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The Emergency Severity Index (ESI) is a five-level emergency department triage algorithm, initially developed in 1998 by emergency physicians Richard Wurez and David Eitel. [1] It was previously maintained by the Agency for Healthcare Research and Quality (AHRQ) but is currently maintained by the Emergency Nurses Association (ENA). Five-level ...
These are used by other members of the healthcare team caring for the patient. ED nurses must keep the emergency physician apprised of a patient's condition; if it suddenly worsens, the doctor must be notified immediately. If the patient is admitted to a room in the hospital or transferred to another facility, the emergency nurse must "give ...
Triage systems vary dramatically based on a variety of factors, and can follow specific, measurable metrics, like trauma scoring systems, or can be based on the medical opinion of the provider. [6] Triage is an imperfect practice, and can be largely subjective, especially when based on general opinion rather than a score.
Mental health triage is a clinical function conducted at the point of entry to health services that aims to assess and classify the urgency and priority of action of mental health related problems. Mental health triage services may be located in the Emergency Department , community or outpatient facilities, on a telephone support line, or in a ...
Simple triage and rapid treatment (START) is a triage method used by first responders to quickly classify victims during a mass casualty incident (MCI) based on the severity of their injury. The method was developed in 1983 by the staff members of Hoag Hospital and Newport Beach Fire Department located in California , and is currently widely ...
The Revised Trauma Score is made up of three categories: Glasgow Coma Scale, systolic blood pressure, and respiratory rate. The score range is 0–12. In START triage, a patient with an RTS score of 12 is labeled delayed, 11 is urgent, and 3–10 is immediate.
RPM-30-2-Can Do is a mnemonic device for the criteria used in the START triage system, which is used to sort patients into categories at a mass casualty incident. [1] [2] [3] The mnemonic is pronounced "R, P, M, thirty, two, can do."
The first-arriving crew will conduct triage. Pre-hospital emergency triage generally consists of a check for immediate life-threatening concerns, usually lasting no more than one minute per patient. In North America, the START system (simple triage and rapid treatment) is the most common and is considered the easiest to use. Using START, the ...