What does this research mean for the field?

In situations of limited ICU bed availability, early involvement of palliative care services is recommended for critically ill patients at high risk of dying, despite very low certainty evidence. Novelty: ClaimNovelty.SYNTHESIS. Consensus alignment: ConsensusAlignment.NEUTRAL.

What question did this study set out to answer?

This work aims to establish evidence-based guidelines for resource allocation in critical care settings during shortages.

March 6, 2026Critical Care Medicine

Executive Summary: Society of Critical Care Medicine Guidelines for the Allocation of Critical Care Resources to Adults During Crisis-Level Shortages

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Authors

JNJoseph L. NatesThe University of Texas MD Anderson Cancer Center NJNamita JayaprakashMayo Clinic KCKallirroi Laiya CarayannopoulosSt. Joseph Hospital

Discussion

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Implication

Guidelines improve prioritization of ICU resources for critically ill adults, suggesting better care strategies during shortages.

Key Points

This work aims to establish evidence-based guidelines for resource allocation in critical care settings during shortages.
Conducted a systematic review of literature addressing triage in the ICU during crisis shortages.
Developed clinical practice recommendations based on Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology.
Focused on patient-oriented outcomes and answered specific PICO questions regarding triaging critically ill adults.
The panel found insufficient evidence to make recommendations for four of the five PICO questions addressed.
One conditional recommendation was made for early involvement of palliative care for critically ill patients.
Studies reviewed showed no significant improvement in mortality, hospital stay, or family satisfaction with early palliative care involvement.

Cite This Study

Nates et al. (2026) studied this question.

synapsesocial.com/papers/69aa6eb1531e4c4a9ff58df2 https://doi.org/10.1097/ccm.0000000000006999

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Executive Summary: Society of Critical Care Medicine Guidelines for the Allocation of Critical Care Resources to Adults During Crisis-Level Shortages

Discussion

Member takes

Implication

Key Points

Cite This Study

Executive Summary: Society of Critical Care Medicine Guidelines for the Allocation of Critical Care Resources to Adults During Crisis-Level Shortages

Discussion

Member takes

Implication

Key Points

Cite This Study

Also Consider

Also Consider