Publication - Advice and guidance

Coronavirus (COVID-19): guidance on critical care management of adult patients

Guidance for healthcare practitioners working in critical care environments and staff involved in the planning and delivery of critical care services.

Coronavirus (COVID-19): guidance on critical care management of adult patients
Escalation to critical care and ethical decision making

Escalation to critical care and ethical decision making 

Assessment for escalation of care to a critical care environment with invasive organ support should take a holistic approach incorporating individual assessment of frailty, comorbidity, severity of illness, and the likelihood of critical care provision leading to survival where quality of life is deemed acceptable to the patient. Where possible, decisions regarding escalation of care and quality of life should be carried out collaboratively with patients, their families and the referring clinical team, taking into account individual patient circumstances and with respect to ethical principles.

Further guidance regarding assessment for critical care admission can be found in the Scottish Government’s COVID-19 Clinical Advice.  

For guidance on ensuring an ethical approach to decision making, please see the Scottish Government’s Ethical Advice and Support Framework.