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ADMISSION CRITERIA
The Intensive Care Unit is an expensive resource area and should be reserved for
patients with reversible medical conditions with a reasonable prospect of
substantial recovery.
Patients with the following conditionsare candidates for admission to the
General Intensive Care Unit. The following conditions include, but are not
limitedto:
A. Respiratory
1. Acute respiratory failure requiring ventilatory support
2. Acute pulmonary embolism with haemodynamic instability
3. Massive haemoptysis
4. Upper airway obstruction
B. Cardiovascular
1. Shock states
2. Life-threatening dysrhythmias
3. Dissecting aortic aneurysms
4. Hypertensive emergencies
5. Need for continuous invasive monitoring of cardiovascular system
(arterial pressure, central venous pressure, cardiac output)
C. Neurological
1. Severe head trauma
2. Status epilepticus
3. Meningitis with altered mental status or respiratory compromise
4. Acutely altered sensorium with
the potential for airway compromise
5. Progressive neuromuscular dysfunction requiring respiratory
support
and / or cardiovascular monitoring (myasthenia gravis, Gullain-
Barre syndrome)
6. Brain dead or potentially brain dead patients who are being aggressively
managed while determining organ donation status
The Intensive Care Unit is an expensive resource area and should be reserved for
patients with reversible medical conditions with a reasonable prospect of
substantial recovery.
Patients with the following conditionsare candidates for admission to the
General Intensive Care Unit. The following conditions include, but are not
limitedto:
A. Respiratory
1. Acute respiratory failure requiring ventilatory support
2. Acute pulmonary embolism with haemodynamic instability
3. Massive haemoptysis
4. Upper airway obstruction
B. Cardiovascular
1. Shock states
2. Life-threatening dysrhythmias
3. Dissecting aortic aneurysms
4. Hypertensive emergencies
5. Need for continuous invasive monitoring of cardiovascular system
(arterial pressure, central venous pressure, cardiac output)
C. Neurological
1. Severe head trauma
2. Status epilepticus
3. Meningitis with altered mental status or respiratory compromise
4. Acutely altered sensorium with
the potential for airway compromise
5. Progressive neuromuscular dysfunction requiring respiratory
support
and / or cardiovascular monitoring (myasthenia gravis, Gullain-
Barre syndrome)
6. Brain dead or potentially brain dead patients who are being aggressively
managed while determining organ donation status
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
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