4 Clinical decision making
4.1 Be aware that guidance on treating COVID‑19 may change with emerging scientific data and knowledge and that this may require modifications to treatment.
4.2 Base decisions on admission of individual adults to critical care on the likelihood of their recovery, taking into account the likelihood that a person will recover from their critical care admission to an outcome that is acceptable to them.
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]
4.3 Support all healthcare professionals to use their existing knowledge and experience when making clinical decisions.
4.4 Critical care staff should support healthcare professionals who do not routinely work in critical care but need to do so (see guidance from the Faculty of Intensive Care Medicine).
4.5 Decisions about the use of critical care resources should only be made by, or with the support of, healthcare professionals with expert knowledge and skills in critical care.
4.6 Use objective data from recognised national sources, for example, the Intensive Care National Audit Research Centre, to support consistency in decision making.
4.7 Use a recognised tool to record the decision making process (see an example decision support form).