In the card game Racing Patience ICU there are two players. One draws a central card that describes the patient’s stats when entering ICU. Starting at the same time, one player represents the ICU team trying to bring the patient back into the normal or survivable ranges for blood pressure, heart rate, blood oxygenation and rate of respiration. The other player sometimes called Death, attempts to take the patient out of those survivable ranges. Each player attempts to track the four parameters, keeping a rough tally in their head of the changes in the patient stats as each card is added to one of the four stacks. The players turn over their cards in groups of three, being able to play the top card only. It is not a social or fair game. It is extremely competitive and can be rough and physical as each player tries to get their card onto the stacks in the centre. Importantly there is no concept of taking turns. It requires an ability to focus on many things which are changing, all at the same time. At the end of five minutes an alarm sounds. The game is over. On a count-back the winner is decided. The winner is who determined whether the patient during that particular five minutes was in or out of the survivable range for the four vital signs. Who knows what happened in the next five minutes and if the ethics of particular interventions that drove the often widely swinging changes of the parameters were ever able to be considered.