phrase General Slang

Rule of Five

· phrase · medical

If more than five orifices have tubing in them, the patient won't make it.

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Definitions

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Old ICU bedside rule, half joke half observation. Count the tubes — ET tube, NG, catheter, drains, central lines — once you're past five orifices plumbed in, the patient's odds of leaving the unit alive drop off a cliff. Not in any textbook, but every intensivist who's done a few years nods at it.

“He's intubated, NG, two chest drains and a catheter — we're one line off the Rule of Five.”
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Rule of Five In A Sentence

He's intubated, NG, two chest drains and a catheter — we're one line off the Rule of Five.

Origin & Usage

ICU folklore, Anglo-American.

Variants rule of fives

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