3 Starting, reviewing and stopping critical care treatment

3 Starting, reviewing and stopping critical care treatment

3.1 Start critical care treatment with a clear plan of how the treatment will address the diagnosis and lead to agreed treatment goals (outcomes).

3.2 Review critical care treatment regularly and when the patient's clinical condition changes. Include in the review an assessment of whether the goals of treatment are clinically realistic.

For support with decision making, see ethical guidance from the British Medical Association, the Royal College of Physicians and the General Medical Council. [amended 9 April 2020]

3.3 Stop critical care treatment when it is no longer considered able to achieve the desired overall goals (outcomes). Record the decision and the discussion with family and carers, the patient (if possible) or an independent mental capacity advocate (if appropriate).