Emergency Casualty Cases Requiring Urgent Review

Critical Care Admission Criteria

Patients with refractory hypoxemia, respiratory acidosis, clinical evidence of impending respiratory failure, or inability to protect or maintain airway require urgent review, as recommended by the Society of Critical Care Medicine 1, 2, 3
Patients with hypotension and clinical evidence of shock refractory to volume resuscitation requiring vasopressor/inotrope support need urgent review, according to the Society of Critical Care Medicine 1, 2, 3

The Centers for Disease Control and Prevention (CDC) recommends urgent review for patients with severe trauma, including penetrating injuries, flail chest, two or more proximal long-bone fractures, crushed or mangled extremities, amputations, pelvic fractures, open or depressed skull fractures, and paralysis 4, 5
Patients with severe trauma and a Trauma Injury Severity Score (TRISS) with predicted mortality of >80% require urgent review, as recommended by the Society of Critical Care Medicine 1, 2, 3

The Society of Critical Care Medicine recommends urgent assessment for patients with severe baseline cognitive impairment, advanced untreatable neuromuscular disease, metastatic malignant disease, advanced and irreversible immunocompromised conditions, severe and irreversible neurologic conditions, and end-stage organ failure 1, 2, 3
Patients on anticoagulation therapy with trauma and pregnant patients >20 weeks with trauma require urgent evaluation, according to the CDC 5

The American Society of Anesthesiologists (ASA) recommends rapid identification of the offending agent, swift decontamination, and special attention for victims with combined physical trauma and chemical intoxication in cases of suspected bioterrorism or chemical exposure 7