Table 2.
Cardiovascular |
Heart Rate <40 or >140 with new symptoms or any rate >160 |
Blood pressure <80 or >200 systolic or 110 diastolic with symptoms (neurologic changes, angina, dyspnea) |
|
Respiratory |
Rate <8 or >36 |
New onset of difficulty breathing |
New pulse oximeter reading <85% for >5 without known chronic hypoxia |
New oxygen requirement to keep SpO2>85% |
|
Acute Neurologic Change |
Acute loss of consciousness |
New onset lethargy |
Sudden collapse |
Seizure (outside of seizure monitor unit) |
Sudden loss of movement or weakness in the face, arm or leg |
|
Other |
>1 STAT page required to assemble team needed to respond to a crisis |
Patient complaint of chest pain (unresponsive to nitroglycerine or MD unavailable) |
Color change (patient or extremity): Pale, dusky, gray or blue |
Unexplained agitation of >10 min. |
Narcan use without immediate response |
Suicide attempt |
Uncontrolled bleeding |
Bleeding into airway |
Large acute blood loss |
Crash cart must be used for rapid delivery of meds |
adapted from DeVita, M.A., Braithwaite, R.S., Mahidhara, R., Stuart, S., Foraida, M., & Simmons, R. (2004). Use of medical emergency team responses to reduce hospital cardiopulmonary arrests. Quality & Safety in Health Care, 13, 251-254.