Assign an ESI Level
A 62-year-old with CPR in progress.
What is ESI Level 1?
A CT scan is considered a resource in the ESI triage system. True or False
What is True?
22-month-old, fever, pulling ears, immunizations up to date, history of frequent ear infections. Arose 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, SpO2 97% Assign an ESI level
What is ESI Level 5?
20 year old male presents in triage after falling off his electric scooter; he was not wearing a helmet. He is awake and alert, forgetful. He states his belly hurts. Determine ESI level.
What is ESI 2?
Healthy 10-year-old child with poison ivy.
What is none? This patient needs an exam and prescription.
A 53-year-old with 30% body surface area burns to chest, bilateral arms, and right leg.
What is ESI Level 2?
A psychiatry consult is considered a resource in the ESI triage system. True or False
What is True?
6-year-old with cough. Cough with fever x 2 days, chills, short of breath with exertion, green sputum, sleeping a lot. Vitals: Temp 104.4 F, HR 140, RR 30, SpO2 91%. 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 (SpO2 of 91%, RR 30,) making the patient an ESI level 2.
Physiologic, anatomic, mechanism of injury, and special considerations
What are the four criteria on the trauma activation tool?
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.
A 22-year-old who needs a work note.
What is ESI Level 5?
Cardiac monitoring is considered a resource in the ESI triage system. True or False
What is False? Monitoring is part of the routine care provided by ED staff. However, most patients who receive monitoring also need at least 2 other ED resources (EKG, blood tests, x-rays), and may therefore be classified as ESI level 3.
A 12-year-old with an obvious deformity to the right forearm. Pulses are strong, palpable. Cap refill less than 2 seconds.
What is ESI Level 3?
75 year old female "slipped" in the shower and struck their head. Arrives via ambulance. Altered mental status. + LOC. Hematoma noted to forehead. History of a-fib. Determine the ESI level.
What is ESI 1?
Healthy 29-year-old female with urinary tract infection, denies vaginal discharge.
What is one resource? This patient needs an exam, urine, and urine culture, maybe a urine hCG, and prescription. All of these tests count as ONE resource.
"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 x-ray.
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 us 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.
An unresponsive, obtunded 14-year-old male, with oxygen and OPA in place, arrives via ambulance; no ALS was available. EMS reports he and his friends were "doing shots". Determine ESI level.
What is ESI Level 1?
11 month old female fell down a "flight" of stairs and landed on a hard surface, 2 days ago. Presents in triage accompanied by a caregiver. Appropriate for age and situation. Caregiver reports vomiting times 2. Bruising noted to the right side of face.
Determine ESI
What is ESI 2?
A 22-year-old male with right lower quadrant abdominal pain since early this morning. +nausea, no appetite.
What is at least 2 resources? This patient needs an exam, lab studies, IV fluid, abdominal CT, and perhaps surgical consult.
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.
A physical exam is considered a resource. True or False
What is false?
18-year-old male, head trauma. Collided with another player at a lacrosse game. Loss of consciousness for "about 5 minutes"; witnessed by the coach. Now awake with headaches and nausea. Determine the ESI level.
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.
30 year old male arrives in the ED via ambulance with ALS after sustaining 30% BSA burn sustained in a chemical explosion. Burns primarily to face, neck, and chest. Immediate life-saving interventions required. Determine ESI.
What is ESI 1?
A 45-year-old obese female with left lower leg pain and swelling; symptoms started two days ago after driving in a car for 12 hours.
What is at least 2 resources? This patient will need an exam, lab, lower extremity non-invasive vascular studies.