The new edition of the CPGs states vital signs must be measured in three instances 1. When ambulance personnel recommend non-transport (includes RR, HR, BP, CRT, GCS and temp), 2. When a vital sign is a pre-requisite for a medicine or treatment (e.g. GTN must have an SBP of > 100) 3. Following initiation of treatment for abnormal vital signs (e.g. re-checking an SpO2 if oxygen is given for hypoxia) I don't see the point on measuring everything on everybody. It is pointless, not clinically significant and wasteful, and this is not my practice. Most people are crap at counting a respiratory rate (myself included unless I really focus on it) either because they don't know how to do it properly or they can't be arsed but I am told it is quite a sensitive sign somebody is unwell.