ACUTE CHANGE IN:

PHYSIOLOGY

Airway

Threatened

Breathing

All respiratory arrests

Respiratory rate < 5 breaths/min

Respiratory rate > 36 breaths/min

Circulation

All cardiac arrests

Pulse rate < 40 beats/min

Pulse rate > 140 beats/min

Systolic BP < 90 mmHg

Neurology

Sudden fall in level of consciousness

Fall in GCS of > 2 points  (Link to page 47)

Repeated or prolonged seizures

Other

Any patient causing concern who does not fit the above criteria