From: The global need for essential emergency and critical care
1 | Identification of the critically ill: the proportion of critically ill patients who are identified | ||
1a | The structures needed for a hospital to have the potential to identify the critically ill | ||
For example: | |||
Emergency department (ED) triage system | |||
Ward-based triage | |||
Trained ED and ward staff | |||
Pulse oximeter | |||
1b | The clinical processes needed for the identification of the critically ill | ||
For example: | |||
ED triage is conducted | |||
Ward triage, for example early warning score (EWS), is conducted | |||
2 | Essential care of the critically ill: the proportion of those identified as critically ill who receive essential care | ||
2a | The structures needed for a hospital to have the potential to provide essential care of the critically ill | ||
For example: | |||
Availability of ED resuscitation room | |||
Emergency drugs and equipment | |||
Oxygen | |||
Trained staff | |||
Guidelines for EECC | |||
2b | The clinical processes needed for essential care of the critically ill | ||
For example: | |||
Use of appropriate airway actions | |||
Use of oxygen in hypoxia | |||
Use of intravenous fluids in shock | |||
3 | The proportion of all critically ill patients who receive EECC: the output of EECC | ||
For example: | |||
If 50% of all critically ill patients in a hospital are identified and 80% of these receive the correct essential care, then effective coverage of EECC is 40% | |||
4 | The mechanism through which EECC translates into increased survival of the critically ill | ||
For example: | |||
Airway maintained | |||
Breathing supported | |||
Circulation maintained | |||
5 | The desired outcome of EECC: survival of the critically ill | ||
For example: | |||
To a defined time point; for example, hospital discharge |