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Emergency Severity Index (ESI) Triage, Not high risk situation, AMS, or…
Emergency Severity Index (ESI) Triage
Used to rapidly determine patient's acuity and prioritize their care
Requires advanced assessment skills
Scored 1-5 (1=Worst)
ESI 1
Patient requires immediate life-saving intervention
Patient unstable and/or needs seen immediately
Ex. Cardiac arrest, intubated patient, overdose
ESI 2
High risk situation, patient AMS, or severe pain/distress
Patient threatened and/or needs seen within 10 minutes
Patient requires multiple and complex resources
Ex. chest pain, trauma
ESI 3
Patient stable but will require multiple resources
Can wait up to one hour
Ex. gynecologic disorders, bone fractures
Danger zone vitals? consider ESI 2
ESI 4
Patient stable requiring only one simple diagnostic test or procedure (resource)
Ex. simple laceration (cut), closed extremity trauma
ESI 5
Patient stable and requires no resources
Patient only needs exam/prescription
Ex. cold, minor burn,
turkey sandwich
What are resources?
Labs
ECG
Imaging (X-ray, CT, MRI, etc.)
IV fluids
IV, IM, neb meds
consultations
Procedures (simple=1; complex=2)
Not high risk situation, AMS, or severe distress/pain
Treatment can be delayed