Time Critical Guidelines

Question 1

Trauma Actual Time Critical (adult vitals)

Answer 1

Resp Rate: <12 or >24
BP: >90 SYS
Pulse: <50 or >120
GCS: <13
Sats: <90%

Question 2

Trauma Emergent Time Critical (injury)

Answer 2

Penetrating Injury: Head/Neck/Chest/Abdo/Pelvis/Axilla/Groin

Blunt Injury:
Significant injury to: Head/Neck/Chest/Pelvis/Axilla/Groin
Injuries involving 2 or more areas

Specific Injuries: 
Limb Amputation
Suspected SCI
Burns >20% or respiratory tract
Serious crush injury
Major compound fracture or open dislocation
Fracture to 2 or more long bones
Fractured pelvis

Question 3

Trauma Potentially Time Critical (MOI)

Answer 3

Ejection from vehicle
Car vs Cyclist >30km/h
MVA >60km/h
Car vs Pedestrian
Fall >3m
Head strike >3m
Explosion
Fatality in same vehicle
Prolonged extrication >30min

Co-morbidity
Age >60yrs
Pregnancy
Underlying medical condition

Question 4

Medical Actual Time Critical

Answer 4

Severe Respiratory Distress
Sats <90% RA OR <93% O2
Inadequate Perfusion
GCS <13
12 lead showing STEMI

Question 5

Medical Emergent Time Critical

Answer 5

Medical Symptoms:
ACS
Acute Stroke
Severe Sepsis
Possible AAA
Undiagnosed severe pain
Acute Asthma/COPD with mod resp distress.

Possible need for hyperbaric treatment
Hypo/hyperthermia

Question 6

Trauma Actual Time Critical (newborn vitals)

Answer 6

Resp Rate: <40 or >60
BP: n/a
Pulse: <100 or >170
GCS: <15
Sats: n/a
Skin: cold/pale/clammy

Question 7

Trauma Actual Time Critical (infant vitals)

Answer 7

Resp Rate: <20 or >50
BP: <60 SYS
Pulse: <90 or >170
GCS: <15
Sats: n/a
Skin: cold/pale/clammy

Question 8

Trauma Actual Time Critical (child 1-8 vitals)

Answer 8

Resp Rate: <20 or >35
BP: <70 SYS
Pulse: <75 or >130
GCS: <15
Sats: n/a
Skin: cold/pale/clammy

Question 9

Trauma Actual Time Critical (child 9-15 vitals)

Answer 9

Resp Rate: <15 or >25
BP: <80 SYS
Pulse: <65 or >100
GCS: <15
Sats: <90%
Skin: cold/pale/clammy