Change in Clinical Status: Escalating from Ward to ITU
Patients may deteriorate on a COVID ward, and may require escalation to the intensive care unit. This decision should be made by a senior clinical decision maker after discussion with the patient and their relatives.
The mobile emergency rapid intubation team (MERIT) should be activated if
SpO2 < 90% despite maximal supplemental oxygen via ward based devices:
In practice, this means:
- 10 litres/minute oxygen via face mask
- Breathing on a non-rebreather mask (aka mask with reservoir bag)
- Using a Respiflo system with an FiO2 98%
- CPAP therapy with entrained oxygen
Last updated: 17/04/2020
Change in Clinical Status: Escalating from Ward to ITU
Patients may deteriorate on a COVID ward, and may require escalation to the intensive care unit. This decision should be made by a senior clinical decision maker after discussion with the patient and their relatives.
The mobile emergency rapid intubation team (MERIT) should be activated if
SpO2 < 90% despite maximal supplemental oxygen via ward based devices:
In practice, this means:
- 10 litres/minute oxygen via face mask
- Breathing on a non-rebreather mask (aka mask with reservoir bag)
- Using a Respiflo system with an FiO2 98%
- CPAP therapy with entrained oxygen
Last updated: 17/04/2020
