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ICU Liberation A-F

ICU Liberation Bundle (A-F)

Implement the A-F elements of the ICU Liberation Bundle to improve outcomes while transforming culture. 

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ICU Liberation Bundle A-FThe Society of Critical Care Medicine's (SCCM) ICU Liberation Bundle (A-F) is unique because it can be applied to every patient, every day, by the full team. Your implementation does not have to be perfect right away. Small changes make a big difference. 

By fostering a holistic approach to treating patients and improving ICU team communication, the ICU Liberation Bundle has been proven in multiple studies involving more than 20,000 patients to: 
  • Decrease the likelihood of hospital death within seven days by 68% 
  • Reduce delirium and coma days by 25%-50% 
  • Reduce physical restraint use by more than 60% 
  • Cut ICU readmissions in half 
  • Reduce discharges to nursing home and rehabilitation facilities by 40% 
The A-F elements of the ICU Liberation Bundle represent the implementation strategy used to provide each of the recommendations in the pain, agitation/sedation, delirium, immobility, and sleep disruption (PADIS) guidelines to every ICU patient. 

The ICU Liberation Bundle consists of the following individual elements: 
  • A Element: Assess, Prevent, and Manage Pain 
  • B Element: Both Spontaneous Awakening Trials (SATs) and Spontaneous Breathing Trials (SBTs) 
  • C Element: Choice of Analgesia and Sedation 
  • D Element: Delirium: Assess, Prevent, and Manage 
  • E Element: Early Mobility and Exercise 
  • F Element: Family Engagement and Empowerment 

ICU Liberation Bundle (A-F)

ICU Liberation Minimum Data Set Toolkit

The Minimum Data Set Toolkit is provided for multiprofessional critical care teams to measure their practice for performance improvement. The toolkit includes data and compliance definitions, a spreadsheet for data collection, and input and compliance reports. It explains how to understand and use the data for continuous process improvement. The ICU Liberation Implementation Framework Binder Booklet, which provides guidance on  implementing the A-F elements of the ICU Liberation Bundle, is now included with the toolkit. SCCM also provides additional ICU Liberation resources to get familiar with the PADIS Guidelines and the ICU Liberation Bundle, including links to the guidelines, success stories, and teaching slides.

Using these Resources 
Use of SCCM's ICU Liberation material is approved for free staff training in hospitals and, in most circumstances, for use in scientific presentations. If the use falls under this category, please ensure that appropriate acknowledgment is given to ICU Liberation. Some content on the website may require permissions from other creators that preceded the SCCM ICU Liberation program. 

For medical education programs with associated registration fees or for use in commercial settings, requests for use of SCCM materials should be made in advance by contacting
The Society does not endorse any specific product, platform, or other information that may be mentioned.

Host an ICU Liberation Course at Your Institution

The SCCM Licensing Team can provide details about bringing training to your institution.

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Hosting an SCCM licensed course offers a unique opportunity to train your staff. Hosted courses combine expert-developed lectures with hands-on skill stations and are available in both in-person and online formats. Choose to hold one course or explore package pricing.
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