ESI Level | Patient Presentation | Interventions | Resources |
---|---|---|---|
5 | Healthy 10-year-old child with poison ivy | Needs an exam and prescription | None |
5 | Healthy 52-year-old male ran out of blood pressure medication yesterday; BP 150/92 | Needs an exam and prescription | None |
4 | Healthy 19-year-old with sore throat and fever | Needs an exam, throat culture, and prescriptions | Lab (throat culture)* |
4 | Healthy 29-year-old female with a urinary tract infection, denies vaginal discharge | Needs an exam, urine, and urine culture, maybe urine hCG, and prescriptions | Lab (urine, urine C&S, urine hCG)** |
3 | A 22-year-old male with right lower quadrant abdominal pain since early this morning + nausea, no appetite | Needs an exam, lab studies, IV fluid, abdominal CT, and perhaps surgical consult | 2 or more |
3 | A 45-year-old obese female with left lower leg pain and swelling, started 2 days ago after driving in a car for 12 hours | Needs exam, lab, lower extremity non-invasive vascular studies | 2 or more |
* In some regions, throat cultures are not routinely performed; instead, the patient is treated based on
history and physical exam. If that is the case, the patient would be an ESI level 5.
** All 3 tests count as one resource (Lab).