Resources
A CT scan is considered a resource in the ESI triage system.
EMS presents to the ED with a 62 y/o female with CPR in progress
ESI 1
22 month fever pulling ears immunizations UTD, hx frequent OM, awoke screaming, pulling at ears, runny nose, flushed, fever x 1day, now quiet in mom's arms. T=102, HR=128, RR= 28, O2 sat = 97%. assign an ESI level
What is ESI 5?
no resources required
17 year old basketball player arrives with left ankle swelling and pain after twisting it. Pedal pulse palpable, toes warm, pink, capillary refill < 2 seconds, no gross deformity. How many resources?
What is one? ESI 4
A psychiatry consult is considered a resource in the ESI triage system.
True
A 53 y/o with 30% body surface area burn after falling into a bonfire.
What is ESI Level 2
6-year-old with cough and fever x 2 days, chills, dyspnea, subcostal retractions, irritable. Vitals: Temp 104.4 F HR 140 RR 30 O2 Sat 91% Assign an ESI triage level.
What is ESI Level 2?
Respiratory distress, Danger zone vital signs (SpO2 of 91%, RR 30,) qualify as an ESI level 2. th potential for physiologic decompensation
52-year-old man with hypertension history. arrives to ED reporting headaches. He ran out of blood pressure medication last week; BP= 174/86, HR=102, RR= 20, O2 sat= 97%.
ESI 3 What is 3 resources This patient needs an EKG, labs, and possible consult.
Cardiac monitoring is considered a resource in the ESI triage system.
False.
VS: 140/72, HR 86, RR 28, SPO2 91% RA, T 102
ESI Level 2
If vital signs were all within normal limits, you could triage this patient as a level 3 due to the lack of CP or SOB. However, due to the abnormal respiration and low oxygen levels this patient should be seen quickly and monitored closely.
A 15 month old presents child presents with decreased appetite, low grade fever & numerous liquid stools. The child is sitting quietly on mom's lap. temp 100.4, HR 158, RR 42, BP 86/50. Capillary refill = 3 seconds. Determine the ESI level.
What is ESI Level 2?
Healthy 29-year-old female presents with dysuria and frequency for 3 days, denies vaginal discharge.
What is one? ESI 4
This patient needs an exam, urine, and urine culture, POCT urine hCG, and prescription. All of these tests count as ONE resource.
Placing a splint on a leg with a non-displaced fracture is considered a resource in the ESI Triage system.
False
"I have been wheezing for a few days, and today I woke up with a fever. My rescue inhaler doesn't seem to be helping," reports a 43-year-old female with a past history of asthma. Vitals: Temp 101.4 F, RR 26, HR 90, BP 138/70, SpO2 95%. Assign an ESI level.
What is ESI Level 3?
This patient has a history of asthma that is not responding to her rescue inhaler. In addition, she has a fever. At a minimum, she will need two resources: hand-held nebulizer treatments and a chest Xray.
An unresponsive 14-year-old. EMS tells you he and his friends had been "doing shots."
What is ESI Level 1?
A 22-year-old male with right lower quadrant abdominal pain since early this morning. +nausea, no appetite
What is at least 2? ESI 3This patient needs an exam, lab studies, IV fluid, abdominal CT, and perhaps surgical consult.
Procedural sedation is considered 2 resources in the ESI triage system.
True
A 51-year-old presents to triage with redness and swelling of his right hand. He reports being scratched by his cat yesterday. Past medical history of GERD. Vitals: BP 121/71 HR 118 RR 18 Temp 101.8 F SpO2 98% Pain 5/10 Assign an ESI level.
What is Level 3? This patient probably has a cellulitis of the hand and will require labs and IV antibiotics. Starting a saline lock is not a resources, but IV antibiotics are a resource.
9-year-old male, head trauma. Collided with another player at lacrosse game. Loss of consciousness for "about 5 minutes" witnessed by coach. Now awake with headache and nausea.
What is ESI Level 2. This patient is assigned an ESI level 2 due to the high-risk information provided in the scenario. Vital signs are not necessary, and patient should be immediately taken to treatment area for rapid assessment.
A 29 year old female reports she is 10 weeks pregnant and has mild vaginal bleeding that started today.
T= 98.5, HR = 98, RR=16, O2 sat 99%, BP= 124/76.
ESI 3. What are 3 resources?
Ultrasound
labs
OB consult