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Send to the hospital if victim has any of the following: Loss of consciousness Altered mental state Required positive pressure ventilation Requires supplemental oxygen Required cardiopulmonary resuscitation Low oxygen saturation Abnormal lung auscultation Hypotension Continued chest pain or dyspnea Suspected traumatic injury An underlying medical condition is expected or exacerbated: Cardiac ischemia Seizure disorder Stroke Respiratory disease Intoxication Consider releasing victims who have all of the following after 10–15 minutes of close observation: On basic assessment No cough Normal respiratory effort and rate Normal skin color and perfusion Normal mentation No shivering On advanced evaluation (prehospital care) Normal oxygen saturation Normal pulse rate and blood pressure Normal lung sounds
