If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or follow local emergency care protocols or seek emergent medical advice if in a remote region.
- Airway compromise
- Uncontrolled bleeding
- Acute burns
- Uncontrolled sepsis including hand infections
- Complex facial fractures
- Compound fractures
- Threat to limb viability
- Hand fractures (open or closed)
- Acute fingertip injuries
- Tendon injuries
- Acute development of peripheral nerve compression symptoms following trauma or acute event
- Lacerations and wounds not suitable for primary health management e.g. lip lacerations, large facial lacerations, lacerations with altered sensation, large skin defects.
- Amniotic band compromising circulation