"Between the Flags" is an early warning system named for the Australian beach lifesaving model.
Parameters:
(1) respiratory rat in breaths per minute
(2) oxygen saturation (SpO2) in percent
(3) heart rate in beats per minute
(4) systolic blood pressure in mm Hg
(5) AVPU
(6) body temperature in °C
Parameter |
Finding |
Zone |
respiratory rate |
>= 30 |
red |
|
25 to 29 |
yellow |
|
11 to 24 |
white |
|
6 to 10 |
yellow |
|
<= 5 |
red |
SpO2 |
96 to 100% |
white |
|
91 to 95% |
yellow |
|
<= 90% |
red |
heart rate |
>= 140 |
red |
|
120 to 139 |
yellow |
|
51 to 119 |
white |
|
41 to 50 |
yellow |
|
<= 40 |
red |
systolic blood pressure |
>= 200 |
red |
|
180 to 199 |
yellow |
|
100 to 179 |
white |
|
91 to 99 |
yellow |
|
<= 90 |
red |
AVPU |
alert |
white |
|
response to verbal |
yellow |
|
response to pain |
red |
|
unresponsive to pain |
red |
body temperature |
>= 38.5°C |
yellow |
|
35.6 to 38.4°C |
white |
|
<= 35.5°C |
yellow |
The patient is assigned a flag color for each parameter, which serves for escalating the clinician response.