Panic Values

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Chemistry

Analyte	Age Range	Critical Value	Units
Anion Gap	Any age	>30	mmoI/L
Bicarbonate (Whole Blood)	Any age	<10 >40	mEq/L
Calcium*	Any age	<6.5 >13	mg/dL
Chloride	Any age	<18 >120	mmol/L
CO2	Any age	<10 >40	mmol/L
CO Hemoglobin	Any age	>20	%
Free (ionized) Calcium*	Any age	<0.8 >1.6	mmol/L
Glucose	0-2 days >2 days & <1 year >1 year	<35 <40 <55	mg/dL
Glucose	<30 days >30 days & <17 yrs >17 yrs	<200 <300 <450	mg/dL
Glucose (GDM) GDM Glucose Tolerence GDM Glucose Tolerence 1hr GDM Glucose Tolerence 2hrs GDM Glucose Tolerence 3hrs	Any age	<50 >300	mg/dL
Glucose PXP Glucose meter (POCT)	Any age	<40 >300	mg/dL
Iron, Serum	Any age	≥350	ug/dL
Magnesium	Any age	<0.1 >3.5	mg/dL
pCO2	Any age	>65	mmHg
pH	Any age	<7.20 >7.60	pH units
pH - Arterial & Venous Blood Gases, Cord Blood	Any age	<= 7.00	N/A
Base Excess - Arterial & Venous Blood Gases, cord blood	Any age	<= -10.0 => 10.0	mmol/L
Phosphorus	<3 years of age 3-12 years of age >12 years of age	≤2.5 ≤2.0 ≤1.5	mg/dL
pO2 (arterial)	Any age	<50	mg/dL
Potassium	Less than 1 week older than 1 week Any age	<2.5 <3.0 6.0	mmol/L
Potassium; ISTAT (POCT)	Any age	<3.0 >6.0	mmol/L
Sodium	Any age Any age	<125 >160	mmol/L
TCO2 (Whole Blood)	Any age	<10 >40	mEq/L
Total Bilirubin	<1 day >1 day <2 days >2days <30days	≥7 ≥11 ≥15	mg/dL
Troponin I	Any age	≥0.3	ng/mL
Troponin I ISTAT (POCT)	Any age	≥0.1	ng/mL

*Calcium: mmol/L (SI unit) = 0.25 (conversation factor) x mg/dL (conversational unit).

Analyte	Age Range	Critical Value	Units
Fibrinogen	Any age	<100	mmoI/L
Heparin unfractionated	Any age	<0.1 >0.7	IU/mL 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

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 organism. (Non CSF-Blasts and Tumor cells to be called as soon as a provider is available, which for inpatients is immediate, for others called next business day.)
Cell Count CSF only	Any age	WBC Count>30 excluding peripheral blood contamination	/µL
Cell Count CSF only	Any age	Blasts or Tumor Cells
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 (L&D OB outpatient clinics, and Perinatal Diagnostic Center 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 Trichomonas Trichomonas	N/A
WBC	Any age	≤5.0 (Outpatient Only) ≥50	K/µL

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 result 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

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