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

Category	Detail
Condition	Critically ill non-trauma patients
Key Mechanisms	Emergency critical care (ECC) framework for ongoing management after initial stabilization
Target Population	Critically ill non-trauma patients in the emergency department
Care Setting	Emergency department

Prolonged boarding of critically ill non-trauma patients creates a practice gap between initial ED resuscitation and ICU-level continuity of care.
OSCARinED provides an ED-specific structure for emergency critical care after initial ABCDE stabilization.
The framework links seven care domains to explicit treatment targets, reassessment intervals, handover, and disposition planning.
OSCARinED should be evaluated as an implementation and patient-safety intervention rather than as a replacement for ICU admission.

Critically ill non-trauma patients awaiting ICU admission.

Emergency critical care interventions include airway management, vasoactive therapy, and infection management.

Clinical Scorecard: OSCARinED: An Evaluation of Emergency Department Practices for Managing Critically Ill Non-Trauma Patients within a Critical Care Framework