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Telephone triage refers to symptom or clinically based calls. Clinicians perform symptom assessment by asking detailed questions about the patient's illness or injury. The clinician's task is to estimate and/or rule out urgent symptoms. They may use pattern recognition and other problem-solving process as well.
He designed a set of standardized protocols to triage patients via the telephone and thus improve the emergency response system. Protocols were first alphabetized by chief complaint that included key questions to ask the caller, pre-arrival instructions, and dispatch priorities. After many revisions, these simple cards have evolved into MPDS.
They ask the caller a series of questions to establish how urgently help is required. They ask: is the patient alert? Talking? Breathing? The answers help establish who needs to respond and the priority of the response. Priority 1: Life-threatening emergency; Priority 2: Non-life-threatening emergency; Priority 3: Routine unscheduled call
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.
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[3] [2] According to the Fast Facts for the Triage Nurse handbook, the ESI algorithm is primarily used in the United States. [2] As of 2019, 94% of United States EDs use the ESI algorithm in triage. [1] The concept of a "resource" in ESI means types of interventions or diagnostic tools, above and beyond physical examination.
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