Figure 2.

Management algorithm. Rhythm dist., cardiac rhythm disturbances; Clin, clinical; MV, mechanical ventilation. *, extracorporeal renal replacement therapies, immunomodulation, other adjuvant therapies. Whenever an “Alarming signal” is detected or suspected, the first step is to evaluate its “Severity”. If the signal is regarded as “Severe” (such as profound hypotension, extreme tachycardia, hypoxemia, etc.) then immediate resuscitation is needed in the form of the appropriate “Interventions”, after which the situation should be “Reassessed”, by checking the change in the alarming parameters and starting the loop again if necessary. If the alarm signal is regarded as “Mild”, then further observation and reassessment is enough. In cases of “Moderate” disturbances, when decisions cannot be made easily, the multimodal contextualized concept could become useful. This includes components listed in Figure 1, and putting these parameters in context can help us to determine whether the moderate alarm signal was indeed “True” or “False”. In cases of the presence of true pathology, the measures listed in the “Interventions” domain can be implemented, after which reassessment is again necessary.