Exam (elaborations)
EMERGENCY SEVERITY INDEX (ESI) TRIAGE PRACTICE
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EMERGENCY SEVERITY INDEX (ESI) TRIAGE PRACTICE
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EMERGENCY SEVERITY INDEX (ESI) TRIAGEPRACTICE
Emergency Severity Index level that requires immediate life-saving intervention... -
Answers-Level 1
Emergency Severity Index level that is high risk situation, confused/disoriented, severe
pain or distress - Answers-Level 2
Emergency Severity Index level in which many resources are needed... - Answers-Level
3
Emergency Severity Index level in which one or more resources are needed - Answers-
Level 4
Emergency Severity Index level in which no resources are needed - Answers-Level 5
A 40-year old male presents to triage with vague, midsternal chest discomfort, occurring
intermittently for one month. This morning he reports a similar episode, which has now
resolved. Currently complains of mild nausea, but feels pretty good. Medical History:
Smoker. He is alert, with skin warm and dry and does not appear in any distress. -
Answers-Level 2
A 70 year old female with her right arm in a cast is brought to triage by her daughter.
The daughter states that her mother fell yesterday and fractured her arm. The patient is
complaining of pain. Daughter states "they put this cast on yesterday, but I think it's too
tight." Daughter reports her mother has been very restless at home and thinks her
mother is in pain. Patient has a history of Alzheimer's disease. The patient is confused
and mumbling (at baseline per her daughter); face flushed. She is unable to provide
verbal description of her complaints. Her right upper extremity is in a short arm cast;
digits appear tense, swollen and ecchymotic. Nail beds are pale; capillary refill delayed.
Patient is not wearing a sling. - Answers-Level 2
An 8 month old presents with fever, cough, and vomiting. The baby has vomited twice
this morning; no diarrhea. Mom states the baby usually healthy but has "not been eating
well lately". Doesn't own a thermometer, bu knows the baby is 'hot" and age
acetaminophen two hours prior to arrival. The baby is wrapped inn a blanket, eyes are
open, appears listless, skin hot and moist, sunken fontanel. Respirations are regular
and not labored. - Answers-Level 2
A 34 year old male presents to triage with rights lower quadrant pain, 5/10, all day. Pain
is associated with loss of appetite, nausea, and vomiting. Past medical history: none.
The patient appears in moderate discomfort, skin warm and dry; guarding abdomen. -
Answers-Level 3, but can be upgraded to level 2 if vital signs were abnormal.
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