OSCARinED: a policy and practice review of an emergency department-based critical care framework for critically ill non-trauma patients - Report - MDSpire

OSCARinED: a policy and practice review of an emergency department-based critical care framework for critically ill non-trauma patients

  • By

  • Johann J. Kemper

  • Mark Michael

  • Ines Elsemann

  • Leon Ghobadi

  • Philipp Kümpers

  • Michael Reindl

  • Bernhard Kumle

  • Martin Pin

  • Michael Bernhard

  • July 9, 2026

  • 0 min

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Clinical Report: OSCARinED Framework for Emergency Critical Care Management

Overview

The OSCARinED framework provides a structured approach for managing critically ill non-trauma patients in the emergency department (ED) after initial stabilization.

Background

Prolonged boarding of critically ill non-trauma patients in the ED poses significant challenges, including increased mortality and adverse outcomes due to delayed ICU transfers. The OSCARinED framework is designed to bridge the gap between initial resuscitation and ongoing critical care.

Data Highlights

No numerical data is provided in the source material.

Key Findings

  • Prolonged boarding creates a practice gap between initial ED resuscitation and ICU-level care.
  • OSCARinED organizes emergency critical care into seven care domains for structured management.
  • The framework emphasizes explicit treatment targets and scheduled reassessment.
  • OSCARinED is intended to enhance patient safety during ED boarding.
  • Future evaluations of OSCARinED should focus on process reliability and patient-centered outcomes.

Clinical Implications

Implementing the OSCARinED framework may support the management of critically ill patients awaiting ICU admission.

Conclusion

The OSCARinED framework aims to improve care delivery during critical transitions.

Related Resources & Content

  1. Author(s)/Org, Source, Year -- Title
  2. Updates in Surgery, 2022 -- A Comparative Analysis of Two Pre-Hospital Triage Approaches for Trauma Patients: A Prospective Study
  3. Emergency Medicine Journal, 2026 -- Management and outcomes of critically ill patients admitted to a critical care resuscitation unit: a retrospective cohort study
  4. Updates in Surgery, 2018 -- Evaluation of Emergency Thoracotomy Outcomes and Criteria Following a Revised Approach in a Western European Level 1 Trauma Center: An 8-Year Review
  5. Frontiers in Medicine, 2026 -- Effects of a dual-team collaboration model guided by chain management on ECMO initiation and clinical outcomes in critically ill patients: a quasi-experimental study
  6. Emergency Department Boarding and Crowding | ACEP
  7. Surviving Sepsis Campaign Adult Guidelines | SCCM
  8. Part 11: Post-Cardiac Arrest Care | American Heart Association CPR & First Aid

Original Source(s)

OSCARinED: a policy and practice review of an emergency department-based critical care framework for critically ill non-trauma patients

  • by Johann J. Kemper, Mark Michael, Ines Elsemann, Leon Ghobadi, Philipp Kümpers, Michael Reindl, Bernhard Kumle, Martin Pin, Michael Bernhard

  • July 9, 2026

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