ESI Triage Algorithm, v.4
ESI Triage Algorithm, v.4 - Flowchart Triage Acuity Systems Triage Acuity Systems
Flowchart

Requires immediate life-saving intervention?

Requires immediate life-saving intervention?

Requires immediate life-saving intervention?

Requires immediate life-saving intervention? Requires immediate life-saving intervention?

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<Go to node 3> Node 3

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<Go to node 4> Node 4

How many different resources are needed?

How many different resources are needed?

How many different resources are needed?

How many different resources are needed? How many different resources are needed?

2

2

2

2

1

1

1

1

YES

YES

YES YES

NO

NO

NO NO

2

2

2

2

5

5

5

5

4

4

4

4

YES

YES

YES YES

NO

NO

NO NO

NONE

NONE

NONE NONE

ONE

ONE

ONE ONE

MANY

MANY

MANY MANY

3

3

3

3 Danger Zone vitals?
AgeHRRRSaO2
<3 m>180>50<92%
3 m – 3 y>160>40<92%
3 – 8 y>140>30<92%
>8 y>100>20<92%
Danger Zone vitals?
AgeHRRRSaO2
<3 m>180>50<92%
3 m – 3 y>160>40<92%
3 – 8 y>140>30<92%
>8 y>100>20<92%
Danger Zone vitals?
AgeHRRRSaO2
<3 m>180>50<92%
3 m – 3 y>160>40<92%
3 – 8 y>140>30<92%
>8 y>100>20<92%
AgeHRRRSaO2 Age HR RR SaO2 2 <3 m>180>50<92% <3 m >180 >50 <92% 3 m – 3 y>160>40<92% 3 m – 3 y >160 >40 <92% 3 – 8 y>140>30<92% 3 – 8 y >140 >30 <92% >8 y>100>20<92% >8 y >100 >20 <92%

NO

NO

NO NO

CONSIDER

CONSIDER

CONSIDER CONSIDER

High-risk situation?
or
Confused/lethargic/disoriented?
or
Severe pain/distress?

High-risk situation?
or
Confused/lethargic/disoriented?
or
Severe pain/distress?

High-risk situation?
or
Confused/lethargic/disoriented?
or
Severe pain/distress?

High-risk situation?
or
Confused/lethargic/disoriented?

or
Severe pain/distress?

How many different resources are needed?

How many different resources are needed?

How many different resources are needed? How many different resources are needed? How many different resources are needed?

YES

YES

YES YES