### URGENT

Evacuation within 2 hours, denotes a critical, life-threatening injury. Suggestions for different injury patterns in this category are:

- Significant injuries from a dismounted IED attack
- Gunshot wound or penetrating shrapnel to chest, abdomen, or pelvis
- Blunt chest, abdominal, or pelvic trauma with suspected noncompressible hemorrhage
- Ongoing airway difficulty
- Ongoing respiratory difficulty
- Unconscious casualty
- Known or suspected spinal injury
- Hemorrhagic shock
- External bleeding that is difficult to control
- Extremity injury with absent distal pulses
- Moderate/severe TBI
- Burns greater than 20% TBSA