What are the essential steps when presenting a critically ill patient to the Intensive Care Unit (ICU)?

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How to Present a Critically Ill Patient to the ICU

Use a structured ABCDE approach (Airway, Breathing, Circulation, Disability, Exposure) as your presentation framework, prioritizing airway management and oxygenation as the absolute first priority, followed by hemodynamic status, then neurological assessment. 1, 2

Presentation Structure

A - Airway Assessment

  • State airway patency status immediately: Is the airway open and clear, or is there obstruction, tube displacement, or secretion blockage? 1, 3
  • For intubated patients, report:
    • Endotracheal tube depth (documented at bedside) 1
    • Cuff pressure (should be 20-30 cm H₂O) 1
    • Presence of continuous waveform capnography (failure to use contributes to >70% of ICU airway-related deaths) 1
  • Identify any known difficult airway history with specific patient-specific strategies for re-intubation or extubation 1

B - Breathing and Oxygenation

  • Report current oxygen saturation, respiratory rate, and work of breathing 1, 4
  • State severity of hypoxemia if present (SpO₂ <80% occurs in up to 25% of ICU intubations) 1
  • For mechanically ventilated patients, provide:
    • Current ventilator mode and settings 5
    • FiO₂ and PEEP levels 6
    • Adequacy of oxygenation and ventilation 6
  • Note any respiratory distress or increased work of breathing 4

C - Circulation and Hemodynamic Status

  • Present vital signs with trends: blood pressure, heart rate, mean arterial pressure 1, 7
  • State hemodynamic stability status (significant instability occurs in up to 25% of ICU intubations, with cardiac arrest in ~2%) 1
  • Report:
    • Intravenous access type and location 6
    • Current vasopressor or inotrope requirements with doses 6, 7
    • Fluid resuscitation status and ongoing fluid balance 6
  • Identify any signs of shock or inadequate perfusion 2

D - Disability (Neurological Status)

  • State level of consciousness using standardized scale 8
  • Report Glasgow Coma Scale or equivalent 2
  • Note pupillary response and any focal neurological deficits 8
  • For neurocritical patients, report intracranial pressure if monitored 6

E - Exposure and Additional Critical Information

  • State body temperature (avoid hypothermia) 6, 7
  • Report presence of:
    • Nasogastric tube (essential for mechanically ventilated patients) 6
    • Foley catheter and urine output 6
    • Chest tubes if applicable 6
    • Any drains or monitoring lines 6

Essential Clinical Context

Patient Background

  • Primary diagnosis and reason for ICU admission 8
  • Relevant past medical history affecting current management 6
  • Baseline functional status (previously functionally independent vs. dependent) 6

Current Management Plan

  • Ongoing resuscitation measures (damage control resuscitation principles if applicable) 6, 7
  • Pain and sedation status using validated scales (BPS or CPOT for non-verbal patients) 7
  • Current sedation depth (light vs. deep sedation) 7
  • Antibiotic therapy and infection status 1

Risk Stratification

  • Intra-abdominal pressure measurement if at risk for abdominal compartment syndrome 6
  • Risk factors for clinical deterioration 7
  • Coagulopathy status and bleeding risk 6

Transport-Specific Information (If Applicable)

When presenting a patient being transported to ICU:

  • Confirm adequate stabilization before transport (patient factors rarely contribute to adverse events when properly stabilized) 6, 7
  • Report oxygen reserve calculations (entire transport duration plus 30-minute reserve) 7
  • State competency of escort team in airway management and monitoring 7
  • Confirm end-tidal CO₂ monitoring for mechanically ventilated patients during transport 7
  • Document completion of pre-transport checklist 6, 7

High-Risk Situations Requiring Immediate Escalation

Alert the receiving team immediately if:

  • Four or more intubation attempts occurred (dramatically increases cardiac arrest risk) 1
  • Severe hypoxemia present (SpO₂ <80%) 1
  • Hemodynamic instability requiring high-dose vasopressors 1
  • Known difficult airway without documented management plan 1

Documentation Requirements

  • All airway management details must be documented at bedside with patient-specific strategies visible 1
  • Medical record and relevant laboratory/radiographic studies should accompany patient 6
  • COBRA/EMTALA checklist completion for interhospital transfers (in US) 6

Common Pitfalls to Avoid

  • Never present vital signs alone without comprehensive assessment context 7, 8
  • Do not delay presentation of airway concerns—deterioration may not initially appear to be an airway emergency but often involves airway compromise 1
  • Avoid presenting without calculating adequate oxygen reserves for transport 7
  • Do not omit pain assessment—treat pain before considering sedation 7

References

Guideline

ICU Airway Management and Prioritization

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

Airway management in the hospital environment.

British journal of nursing (Mark Allen Publishing), 2016

Research

Respiratory assessment in critically ill patients: airway and breathing.

British journal of nursing (Mark Allen Publishing), 2009

Research

Emergency airway management: common ventilation techniques.

British journal of nursing (Mark Allen Publishing), 2013

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Guideline

Critical Care Medicine Guidelines

Praxis Medical Insights: Practical Summaries of Clinical Guidelines, 2025

Research

[The clinical examination of the critically ill patient in the intensive care unit].

Therapeutische Umschau. Revue therapeutique, 2006

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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