When to call ITU

Page under construction - content yet to be agreed with ITU

RED call: Only use if want ITU to come immediately

Ambulance call identifying imminent arrival of

Any airway problem
In trauma:
- Respiratory rate < 10 or >29
- Systolic BP < 90 mmHg
- GCS < 9 or unprotected airway

Identification within the department of a non-cardiac-arrest patient requiring Immediate intubation

Score	Eye Opening	Verbal	Motor
6	Obeys commands
5	Speech orientated , localises to pain
4	Spontaneous eye opening	Confused speech	Withdrawal to pain
3	Eye open to speech	Incoherent words	Abnormal flexion to pain
2	Eyes open to pain	Only sounds	Extends to pain
1	No eye opening	No sounds	No movements

AMBER call: If the following criteria are present on planned transfer when leaving the Emergency Department The criteria are a modified version of the hospital MET criteria:
Airway	Threatened
Breathing	Respiratory rate < 5 Respiratory rate > 36
Circulation	Pulse rate < 40 Pulse rate > 140 Systolic blood pressure < 90
Neurology	Sudden fall in conscious level (Fall in GCS > 2 points) Repeated or prolonged seizures
Biochemistry	Lactate >3mmol/L