|
Overview :
The second
version of the Emergency Severity Index (EDI) can be used to triage patients in
the Emergency Department, especially when multiple casualties are
present.
Levels of care:
1 (immediate) to 5
|
Level |
Indications |
|
1 |
any of the
following: intubated, apneic, pulseless,
unresponsive |
|
2 |
any of the
following: high risk situation, severe pain, severe distress, altered
mental status (confused, lethargic,
disoriented) |
|
2 |
2 or more
resources needed, and has "danger zone" vital
signs |
|
3 |
2 or more
resources needed, but does not have "danger zone" vital
signs |
|
4 |
1 resource
needed |
|
5 |
no
resources needed |
Danger zone
vital signs:
(1) oxygen
saturation on pulse oximetry < 92%
(2) abnormal
respiratory rate for age
(3) abnormal
pulse for age
|
Age
Group |
Danger Zone Heart Rate
(beats/minute) |
Danger Zone Respiratory Rate
(breaths/minute) |
|
< 3
months |
> 180 |
> 50 |
|
3 months to 2
years |
> 160 |
> 40 |
|
2 to 8
years |
> 140 |
> 30 |
|
> 8
years |
> 100 |
>
20 |
Changes from
version 1:
(1) removal of
peak flow as a danger zone vital sign
(2) change in
oxygen saturation from < 90% to < 92%
(3) addition of
pediatric vital sign criteria
(4) change in
pulse for > 8 years from > 90 to > 100 beats per
minute
| References: | |
Eifel DR, Travers DA, et al. The
Emergency Severity Index Triage Algorithm Version 2 is reliable and valid. Acad
Emerg Med. 2003; 10: 1070-1080.
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