A. Immediate life-saving intervention required: airway, emergency medications, or
other hemodynamic interventions (IV, supplemental O2, monitor, ECG or labs DO
NOT count); and/or any of the following clinical conditions: intubated, apneic,
pulseless, severe respiratory distress, SPO2<90, acute mental status changes, or
unresponsive. Unresponsiveness is defined as a patient that is either:
B. High risk situation is a patient you would put in your last open bed. Severe pain/distress is determined by clinical observation and/or patient rating of greater than or equal to 7 on 0-10 pain scale. C. Resources: Count the number of different types of resources, not the individual tests or x-rays (examples: CBC, electrolytes and coags equals one resource; CBC plus chest x-ray equals two resources).
D. Danger Zone Vital Signs. Consider uptriage to ESI 2 if any vital sign criterion is exceeded. Pediatric Fever Considerations:
©ESI Triage Research Team, 2004 (Refer to teaching materials for further clarification) |
©ESI Triage Research Team, 2004. Reproduced with permission.