• Øyvind Østerås, Stian Almeland, Håvard Landsdalen, Stig Gjerde, Jan Knudtzon Sommerfelt-Pettersen, and Hans Flaatten.
• Department of Anaesthesia and Intensive Care, Haukeland University Hospital, Bergen, Norway. oyvind.osteras@uib.no.
• Scand J Trauma Resus. 2024 Dec 5; 32 (1): 126126.

IntroductionNorway faced the possibility of the most significant strain on its intensive care capacity in decades during the COVID-19 pandemic. All Regional Health Authorities in Norway were instructed to prepare for an increase in Intensive Care Units (ICU) capacity demands. To address the surge in demand for critical care, a gymnasium within Haukeland University Hospital premises was planned to be used as a 20-bed temporary ICU. A team-based care approach was trained, where non-ICU nurses received specialized training to support ICU procedures. Maintaining up-to-date medical devices and consumables stored for preparedness through a planned rotation system that feeds into daily use are important. While shortages of medical equipment, hospital beds, and intensive care facilities may occur, personnel shortages are likely to be more significant.ConclusionsThe concept demonstrates promising potential in enhancing preparedness and maintaining critical care surge capacity during pandemics or mass casualty incidents.© 2024. The Author(s).

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