Table 1

Models of paediatric physicians caring for critically ill adults

Adults in a paediatric ICUAdults and children in a paediatric ICUPaediatric ICU physicians covering a new AICU
Staff
  • Paediatric-trained physicians, nurses, therapists

  • Experienced as a team working together

  • Paediatric-trained physicians, nurses, therapists

  • Experienced as a team working together

  • Mixed adult and paediatric training

  • Not experienced as a team working together

Equipment
  • New supply chain

  • New space for supplies

  • New supply chain

  • New space for supplies

  • Burden of maintaining paediatric and adult-specific supplies

  • Existing supply chain

Clinical care
  • New process of patient transport and triage

  • Limited or no access to adult-specific specialists

  • Burden to paediatric-specific specialists

  • New process of patient transport and triage

  • Limited or no access to adult-specific specialists

  • Burden to paediatric-specific specialists

  • New unit but known process for patient transport and triage

  • Full access to adult-specific specialists

Communication
  • Existing structure, familiarity and known processes for members of the team to maintain continuity of care

  • Existing structure, familiarity and known processes for members of the team to maintain continuity of care

  • Newly created medical team with various backgrounds in a new system

  • AICU, adult intensive care unit; ICU, intensive care unit.