Standardizing Critical Care Across Rural India

The 10BedICU Protocol Booklet is a cornerstone initiative designed to bring uniform, evidence-based critical care practices to government hospitals in resource-constrained settings. Developed by leading critical care experts from India and abroad, these protocols aim to empower healthcare workers in rural ICUs to deliver high-quality treatment—even in the absence of specialists.

Why Standardized Protocols Matter

In many secondary government hospitals, especially in rural areas, there is a severe shortage of trained ICU professionals. To overcome this, the 10BedICU project implements

Task shifting strategies to allow nurses and general physicians to manage ICU care effectively.
TeleICU support from hub hospitals to guide care in real time.
Standardized treatment protocols that ensure consistency and improve patient outcomes.

What Protocol Covers

It serves as a ready reference for physicians, nurses, and allied staff, bridging the gap between advanced medical knowledge and real-world application.

Evidence-Based and Locally Adapted

These protocols were developed through:
- Strategic identification of common ICU conditions
- Reviews of national and international guidelines (ICMR, SCCM, ESICM)
- Iterative input from on-ground 10BedICU doctors
- Final review and validation by a multidisciplinary expert panel

A Living Document

The ICU Protocols are designed to evolve with emerging evidence and user feedback. This ensures that the guidance remains current, relevant, and effective in a fast-changing healthcare environment.

ICU Protocols

ICU Protocol Status

Completed - 10

Progress - 6

Pending - 10

Shock

Cardiac Tamponade

Chronic Liver Failure

Septic shock

Acute COPD Exacerbation

GI Bleed

PPH & TH Shock

Acute Asthma Exacerbation

Stroke (thromboembolic and hemorrhagic)

Postpartum Haemorrhage

Pneumonia

Statis Eplileticus

Cardiogenic Shock

Pulmonary Embolism

Alcohol Withdrawal

STEMI

Acute Respiratory Distress Syndrome

DKA

ACS- NSTEMI

OP Poisoning / Toxicology

Bradyarrhythmia

Snake Bite

CHF - HFpEF (Diastolic Heart Failure), HFrEF (Systolic Heart Failure), HFmrEF

Tropical Fever (Dengue, Scrub typhus, Chikungunigia)

Atrial Fibrillation

Actively Dying

Shock

Atrial Fibrillation

Stroke (thromboembolic and hemorrhagic)

Septic shock

Cardiac Tamponade

Statis Eplileticus

PPH & TH Shock

Acute COPD Exacerbation

Alcohol Withdrawal

Postpartum Haemorrhage

Acute Asthma Exacerbation

DKA

Cardiogenic Shock

Pneumonia

OP Poisoning / Toxicology

Snake Bite

Pulmonary Embolism

STEMI

ACS- NSTEMI

Acute Respiratory Distress Syndrome

Tropical Fever (Dengue, Scrub typhus, Chikungunigia)

Bradyarrhythmia

Chronic Liver Failure

Actively Dying

CHF - HFpEF (Diastolic Heart Failure), HFrEF (Systolic Heart Failure), HFmrEF

GI Bleed

Organisations Involved

Panel of Doctors

Dr. Jagannath Palepu

Chairman of Surgical Oncology at Lilavati Hospital, Mumbai.

Dr. Padmashri Srinivasa

Chief Medical Officer of the 10BedICU project,

Dr. Siri Murthy

State Coordinator for Karnataka

Standard ICU Protocols

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FaqS

Frequently Asked Questions

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Clinical Protocols