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[[File:Train Wreck.jpg|300px|thumb|left]]
A '''train wreck''' is a disaster patient that means 1 MAJOR and 2 MINOR criteria below<ref>[https://gomerblog.com/2016/04/diagnostic-criteria-for-a-train-wreck/ Diagnostic Criteria for a “Train Wreck” Patient]</ref>:
– Sign out from a colleague on the patient takes more than 5 minutes
– At least 6 consultants on board, one of which is [[2016 Revised Contact Precautions|Infectious Diseases ]] or [[DNR|Palliative Care]]
– Someone utters “I have no clue what’s going on”
'''Minor Criteria'''
– 75% of [[Vital Signs|vital signs ]] and [[Chloride|lab results ]] in [[Comic Sans|red (or abnormal) font]]
– Dyad of coded and Full Code
– Triad of renal failure, [[Irregularly Irregular|atrial fibrillation ]] requiring a drip, and anemia requiring a [[Blood Transfusion|transfusion]]
– At least 5 organ systems affected, with at least one still worsening