BLS Transportation Thresholds

Question 1

What are BLS assessment criteria?

Answer 1

• Minimal risk of airway compromise during transport
• Normal work of breathing
• No acute neurologic deficit
• GCS >13
• No significant environmental exposure or trauma
• Not more than one vital sign out of BLS range
• Person is “talking but not walking”

Question 2

Patient cannot meet any of the ALS treatment criteria

Answer 2

• Receiving IV fluids or medications
• Receiving cardiac monitoring (all patients greater than 35 years old with
  non-traumatic chest pain should receive cardiac monitoring)
• Severe pain requiring repeat doses of pain medication
• At risk of rapid deterioration (impending chidlbirth, life-threatening OD,
  angioedema, anaphylaxis etc.)
• Patient meets SAEMS regional triage protocol criteria for transport to a specialty
  receiving center for STEMI, Stroke, Critical Pediatrics, OB or Trauma
• Person is “not talking and not walking”

Question 3

Age > 14 vitals

Answer 3

RR 12-20
HR60-140
SBP >90
FSBA >70
SpO2 >92 with nasal cannula supplement

Question 4

Age 6-13yrs

Answer 4

RR 20-25
HR 60-150
SBP >80
FSBA >70
SpO2 >92 with nasal cannula supplement

Question 5

Age 1 week - 5yrs

Answer 5

RR 25-30
HR 60-160
SPB >70 + (agex2)
FSBA >70
SpO2 >92 with nasal cannula supplement

Question 6

Age <1 week

Answer 6

RR 30-50
HR 100-180
SBP >70
FSBS > 70
SpO2 >92%

Question 7

How many items may a patient miss on 6 item cognitive screen?

Answer 7

1