Multiple organ failure is the commonest cause of death in the intensive care unit setting. The management still revolves around the support of organ function and prevention of iatrogenic complications until recovery occurs. This article outlines the critical care considerations during organ failure. Critical care has improved over the past decades largely from improvements in trauma systems, assessment, triage, resuscitation, and emergency care.

However, recent reports implicate that the sensitivity for identifying major trauma patients is lower and the specificity is higher than previously described, particularly among elders. Current work must still be done to continuously improve trauma and critical care internationally, regionally, as well as institutionally. Several medical institutions have adopted unique principles and practice of critical care in intensive care units (ICU) and…