The optimal management of non-intensive critical patients remains a debated topic. This debate is further complicated by the fact that Intensive Care Units (ICUs) bed availability is regulated by individual countries, leading to significant variations in ICU capacity across nations. For instance, countries like the United States have substantially higher numbers of ICU beds compared to countries with more limited capacity, such as Italy [1,2]. During the COVID-19 pandemic, particularly at times of maximum saturation in ICUs, internal medicine wards demonstrated a remarkable ability to adapt, providing advanced care to patients who would have been admitted to ICUs in normal condition [3–5].
