Triage (TEWS and SATS)

Mobility: Walking With Help Stretcher/Immobile

Respiratory Rate: < 9 9-14 15-20 21-29 >29

Systolic Blood Pressure: < 70 mmHg 71-80 mmHg 81-100 mmHg 101-199 mmHg > 199 mmHg

Heart Rate: < 41 41-50 51-100 101-110 111-129 >129

Temperature: < 35°C 35-38.4°C > 38.4°C

AVPU: Alert Responds to Voice Responds to Pain Confused Unresponsive

Trauma: No Yes

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