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

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