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Assign an ESI Level
Resources
Pediatric
Assign an ESI Level
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HOW MANY RESOURCES?
100
A 62-year-old with CPR in progress.
What is ESI Level 1
100
A CT scan is considered a resource in the ESI triage system. True or False
What is True
100
22-month-old, fever, pulling ears, immunizations up to date, history of frequent ear infections. Awoke screaming, pulling at ears, runny nose this week, alert, tired, flushed, falling asleep now, calm in moms arms, cries with exam. Vitals: Temp 102 F HR 128 RR 28 O2 Sat 97% Assign an ESI level
What is ESI Level 5.
100

 A patient reports Tearing Pain, Ripping Pain in their abdomen. You suspect what?

What is a Aortic dissection

100
Healthy 10-year-old child with posion ivy
What is none. This patient needs an exam and prescription.
200

 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.

200
A psychiatry consult is considered a resource in the ESI traige system. True or False
What is True.
200

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

200

A patient reports that their sharp chest pain improves when leaning forward. You suspect what?

What is Pericarditis

200
Healthy 52-year-old man ran out of blood pressure medication yesterday; BP 150/92
What is none. This patient needs an exam and prescription.
300
A 22-year-old who needs a work note.
What is ESI Level 5
300
Cardiac monitoring is considered a resource in the ESI traige system. True or False
What is False. Monitoring is part of the routine care provided by ED staff. However, most patients who recieve monitoring also need at least 2 other ED resources (EKG, blood tests, xrays), and may therefore be classigied as ESI level 3.
300
A 12-year-old with an earache.
What is ESI Level 5.
300

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

300
Healthy 29-year-old female with urinary tract infection, denies vaginal discharge.
What is one. This patient needs an exam, urine, and urine culture, maybe a urine hCG, and prescription. All of these tests count as ONE resource.
400

"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

400

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.

400
An unresponsive 14-year-old. EMS tells you he and his friends had been "doing shots."
What is ESI Level 1.
400

16-year-old male reports twisting pain in his groin after playing sports. You suspect what?

What is Testicular Torsion

400
A 22-year-old male with right lower quadrant abdominal pain since early this morning. +nausea, no appetite
What is at least 2. This patient needs an exam, lab studies, IV fluid, abdominal CT, and perhaps surgical consult.
500
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.
500
A physical exam is considered a resources. True or False
False.
500
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.
500

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.

500
A 45-year-old obese female with left lower leg pain and swelling, started two days ago after driving in a car for 12 hours.
What is at least 2. This patient will need an exam, lab, lower extremity non-invasive vascular studies.