Transition to the Intensive Care Unit

Documentation and communication are important. Resuscitation in the ED is commonly performed in "ordered chaos" and, even though resuscitation is systematic and thoughtful, miscommunication with the intensivist or subspecialist accepting the patient can undo the benefits of initial treatment. A system-oriented problem list with an assessment and plan, including all procedures and complications, should be verbally communicated, written, or dictated prior to transfer. For prolonged ED stays, notations regarding patient status, diagnostic and therapeutic intervention, and sentinel events should be provided frequently, if possible.

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