Time Critical Guidelines

Question 1

Trauma Actual Time Critical (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