occurring outside hospital and six in seven hospital deaths occurring on the wards [2]. The average age of patients admitted to ICU in the UK is 10 years lower than for all hospitalised patients and more than 20 years younger than patients who have died from COVID-19: 61 vs. 73 vs. 83 y [3-5]. Despite only a minority of patients hospitalised with COVID-19 being admitted to ICU, there has been an enormous focus on critical care during the pandemic and this is appropriate.