Table 5-2. Examples of Resources for ESI Level 3-5

Scenario Predicted Resources
(ESI Resources in italics)
ESI Level
Right lower quadrant pain: 22-year-old male, right lower quadrant abdominal pain since early this morning, also nausea, and no appetite. ESI Resources = 2 or more
Exam
Laboratory studies
IV fluid
Abdominal CT
(possible) Surgery Consult
3
Left lower leg pain: 45-year-old obese female with left lower leg pain & swelling which started 2 days ago, after driving in a car for 12 hours. ESI Resources = 2 or more
Exam
Laboratory studies
Lower extremity non-invasive vascular studies
(possible) Anticoagulant therapy
3
Ankle injury: Healthy, 19-year-old female who twisted her ankle playing soccer. Edema at lateral malleolus, hurts to bear weight. ESI Resources = 1
Exam
Ankle x-ray
Ace wrap
Crutch-walking instruction
4
Urinary tract infection symptoms: Healthy, 29-year-old female with UTI symptoms, appears well, afebrile, denies vaginal discharge. ESI Resources = 1
Exam
Urine & urine culture
(possible) Urine hCG

Prescriptions
4
Poison ivy: Healthy 10-year-old child with 'poison ivy' on extremities. ESI Resources = none
Exam
Prescription
5
Prescription refill: Healthy 52-year-old who ran out of blood pressure medication yesterday. BP 150/84. No acute complaints. ESI Resources = none
Exam
Prescription
5

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