Assign an ESI Level
14-year-old female is brought in by ambulance after diving into the pool and hitting her head. She is awake, alert, and moving all extremities. She is currently on a back board with cervical collar in place. VS: BP 118/72 mm Hg, HR 76 beats/minute, RR 14 breaths/minute
What is an ESI 2: High Risk.
A patient reports Tearing Pain, Ripping Pain in their abdomen. You suspect what?
What is a Aortic dissection
42-year-old male who called for an ambulance for dizziness and nausea every time he tries to move. The patient states, “I feel okay when I lie perfectly still, but if I start to sit up, turn over, or move my head, the room starts to spin, and I have to throw up.” No past medical history. Vital signs: T 36.2°C (97.2˚F), RR 16 breaths/minute, HR 90 beats/minute, BP 130/82 mm Hg, SpO2 99%. Pain 0/10
What is ESI level 3: Two or more resources. Based on the history, this patient may have acute labyrinthitis and will require two or more resources intravenous fluids and an intravenous antiemetic. Possibly a CT scna of the head.
6-year-old with cough. Cough with fever x 2 days, chills, short of breath with exertion, green sputum, sleeping a lot. Alert and answers questions appropriately. Vitals: Temp 103.4 F HR 140 RR 30 O2 Sat 94% Assign an ESI triage level
What is ESI Level 2 The clinical picture indicates high probability of tests that equal two or more resources (ESI level 3). Danger zone vital signs exceeded (HR 140, RR 30,) making the patient an ESI level 2. Not to mention the Sepsis
A patient reports that their sharp chest pain improves when leaning forward. You suspect what?
What is Pericarditis
A patient reports shortness of breath and chest pain. They have a history of cancer. You know that patients with cancer are at risk for what?
What is: Pulmonary embolism
"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 2. This patient has a history of asthma that is not responding to her rescue inhaler but does not need immediate life saving interventions. She has a fever. At a minimum, she will need two resources: hand-held nebulizer treatments and a chest xray. Should be an ESI 2 as they may have Sepsis
It is considered an ESI resource if a patient requires a constant observer to prevent a fall. True or False
What is true. A constant observer at the bedside is considered a resource. However, if a patient is ESI level 2 or high risk because they are a danger to themselves or others, it is not necessary to predict the number of resources they will require in the ED.
16-year-old male reports twisting pain in his groin after playing sports. You suspect what?
What is Testicular Torsion
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 2. 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. Also he has SIRS vital signs and a known or suspected infection.
22 year old female reports left lower abdominal pain with nausea and vomiting. She does not know if she is pregnant. You suspect she could have what?
What is an ectopic pregnancy.