PANIC VALUES

Chemistry

Analyte	Age Range	Critical Value	Units
Anion Gap	Any age	>30	mmol/L
Bicarbonate (Whole Blood)	Any age	<10, >40	mEq/L
Calcium *	Any age	<6.5, >13	mg/dL
Chloride	Any age	<80, >120	mmol/L
CO2	Any age	<10, >40	mmol/L
CO Hemoglobin	Any age	<20, >40	%
Free (ionized) Calcium	Any age	<20, >40	%
Glucose	0-2 days / >2 days <1 yr / >1 yr	>35 / >40 / >55	mg/dL
Glucose	<30 days / >30 days–17 yrs / >17 yrs	>200 / >300 / >450	mg/dL
Glucose (GDM Tests)	Any age	<50 / >300	mg/dL
Glucose: PXP Glucose meter (POCT)	Any age	<40 / >300	mg/dL
Iron, Serum	Any age	>350	µg/dL
Magnesium	Any age	<1.0 / >3.5	mg/dL
pCO2	Any age	>65	mmHg
pH	Any age	<7.20 / >7.60	pH units
pH – Cord Blood	Any age	≤7.00	N/A
Base Excess – Cord Blood	Any age	≤−10.0 / ≥10.0	mmol/L
Phosphorus	<3 yrs / 3–12 yrs / >12 yrs	<2.5 / <2.0 / <1.5	mg/dL
pO2 (arterial)	Any age	<50 / >300	mg/dL
Potassium: iSTAT (POCT)	Any age	<3.0 / >6.0	mmol/L
Sodium	Any age	<125 / >160	mmol/L
TCO2 (Whole Blood)	Any age	<10 / >40	mEq/L
Total Bilirubin	<1 day / >1d <2d / >2d <30d	>7 / >11 / >15	mg/dL
Troponin I	Any age	≥0.3	ng/mL
Troponin I: iSTAT (POCT)	Any age	≥0.1	ng/mL

Coagulation

Analyte	Age Range	Critical Value	Units
Fibrinogen	Any age	<100	mg/dL
Heparin, unfractionated	Any age	<0.1 >0.7	IU/mL
PTT	Any age	≥100	sec
PT INR	Any age	>5.0 INR	N/A
PT INR: ISTAT (POCT)	Any age	>4.5	N/A

Hematology

Analyte	Age Range	Critical Value	Units
Absolute Neutrophil Count	Any age	≤0.5 (Outpatient only)	K/μL
Cell Count, Any body fluid	Any age	Intracellular organisms. (Non CSF - Blasts and Tumor cells to be called as soon as provider is available)	N/A
Cell Count, CSF only	Any age	WBC Count >30 (excluding peripheral blood contamination)	/μL
Cell Count, CSF only	Any age	Blasts, Tumor Cells	N/A
Gram Stain	Any age	Positive	N/A
Hematocrit (PCV)	Any age	≤21.0 ≥65.0	%
Hemoglobin	Any age	≤7.0	g/dL
Malaria Screening	Any age	Positive	N/A
Platelet Count	Any age	≤10,000 ≤50,000 (OB clinics only) ≤100,000 with 2+ microangiopathic changes	/μL
Slide Review/Diff	Any age	Presence of intracellular organisms. Blasts on peripheral smear (1st time or relapse only).	%
Stool	Male/Female <18 Years	Sperm	N/A
Urinalysis	Female<18 Years Male<18 Years	Sperm or Trichomonas	N/A
WBC	Any age	≤0.5 (Outpatient only) ≥50	K/μL

Microbiology

Analyte	Age Range	Critical Value	Units
Any assay: Potential Bioterrorism Agent	Any age	Presence of potential B. anthracis or any BT agent. Bacillus anthracis (Category A), Francisella tularensis (Category A), Yersinia pestis (Category A), Brucella species (Category B)	N/A
Blood Culture	Any age	Any clinically important positive results per protocol	N/A
Mycobacterium Tuberculosis PCR Test	Any age	Positive on Tissue or Culture	N/A
Stool culture	<18 years	Positive Shiga toxin producing E. Coli	N/A

Virology

Analyte	Age Range	Critical Value	Units
Antigen test, culture, serology, or molecular test	Any age	Positive or suspicious for any Pandemic (Influenza or SARS) or Bioterrorism Agents (Smallpox, Viral hemorrhagic fever agents)	N/A
Any CSF Assay	Any age	Positive (including virus growth or molecular test)	N/A

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