Stability of vital Unstable Stable Stable Stable Stable functions Life-threat or Obvious Reasonably Unlikely No No likely (possible) Severe pain or Immediately Sometimes Seldom No No severe distress Expected resource Maximum: staff at High: multiple, Medium: Low: one Low: intensity bedside continuously; complex multiple simple exam mobilization of diagnostic diagnostic diagnostic only outside resources studies; studies; or study; or frequent brief simple consultation; observation; procedure continuous or complex (remote) procedure monitoring Med/staff response Immediate team effort Minutes Up to 1 hr Could be Could be delayed delayed Expected time to 1.5 hr 4 hr 6 hr 2 hr 1 hr disposition Examples Cardiac arrest, Most chest Most Closed Sore intubated/hypotensive pain, stable abdominal extremity throat, trauma patient, acute trauma (MOI pain, trauma, minor (<3 hr) MI or stroke concerning), dehydration, simple burn, elderly esophageal lac, recheck pneumonia food simple patient, impaction, cystitis, altered mental hip fracture typical status, migraine behavioral disturbance In general, patients should be seen in the order in which they arrive in the ED, however patients triaged as or should be evaluated before those designated If you are “1” “2” “3-4-5”. unsure which patient you should evaluate next, ask the attending or a senior resident to direct you.
Stability of vital functions Unstable Stable Stable Stable Stable Life-threat or Obvious Reasonably likely Unlikely (possible) No No Severe pain or severe distress Immediately Sometimes Seldom No No Expected resource intensity Maximum: staff at bedside continuously; mobilization of outside resources High: multiple, complex diagnostic studies; frequent consultation; continuous (remote) monitoring Medium: multiple diagnostic studies; or brief observation; or complex procedure Low: one simple diagnostic study; or simple procedure Low: exam only Med/staff response Immediate team effort Minutes Up to 1 hr Could be delayed Could be delayed Expected time to disposition 1.5 hr 4 hr 6 hr 2 hr 1 hr Examples Cardiac arrest, intubated/hypotensive trauma patient, acute (<3 hr) MI or stroke Most chest pain, stable trauma (MOI concerning), elderly pneumonia patient, altered mental status, behavioral disturbance Most abdominal pain, dehydration, esophageal food impaction, hip fracture Closed extremity trauma, simple lac, simple cystitis, typical migraine Sore throat, minor burn, recheck In general, patients should be seen in the order in which they arrive in the ED, however patients triaged as “1” or “2” should be evaluated before those designated “3-4-5”. If you are unsure which patient you should evaluate next, ask the attending or a senior resident to direct you.
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