Age and Vital Signs
The general age cut off between adults and pediatrics is 18 years. There is a wide range of “normal” for vital signs in adults and especially pediatrics. As much as possible, ages for pediatrics and cut off points for vital signs have been kept consistent throughout the Medical Directives. However, clinical research and expert opinion have resulted in a number of exceptions which in each case has been deliberately chosen and is clearly noted in each Medical Directive. There is a deliberate gap in the definition of normotension and hypotension in adults.
SBP ≥100 mmHg
SBP <90 mmHg
Heart rate is always in beats per minute according to a cardiac monitor when it is applied. In situations where a cardiac monitor is not indicated then the heart rate is equal to the pulse rate.
HR <50 BPM
HR ≥100 BPM
RR ≥28 breaths/min
|Age||Respiratory Rate||Heart Rate|
SBP ≥90 mmHg + (2 x age in years)
SBP <70 mmHg + (2 x age in years)
= (age x 2) + 10
|Age||Blood glucose level|
|<2 YR||< 3.0 mmol/L|
|≥2 yr||<4.0 mmol/L|
Level of Awareness (LOA)
The word ‘altered’ refers to a GCS that is less than normal for the patient.
The word ‘unaltered’ refers to a GCS that is normal for the patient. This may be a GCS <15.