The Supreme Court of India has established a comprehensive framework for intensive care units (ICUs), mandating minimum standards for infrastructure, equipment, and staffing. The guidelines require dedicated ICU areas with essential services, including power backup and sanitation facilities. Each ICU bed must be equipped with oxygen supply and critical monitoring equipment such as ventilators and ECG machines. The court has classified ICUs into three levels of care: Level 1 for basic stabilization, Level 2 for continuous monitoring, and Level 3 for advanced multi-organ care. Staffing requirements include a higher nurse-to-patient ratio, ranging from 1:2 to 1:3, and 1:1 for critically ill patients. States and Union territories have been directed to submit action plans by May 18 to address existing gaps in ICU services. The guidelines also emphasize the need for improved access to quality ICU care in rural areas, suggesting interim staffing solutions and tele-ICU support for smaller facilities. This initiative aims to enhance the overall quality of healthcare in India.