Does the patient have a history of organ dysfunction?	Yes, transferred after emergency surgery Yes, transferred not after surgery Yes, transferred after elective surgery No
Does the patient have acute renal failure?	Yes
Age	years
Temperature (rectal, in Celsius)	°C or °F (either one!)
Mean Arterial Pressure (MAP)
Arterial blood pH
Heart Rate	bpm
Respiratory Rate	bpm
Sodium (Serum)	mmol/L
Potassium (Serum)	mmol/L
Creatinine (Serum)	μmol/L
Hematocrit
White Blood Cell Count	x103 cells / mm3
Glasgow Coma Scale	points
Alveolar-arterial O2 Gradient (Enter if FiO2 ≥ 0.5)	mm Hg
PaO2 (Enter if FiO2 < 0.5)	mm Hg
APACHE II Score	points