The General Rules
A minimum of how many CTAS scores are to be assigned to each patient?
What is a minimum of two CTAS scores are to be assigned to each patient
Adult GCS 3-9 is what CTAS level?
What is CTAS 1
LOC Modifier
A child presenting with marked stridor is what CTAS level?
What is CTAS 2
Second Modifier- Other Considerations
You are called code 4 to a 59 y/o presenting with acute 6/10 stomach pain with an SPO2 of 91%. What CTAS level would you assign this patient?
What is CTAS 2
The pain modifier suggests CTAS 3 but remember! You always want to assign the pt with the most urgent CTAS level.
You are called code 4 to a 6 y/o child who presents with mottled skin and you notice cyanosis around his nose/mouth. What is his CTAS level?
What is CTAS 1
Under the Pediatric Assessment Triangle - Circulation to Skin, signs of pallor/mottling/cyanosis = the child is sick, therefore a CTAS 1
If the patient is obviously dead, your arrival CTAS will be what?
What is 0
An increased work of breathing, protected airway and SPO2 <92% is what CTAS level?
What is CTAS 2
Respiratory Distress Modifier
What CTAS level would you assign an adult displaying violent behaviour and an imminent harm to self?
What is CTAS 1
Mental Health Modifier
You are called code 4 to a 28 y/o female who is 37 weeks pregnant. She is presenting with significant vaginal bleeding (not the bloody show). What is her CTAS level?
What is CTAS 1
OBS/Gyn modifier
You are called code 3 to an apartment building for a child with a fever. Upon arrival, the parents are screaming and swinging at each other, you find drug paraphenelia and unidentified white powder on the table near the child. You've deemed this to be an unstable situation. What is the child's CTAS level?
What is CTAS level 1.
Second order -other considerations modifier
A patient who is VSA on arrival and resuscitated remains at what CTAS level?
What is CTAS 1
What CTAS level would you assign a 6 year old with a heart rate of 60bpm?
What is CTAS 3
Hemodynamic Stability Modifier
What CTAS level would be appropriate to assign a child with a blood glucose level of 2.6, showing signs of confusion and diaphoresis?
DOUBLE JEOPARDY!!!
What is CTAS 2
BGL Modifier
You are called code 4 to an unconscious 46 y/o male. Upon arrival on scene, you find the patient to be heavily intoxicated but responsive with a GCS of 13. What is your departure CTAS level?
What is CTAS 2
LOC modifier
You are called code 4 to an MVC for a 7 y/o passenger who is complaining of acute 4/10 pain in her leg. They were late for soccer practice before the collision. Her mom was driving 70km/hr on city streets. What is the child's CTAS level?
What is CTAS 2
MOI Modifier & Pain Modifier
Pain modifier suggests CTAS 3 but MOI modifier is always a CTAS 2.
Subsequently assigned CTAS levels must not be greater than what number of levels than the arrival CTAS?
DOUBLE JEOPARDY!!
What is 2 CTAS levels
An adult with acute 2/10 pain in their right wrist is what CTAS level?
What is CTAS 5
Pain Modifier
What CTAS level would you assign an adult presenting with extremity weakness/stroke symptoms with an onset of 3.5 hours?
What is CTAS 3
Selected Adult Second Order Modifier
You are called to a LTC home for a 70 y/o dementia pt who had a fall and has a bloody nose. You calculate his GCS to be 11 because he won't verbally respond to you, but the nurse tells you that is normal for him. What is his CTAS level?
What is CTAS 3
Bleeding Disorders Modifier - the GCS of 11 has been determined to be his baseline so LOC is not your concern, the nosebleed is.
You are called code 4 for a 4 y/o who has an altered LOC. Their eyes open spontaneously, verbally they moan in response to pain, and they withdraw from touch. What CTAS level are they assigned?
What is CTAS 2
LOC modifier
Their PCS is 11 as per the Pediatric Coma Scale
If you get a TOR on scene, what is your departure CTAS level?
What is CTAS 0
What CTAS level would be appropriate to assign a 2 year old child with a temperature of 38.5 that looks unwell?
What is CTAS 2
Temperature Modifier
An adult presents asymptomatic with a systolic BP of 220. What is their CTAS level?
What is 4 or 5
Hypertension Modifier
Mental Health Modifier & Respiratory Distress Modifier
Even though respiratory distress is a 1st order modifier, this pt is experiencing serious mental health implications - under the mental health modifier, severe anxiety/agitation puts this pt at a more acute CTAS level of 2.
You are called code 4 to a 13 y/o diabetic who presents in a hypoglycemic episode (BGL 2mmol/L). You administer glucose tablets and his BGL rises to 7mmol/L and all symptoms resolve. What is your departure CTAS level?
What is CTAS 4
BGL Modifier. Remember - even if the pt's condition completely resolves and qualifies for a CTAS level 5, you cannot downgrade more than 2 CTAS levels. Therefore, this pt stays a 4