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– Equal care for COVID-19 and non-COVID-19 patients, with the usual criteria for hospitalisation and admission of non-COVID-19 patients remaining valid. – Consideration of the potential individual benefit of a stay in an ICU or IMCU for each patient, according to the general guidelines of the Swiss Academy of Medical Sciences (SAMS) (Intensive-care interventions, 2013) and the specific guidelines in the event of an influx of patients during severe epidemics (COVID-19 pandemic: triage for intensive-care treatment under resource scarcity, 2020). – Consideration of available resources such as qualified personnel, specific equipment and specially defined locations in order to avoid capacity overload. – Wherever possible, spatial consolidation of COVID-19 patients in separated treatment areas to limit the spread of infection in the hospital. – Implementation of processes to support the healthcare staff in view of a rapidly increasing workload or an overload – Early identification of patients requiring hospitalisation and possible further triage (see next section) – Difficult triage decisions should be made jointly in an interdisciplinary / interprofessional team. If possible, obtain a second opinion from a physician not involved in care of the patient under discussion, in order to reduce the emotional burden associated with the decision and to protect those responsible for triage. – It is recommended to document the triage decisions in writing in every hospital.

Recommendations for the admission of patients with COVID-19 to intensive care and intermediate care units (ICUs and IMCUs)