Section 2: Critical care

The critical care activity consists of the management of patients who present or are likely to present one or more acute failures directly threatening the vital or functional prognosis and which may require the use of one or more methods of substitution.

Critical care is carried out in the following two ways: 1° Adult critical care; 2° Paediatric critical care.

The adult critical care modality comprises the following entries: 1° Intensive care and polyvalent intensive care, and specialised intensive care where applicable; 2° Derogatory polyvalent intensive care; 3° Intensive cardiology care; 4° Intensive vascular neurology care; 5° Intensive haematology care.

The paediatric critical care modality includes the following entries: 1° Referral intensive care and multi-purpose paediatric intensive care, and speciality intensive care where applicable; 2° Intensive care and multi-purpose paediatric intensive care, and speciality intensive care where applicable; 3° Derogatory multi-purpose paediatric intensive care; 4° Paediatric haematology intensive care.

I.- Holders of designation 1° under the adult critical care modality of article R. 6123-34-1 and holders of designation 1° or 2° under the paediatric critical care modality of article R. 6123-34-2 must set up a critical care technical platform comprising at least one intensive care unit and at least one contiguous polyvalent intensive care unit. II.-The intensive care unit ensures the care of patients who present or are likely…

I. – Exceptionally and on a temporary basis, in the absence of available paediatric critical care beds, patients under the age of 18 may be treated in adult critical care on site or by agreement with a holder of the authorisation for adult critical care activity, enabling treatment to be provided within a timeframe compatible with the imperatives of care safety. II. – As part of a paediatric care pathway,…

I. – The holder of the authorisation provides round-the-clock care, every day of the year, for the reception, diagnostic and therapeutic management, monitoring and transfer of patients as soon as their state of health permits. II. – The holder of the 1° adult critical care authorisation ensures the safety and continuity of critical care by organising the return or transfer of patients to intensive care units as soon as their…

I. – Authorisation for entries 1° and 2° under the adult critical care modality may only be granted if the holder has at his disposal twenty-four hours a day, every day of the year: a) On site, full-time surgical hospitalisation facilities, adapted to the patient’s age; b) On site or by agreement, full-time medical hospitalisation facilities, adapted to the patient’s age; c) On site, an operating theatre with post-interventional monitoring…

I. – Authorisation for 1° under the adult critical care modality and for 1° and 2° under the paediatric critical care modality may only be granted if the holder has access, on site or by agreement, to a technical platform enabling care to be taken within timescales that are compatible with the imperatives of safe care: a) Medical imaging examinations using conventional radiology, angiography by scanner and ultrasound, MRI and…

I. – Authorisation for 3° under the adult critical care modality may only be granted if the holder has a medical unit on site dedicated to cardiology activities. II.- The holder has, on site or by agreement, access to: a) A cardiac and vascular surgery unit; b) An intensive care unit. III.The holder has, on site or by agreement, access to: a) A medical imaging platform enabling scintigraphy and MRI…