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Updated: Sep 3, 2026

An Educational Video Demonstration of How to Prone a Critically Ill Intubated Patient
Published on: November 30, 2022
[Critically Ill prehospital patients : direct admission to intensive care unit ?]
Fabrice Clément1, Thomas Castelain1,2, Alain Brönnimann3
1Département de médecine d'urgence, Hôpital cantonal de Fribourg, 1752 Villars-sur-Glâne.
Abstract:
Reducing wait times for critical care is a major organizational challenge. Several studies suggest an association between delayed admission to the intensive care unit (ICU) and a poor prognosis in critically ill patients. The Swiss healthcare system, characterized by advanced prehospital medical care and specialized care pathways that are already operational, provides a favorable context for establishing direct or expedited pathways to ICUs starting from the prehospital care phase. However, this approach raises significant challenges related to over-triage, resource availability, and the safety of prehospital orientation. This article reflects on the potential benefits, limitations, and necessary conditions for such a model in the Swiss context.
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