Escalation of Care

Question 1

What are the adult vital signs for escalation of care?

Answer 1

HR - < 40 or > 140 WITH a BP <90
RR >30
Sp02% <92% Despite 02 therapy
AVPU - Pain or GCS <10

Question 2

What are the paediatric vital signs for escalation of care?

Answer 2

• Airway Threat
  AVPU - to pain (Still, floppy, staring)
  Respiratory Distress - Grunting/pallor/mottling/syanosis)

Question 3

What are the high-risk criteria for escalation of care?

Answer 3

• Clinician concern
• Major Trauma
• Obstetric emergencies
• Ketamine sedation
• STEMI
• Complex poisoning with ECG OR Haemodynamic changes
• Refractory to first line treatment (Seizure, Anaphylaxis, Severe respiratory distress)