Guidelines and standards​

Browse below for ICS guidelines and standards written and recognised by UK experts in their respective fields. They are coordinated by our Joint Standards Committee in conjunction with the Faculty of Intensive Care Medicine.

New guidance

The care of the critically ill woman in childbirth

The care of the critically ill woman in childbirth; enhanced maternal care 2018 summarises recommendations relevant to the care of pregnant or recently pregnant, acutely or chronically unwell women, who require acute hospital maternity and critical care specialist services. The development of this document has been led by the Obstetric Anaesthetists' Association (OAA). It is published jointly by the Royal College of Anaesthetists (RCoA), Royal College of Obstetricians and Gynaecologists (RCOG), Royal College of Midwives (RCM), Intensive Care Society (ICS), Faculty of Intensive Care Medicine (FICM) and OAA.

This document replaces the former Joint Standing Committee 2011 standards providing equity of critical and maternity care for the critically-ill pregnant or recently pregnant woman document.

Guidelines On The Management Of Acute Respiratory Distress Syndrome

ICS/FICM Guideline Development Group have used GRADE methodology to make the following recommendations for the management of adult patients with acute respiratory distress syndrome (ARDS).The British Thoracic Society supports the recommendations in this guideline.

Appendix A - PRISMA Diagrams
(Adobe PDF File)

Devastating Brain Injury

Twelve practical, pragmatic recommendations to help clinicians deliver safe, effective, equitable and justifiable care to patients with perceived devastating brain injury:

Eye Care in the Intensive Care Unit (ICU)

This document aims to provide advice and information for clinical staff who are involved in eye care in the ICU.

Resources to support safer care for patients at risk of autonomic dysreflexia

This alert asks providers to use the signposted resources to review local clinical policy and guidance relating to bowel assessment and management. They should review local training and education provision, particularly around the care of patients with spinal cord injury or neurological conditions that have led to neurogenic bowel dysfunction.

Resources to support safer bowel care for patients at risk of autonomic dysreflexia


GPICS can be used as the definitive reference source for planning and delivery of UK Intensive Care Services. Download here:

Safety and Shared Learning

You can find further  information via the FICM site here .

Manual bolus dose of insulin
(Adobe PDF File)
(Adobe PDF File)

Specific guidelines

Due for review


The guidelines below have been recognised as needing a review by the Joint Standards Committee