Who gets care?The framework outlines exclusion criteria — medical conditions that would mean the difference between treatment in the ICU or not.
These specialized departments care for a hospital's most ill patients, including advanced COVID-19 patients who require ventilators to survive.
Under Phase 1, patients with life-threatening conditions such as severe dementia, severe burns, those who have suffered a massive stroke or are in a deep coma, may be denied entrance into the ICU.
The barriers to treatment increase under Phase 2, with more stringent measurements applied based on the health and age of each patient.
Staff untrained in critical care would be widely deployed in ICUs.
People over 60 with poor chances of survival could be denied admission to the ICU. Only children with the most severe medical needs, such as organ failure, would be admitted to ICU under Phase 2.
Doctors would be asked to decide if patients who have been on machine ventilation for 14 days should be taken off life support order to give another patient a chance at survival, a decision that would be made with or without family consent.
A medical team would assess each patient in critical condition using a series of scoring systems focused on the patient's likelihood of survival.
- In Phase 1, patients with an 80 per cent of probability of dying within the year would be denied critical care.
- In Phase 2, those with a 50 per cent of probability of death within a year would be denied critical care.