When one of the following conditions is met and sustained for a minimum of five (5) minutes:

• Newborn up to 28 days old, with a systolic blood pressure less than 60 mm Hg, OR
• 29 days old up to 12 months old, with a systolic blood pressure less than 70 mm Hg, OR
• 1 year old up to 10 years old, with a systolic blood pressure less than 70 mm Hg, plus 2 times the age of the patient in years, not to exceed 79 mm Hg, OR
• 11 years or older, with a systolic blood pressure less than 80 mm Hg, OR when the oxygen saturation is less than 80% at any age.