Time Critical Guidelines

Question 1

Define actual time criticality

Answer 1

At the time of assessment/vital sign survey the patient is in actual physiological distress

Question 2

Define Emergent under the TCG?

Answer 2

At the time of the vital sign survey the patient is not in actual physiological distress, however they have a pattern of injury or medical condition that has a high probability of deterioration into actual physiological distress

Question 3

Describe potential under the TCG?

Answer 3

At the time of the vital sign survey the patient is not in actual physiological distress and doesn’t have a serious pattern of injury/illness, however there is a mechanism of injury that has a high probability of deterioration into actual physiological distress

Question 4

What are the Co-Morbidities for MOI that constitute time criticality?

Answer 4

• Obesity
• Poorly controlled hypertension
• Diabetes
• Ischemic heart disease
• Chronic liver/renal failure
• Symptomatic COPD
• Controlled or uncontrolled CFF

Question 5

What are the Actual time critical criteria?

Answer 5

HR- >120 or <60
RR >30 or <10
SPO2 >90% on O2
GCS >13 or >15 for 15 years and under
BP >90

Question 6

what are the emergent time critical guideline criteria?

Answer 6

• Penetrating injury: except isolated superficial limb injury
• Blunt Injuries: serious to one region that requires specialised care/intervention or to multiple body parts, or that constitute a threat to a limb or quality of life.
• Specific injuries: Spinal injury, burns >15% TBSA, High voltage burns, pelvic fracture, fracture 2 or more long bones, amputation, major compound/open fracture, serious crush.

Question 7

What are the Potential TCG criteria?

Answer 7

• Pedestrian impact
• MVA greater than 60km/h
• Cyclist accident greater than 30km/h
• fall from height >3m
• Object strikes head from >3m
• Explosion
• Ejection from a car
• Prolonged extriction

Plus co-morbidity: lines/disease and age <15 or >55

Question 7

What are the Potential TCG criteria?

Answer 7

• Pedestrian impact
• MVA greater than 60km/h
• Cyclist accident greater than 30km/h
• fall from height >3m
• Object strikes head from >3m
• Explosion
• Ejection from a car
• Prolonged extriction

Plus co-morbidity: lines/disease and age <15 or >55

Question 8

Children up to which age are transported to a children’s facility?

Answer 8

Up to and including 15

Question 9

If a patient has a fall from standing height, is in a metropolitan region and is >55 where should they be take?

Answer 9

To a neurological facility.