Respiratory
35 y/o male with SOB, smoker, VS: RR 32, HR 96, BP 126/80, SpO2 93% RA, T 98.6
ESI level 2- high risk due to SOB & low SpO2
56 y/o dx Hodgkins, SOB worse if lying down, VS: RR 38, HR 122, SpO2 97%
ESI level 2 (high risk with resp distress)
On vacation, forgot to pack BP meds, asking for prescription, having headache VS: 188/124, HR 100, RR 30
ESI level 2 (high risk, VS abnormal)
30 y/o who twisted ankle playing soccer, edema on left ankle, pain 6/10
ESI level 4 (Xray, ace wrap, crutches)
scratched eye when taking contact lens, reddened & teary eyed, VS normal
ESI level 5 ( no resource, need eye exam, D/C home, follow up appt with ophthalmologist)
45 y/o female with hx asthma, cough, VS: HR 92, RR 24, BP 148/86, SpO2 97%, T 101.6
ESI level 3 (2 resources-labs, chest xray)
46 y/o female with sickle cell disease, leg pain 8/10, VS normal
ESI level 2 (high risk-severe pain, sickle cell occluding vessels)
"I can barely breathe, pressure on my chest", HR 178, RR 32, BP 82/60, skin cool & diaphoretic
ESI level 1 (requires life saving intervention)
Slipped on the ice, wrist pain 5/10, VS normal
ESI level 4 (Xray, splint)
35 y/o female with dysuria & frequency, denies vaginal discharge, VS normal
ESI level 4 (1 resource- urinalysis)
cold x 4 days, wheezing, VS: T 98, RR 22, HR 22, BP 130/80, SpO2 99%
ESI level 4 (1 resource-nebulizer, no labs/ xray needed there's no fever)
72 y/o male with increasing confusion x 24 hours, usually awake, alert, & oriented. VS: T 100, HR 86, RR 28, BP 136/72, SpO2 94%
ESI level 2 (high risk - confusion, fever)
52 y/o male with sudden onset of left leg pain, hx DM, left foot cold to touch, unable to palpate pulse
ESI level 2 (high risk acute of arterial occlusion)
seen in ED 2days ago with fractured wrist, left arm swollen with cast, complaining of severe pain 8/10
ESI level 2 (high risk compartment syndrome)
33 y/o female with vomiting, diarrhea, abdominal cramping, pain 5/10, VS normal
ESI level 3 (labs, IV, anti-emetic)
72 y/o male with COPD, tells you he's having hard time breathing and had fever yesterday. SpO2 79%
ESI 1 (airway management)
red, swollen knee, TKA x months ago, VS: T 99, RR20, HR 74, BP 164/80, SpO2 07%, Pain 6/10
ESI level 3 (resources-labs, xray, ortho consult)
45 y/o male with fatigue, chest pain, productive cough, fever x 2 days
ESI level 3 (need Xray, labs)
painful, swollen cuticle with pus, VS normal
ESI level 4 (1 resource -I & D)
Healthy 35 y/o female with "poison Ivy on extremities"
ESI level 5 (no resources, needs exam & prescription for rashes)
46 y/o with wheezing, last admission required intubation, VS: RR 44, HR 98, BP 154/90, SpO2 93%
ESI level 2 (high risk)
On vacation, forgot to pack BP meds, have not taken x 2 days, VS: BP 154/88, HR 64, RR 18, SpO2 99%, T 98
ESI level 5 (no resource) need PCP consult, DC home with BP meds
35 y/o male with sudden onset of palpitations, anxious, HR 160, BP 120/70
ESI level 2 (high risk possible SVT)
37 y/o male with 3cm laceration right thumb, controlled bleeding, VS normal, tetanus shot 11 years ago
ESI level 4 (1 resource-lac repair)
40 y/o obese male with left lower leg pain & swelling after driving 12 hours
ESI level 3 (>2 resources- labs, ultrasound/vascular study, referral to vascular service)