This page serves as a repository of resources for setting up an ED Intensive Care Unit (EDICU).
Read My Paper
Emergency Medicine Critical Care (EMCC) is a subspecialty of emergency medicine dealing with the care of the critically ill both in the ED and in the rest of the hospital.
An Emergency Physician Intensivist (EPI) is a physician who has completed a residency in emergency medicine and a fellowship in critical care.
Emergency Department Critical Care (EDCC) is EMCC practiced specifically in the Emergency Department.
An Emergency Department Intensivist (EDI) is an EPI who practices ED critical care as a portion of their clinical time.
An Emergency Department Intensive Care Unit (ED-ICU) is a unit within an ED with the same or similar staffing, monitoring, and capability for therapies as an ICU.
Difference between Resus Unit and EDICU-Do you keep patients even when an ICU bed is available?
A Resuscitationist is a clinician, from a variety of specialties and certifications, who is committed to optimal care of the critically ill patient during the initial hours of their care.
Roles of an EDICU
- Management of Critically Ill Patients when no ICU Bed is available
- Avoidance of ICU admission to conserve Hospital ICU Beds
- Benefits of a multidisciplinary intensivist rather than domain-specific
- Increase access to resources for an acutely crashing patient
- Stabilization of critical care transfers
- Stabilization of floor decompensations (Overflow ICU)
- Stabilization of ED decompensations
Additional Literature Since the Publication
- Critical Care Admissions have been increasing each year as has the amount of care needed in the ED (Crit Care Med 2013;41:1197)
- The provision of critical care in emergency departments at Canada. (J Emerg Trauma Shock. 2011 Oct;4(4):488-93.
- ED Boarded ICU Patients do worse and full icus affected decisions (CCM 2018;46:720)
- Leibner et al. Anatomy of a Resuscitative ICU
Examples of ED Intensivist Roles and EDICUS:
Here is a variety of different practice models of ED Intensivists.
ICU without Walls Editorial from a Decade Ago
Boarding of Crit Care Pts in the ED and Harms of Poor ED Critical Care
Chalfin DB, Trzeciak S, Likourezos A, et al. Impact of delayed transfer of critically ill
patients from the emergency department to the intensive care unit. Crit Care Med
Cardoso LT, Grion CM, Matsuo T, et al. Impact of delayed admission to intensive care
units on mortality of critically ill patients: a cohort study. Crit Care 2011;15:R28.
Cavallazzi R, Fau MP, Fau HA, et al. Association between time of admission to the ICU
and mortality: a systematic review and metaanalysis. (1931-3543 (Electronic)).
Gabler NB, Fau WJ, Asch DA, et al. Mortality among patients admitted to strained
intensive care units. (1535-4970 (Electronic)) doi: D – NLM: PMC3826272 EDAT
Mohr et al. Crit Care Med. 2020 Aug; 48(8): 1180–1187.
Boarding of Critically Ill Patients in the Emergency Department
Editorial The ED's Impact on Inpatient Crit Care Resources
by Kyle Gunnerson1
Short Stay Crit Care Admits in Maryland
Chidi et al.2
United States EDICUs
Elmhurst Hospital Center RACC
U Penn ResCCU
University of Alabama Birmingham
Lincoln Hospital Resus Unit
The STC CCRU
Not really an EDICU, but the spirit of this unit demands inclusion in any discussion of this sort. Read about the CCRU:
ED ICUs Add Value
Wessman & Mohr DOI: 10.1097/CCM.0000000000004708
Crit Care in the ED
Nguyen, H. B., E. P. Rivers, S. Havstad, B. Knoblich, J. A. Ressler, A. M. Muzzin, and M. C. Tomlanovich. “Critical Care in the Emergency Department: A Physiologic Assessment and Outcome Evaluation.” __Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine__ 7, no. 12 (December 2000): 1354–61. https://doi.org/10.1111/j.1553-2712.2000.tb00492.x.