The paper "Neurological Consultations in the Medical Intensive Care Unit" by Rasvi SS, Bone I. published in J Neurol Neurosurg Psychiatry 2003; 74 (Suppl III): iii16-iii23 shows the epidemiological importance of neurological consultations in the Intensive Care Unit (ICU). It then analyses the clinical and technological difficulties of evaluating these patients, and defines such terms used in the ICU as sepsis, septic shock, adult respiratory distress syndrome (ARDS) and multiple organ failure. It describes the neurological testing that should be done in the ICU and, finally, reviews the various situations in which neurologists are needed in Intensive Care.