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. 2020 Jun 10;13(2):107–109. doi: 10.4103/JETS.JETS_137_19

Unstable ABCD, e.g., compromised airway, gurgling sounds, labored breathing, SPO2<90%, SBP <90 mmHg, pulse >100/min, respiratory rate >24/min, GCS <10

Gunshot injuries
Penetrating injury to thorax, abdomen, neck
Major crush injuries
Vascular injuries
Pregnancy
Open long bones fractures
Fracture pelvis
Flail chest, open chest wound (sucking wound), subcutaneous emphysema, pneumothorax
Dangerous mechanism of injury
Traumatic amputation above knee or above elbow
Worsening clinical status on monitoring in yellow area (SPO2<90%, SBP <90 mmHg, pulse >100/min, RR >24/min)
GCS: Glasgow Coma Scale, SBP: Systolic blood pressure, RR: Respiratory rate