15
Adolescents (12–19 years)
<50 bpm
Sustained increase of >40 bpm
<90/45 mmHg
>20 mmHg drop in sBP
<60 mg/dL
Hypokalemia
1
Hyponatremia
1
Hypophosphatemia
1
Hypomagnesemia
1
<36° C (<96.8° F)
<75% of median BMI for age and sex
>10% weight loss in 6 months or
>20% weight loss in 1 year
Occur frequently and have either caused serious
physiological consequences or not responded to
treatment at a lower level of care
Prolonged QTc >450 or other significant
ECG abnormalities
Acute medical complications of malnutrition
(e.g., seizures, syncope, cardiac failure, pancreatitis),
arrested growth and development