Triage & Musculoskeletal Emergencies PDF

TRIAGE & MUSCULOSKELETAL EMERGENCIES DR. C. SANDRO, SPB, FINACS TRIAGE TRIAGE SYSTEMS CTAS ESI  ATI / ATS The ATS categories are defined by physiological predictors (airway, breathing, circulation, and disability) and maximum waiting time to treatment 1: immedi...

TRIAGE & MUSCULOSKELETAL EMERGENCIES DR. C. SANDRO, SPB, FINACS TRIAGE TRIAGE SYSTEMS CTAS ESI  ATI / ATS The ATS categories are defined by physiological predictors (airway, breathing, circulation, and disability) and maximum waiting time to treatment 1: immediate 2: 10 minutes 3: 30 minutes 4: 60 minutes 5: 120 minutes ESI ESI A. Immediate life-saving intervention required: Airway or respiratory support, emergency medications, hemodynamic interventions such as fluid resuscitation or blood products Clinical presentations requiring lifesaving interventions include the following: intubated, unresponsive, pulselessness, apneic, severe respiratory distress, profound hypotension or hypoglycemia. Unresponsiveness is defined as a patient who either: 1. Is nonverbal and not following commands (acutely) OR 2. Requires noxious stimulus (P or U on AVPU scale)  ESI B. High-risk situation: May become unstable, have high risk for deterioration, or exhibit newly altered mental status. Severe pain or distress is determined by patient report, corroborated with clinical observation.  ESI C. Resources: Count the number of different types of resources, not the individual tests or radiographs. (For example, complete blood count, electrolytes, and coagulant studies equal one resource because they are all laboratory tests, while complete blood count plus chest radiograph equals two resources because one is a laboratory test and one is imaging). ESI  ESI D. High-risk vital signs: Reassess to determine whether the patient warrants a higher acuity level if a patient has one or more vital signs outside the normal parameters for the patient.  ESI Pediatric Fever Considerations 1-28 days of age: Assign at least ESI 2 if T > 38° C (100.4 ° F) 1-3 months: Consider assigning ESI 2 if T > 38 ° C (100.4 ° F) 3 months and older: Consider assigning ESI 2 or 3 if: 1. T > 39°C (102.2°F) or < 36°C (96.8°F), or 2. Incomplete immunizations, OR 3. No obvious source of fever ESI THANK YOU FOR YOUR ATTENTION