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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).
The "15-45" at the end refers to the different respiratory criteria in the pediatric JumpSTART triage system, due to the differences between children's and adults' normal respiratory rates. [5] In pediatric patients: Children who are breathing under 15 times a minute are RED. [5] Children who are breathing over 45 times a minute are RED. [5]
The JumpSTART pediatric triage MCI triage tool (usually shortened to JumpSTART) is a variation of the simple triage and rapid treatment (START) triage system. Both systems are used to sort patients into categories at mass casualty incidents (MCIs). However, JumpSTART was designed specifically for triaging children in disaster settings. Though ...
Providers should follow the AHA's Pediatric Tachycardia With a Pulse Algorithm. As always, provides need to support airway, breathing, and circulation and begin CPR if needed. Management of tachyarrhythmias depends on if the child is stable or unstable (experiencing cardiopulmonary compromise: signs of shock, hypotension, altered mental status).
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.
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 ...
Chest pain in children is usually evaluated in the emergency departments. It can be distressing for parents and children. Pediatric chest pain differs from chest pain in adults because it is most often unrelated to the heart. [2] The causes of pediatric chest pain vary according to the organ or tissue in the child. that generates the pain.
The Pediatric Assessment Triangle or PAT is a tool used in emergency medicine to form a general impression of a pediatric patient. [1] In emergency medicine, a general impression is formed the first time the medical professional views the patient, usually within seconds. [ 2 ]