Paediatric Time Critical Guidelines

Question 1

At what age should a child be assessed using the paediatric time critical guidelines?

Answer 1

<12.

Question 2

What are the 4 age categories for paediatric Vital Signs Major Trauma Criteria?

Answer 2

NB/Small Infant = 0-3mths
Large Infant = 4-12mths
Small Child = 1-4yrs
Medium Child = 5-11yrs

Question 3

In the setting of potential major trauma, what vital signs meet MTC for a 0-3mth old?

Answer 3

HR <100 or >180
RR >60
BP <50
SPO2 <90
GCS <15 or less than Alert for AVPU

Question 4

In the setting of potential major trauma, what vital signs meet MTC for a 4-12 mth old?

Answer 4

HR <100 or >180
RR >50
BP <60
SPO2 <90
GCS <15 or less than Alert for AVPU

Question 5

In the setting of potential major trauma, what vital signs meet MTC for a 1-4 year old?

Answer 5

HR <90 or >160
RR >40
BP <70
SPO2 <90
GCS <15 or less than Alert for AVPU

Question 6

In the setting of potential major trauma, what vital signs meet MTC for a 5-11 year old?

Answer 6

HR <80 or >140
RR >30
BP <80
SPO2 <90
GCS <15 or less than Alert for AVPU

Question 7

Are there any variations on the Specific Injuries or MOI that implicate a paediatric as being Trauma Time Critical?

Answer 7

Burns >10% TBSA, as opposed to >20% for adults.
Any MOI will qualify a paediatric as TTC, as they are already an “at risk” demographic.
All other same as adult guidelines.