CTASs Flashcards
Adult Prehospital CTAS
Pt is in cardiac arrest
CTAS 1
Adult Prehospital CTAS
Pt is at LESS than 90% with severe respiratory distress
CTAS 1
Adult Prehospital CTAS
Pt has burns GREATER/EQUAL then 25% BSA
CTAS 1
Adult Prehospital CTAS
Pt has hypothermia with severe symptoms
CTAS 2
Adult Prehospital CTAS
Pt is in pre arrest
CTAS 1
Adult Prehospital CTAS
Pt obtained a ROSC
CTAS 1
Adult Prehospital CTAS
Pt has a STEMI
CTAS 1
Adult Prehospital CTAS
Pt has chest pain w/ cardiac features AND w/ sign of shock
CTAS 1
Adult Prehospital CTAS
Pt has severe end organ distress
CTAS 1
Adult Prehospital CTAS
Pt has chest pain w/ cardiac features borderline perfusion
CTAS 2
Adult Prehospital CTAS
Pt has chest pain non-cardic features so ripping or tearing
CTAS 2
Adult Prehospital CTAS
Pt has experienced syncope with new dysrhythmia
CTAS 2
Adult Prehospital CTAS
Pt with chest pain non-cardiac features AND acute onset
CTAS 3
Adult Prehospital CTAS
Pt has a chemical burn GREATER/EQUAL then 25% BSA
CTAS 1
Adult Prehospital CTAS
Pt has frostbite/cold injury such as a cold pulseless limb
CTAS 2
Adult Prehospital CTAS
Pt experiences a chemical exposure to the eye
CTAS 2
Adult Prehospital CTAS
Pt has major chemical burns to their hands
could also be their feet, groin, or face
CTAS 2
Adult Prehospital CTAS
Pts experiencing an allergic reaction
they’ve have hx of severe reaction
CTAS 2
Adult Prehospital CTAS
Pt has 5-25% % BSA burns
CTAS 3
Adult Prehospital CTAS
Pt has hypothermia with moderate symptoms
CTAS 3
Adult Prehospital CTAS
Pt has a frostbite/cold injury w/ blanching of the skin
CTAS 3
Adult Prehospital CTAS
Pt has less then 5% BSA burns
CTAS 4
Adult Prehospital CTAS
Pt has mild hypothermia with normal vital signs
CTAS 4
Adult Prehospital CTAS
Pt has laceration/punture(s) - sutures required
CTAS 4
Adult Prehospital CTAS
Pt has an upper extremity injury
CTAS 4
Adult Prehospital CTAS
Pt has minor bites
+/- mild pain less than 4
CTAS 5
Adult Prehospital CTAS
Pt has violent/homicidal behaviour - imminent harm to self or others OR they’re having specific plans
CTAS 1
Adult Prehospital CTAS
Pt has uncontrolled bizzare behaviour
CTAS 1
Adult Prehospital CTAS
Pt has depression/suicidal/violent behaviour with attempted suicide
There’s a clear plan or they’re a flight risk
CTAS 2
Adult Prehospital CTAS
Pt has hallucinations with acute phychosis
Severe
Adult Prehospital CTAS
Pt has anxiety/agitation
CTAS 2
Adult Prehospital CTAS
Pt is a safety/flight risk
CTAS 2
Adult Prehospital CTAS
PT has depression/suicidal/violent behaviour but no plan
CTAS 3
Adult Prehospital CTAS
Pt has moderate anxiety
CTAS 3
Adult Prehospital CTAS
Pt has depression - with no suicidal ideation
CTAS 4
Adult Prehospital CTAS
Pt has mild anxiety
CTAS 4
Adult Prehospital CTAS
Pt is in active seizure
CTAS 1
Adult Prehospital CTAS
Pt is unconscious with GCS 3-9
CTAS 1
Adult Prehospital CTAS
Pt has a cerebrovascular accident (stroke) onset of LESS than 6h
CTAS 2
Adult Prehospital CTAS
Pt has a headache with sudden, severe, worst ever, and visual acuity disurbances
CTAS 2
Adult Prehospital CTAS
Pt is post-ictal with altered LOA
CTAS 2
Adult Prehospital CTAS
Pt is in seizure - resolved, normal level of alertness
CTAS 3
Adult Prehospital CTAS
Pt has experienced a CVA (sroke) greater than 6h ago it’s resolved
CTAS 3
Adult Prehospital CTAS
Pt has chronic confusion - no change from their usual state
CTAS 4
Adult Prehospital CTAS
Pt is pregnat GREATER/EQUAL then 20 weeks and presenting with fetal parts or prolapsed cord
CTAS 1
Adult Prehospital CTAS
Pt has vaginal bleeding in the 3rd trimester
CTAS 1
Adult Prehospital CTAS
Pt is pregnant GREATER/EQUAL 20 weeks - in active labour with complex hypertension +/- a headache, edema, or abdo pain
Less than 2min apart contraction = active labour
CTAS 2
Adult Prehospital CTAS
A pt in post delivery (either mother or infant)
CTAS 2
Adult Prehospital CTAS
Vaginal bleeding heavy +/- pregnancy
CTAS 2
Adult Prehospital CTAS
Pt is pregnant GREATER/EQUAL 20 weeks - in active labour and has been leaking amniotic fluid +24h
CTAS 3
Adult Prehospital CTAS
Patient has menirrhagia
Means heaving menstration bleeding
CTAS 3
Adult Prehospital CTAS
Non-pregnant vaginal bleeding-minor/spotting
CTAS 4
Adult Prehospital CTAS
Patient is in respiratory arrest
CTAS 1
Adult Prehospital CTAS
Pt is severly SOB - with lethargy or confusion, cyanosis, 1-2 word speech, unable to speak
CTAS 1
Adult Prehospital CTAS
Pt has a Complete FBAO
CTAS 1
Adult Prehospital CTAS
Pt has moderate SOB - with increased work of breathing, clipped sentences, significant stridor but airway is protected
CTAS 2
Adult Prehospital CTAS
Pt has FBAO - with drooling or stridor, hoarsenss, or dysphagia
CTAS 2
Adult Prehospital CTAS
Pt has mild/moderate tachypnea, SOB on exertion, no obvious increased SOB, full sentences, and mild stridor
CTAS 3
Adult Prehospital CTAS
Pt has an FBAO with no distress and difficulty swalowing
CTAS 3
Adult Prehospital CTAS
Soar throat/URTI - with no repiratory symptoms
CTAS 5
Adult Prehospital CTAS
Pt’s extremity has been amputated
CTAS 1
Adult Prehospital CTAS
Pt has major trauma - i.e. severe hemodynamic compromise
CTAS 1
Adult Prehospital CTAS
Pt has neurovascular compromise of an extremity
CTAS 1
Adult Prehospital CTAS
Pt’s with general trauma - i.e MVC, ejection, rollover, extrication time GREATER/EQUAL then 20min, significant intrusion, passenger fatality
impat GREATER/EQUAL to 40km/h (unchained) or 60km/h (chained)
CTAS 2
Adult Prehospital CTAS
Motorvehicle collision impact GREATER/EQUAL then 30km/h
CTAS 2
Adult Prehospital CTAS
Pt had a fall GREATER/EQUAL then 6 meters or 2 stories
CTAS 2
Adult Prehospital CTAS
Pt has a penetrating injury proximal to elbow and knee
CTAS 2
Adult Prehospital CTAS
Pt has Head/Neck trauma
CTAS 2
Adult Prehospital CTAS
Pt has minor contusions, abrasions, or lacerations - not requiring sutures
CTAS 5
Adult Prehospital CTAS
Pt has dental avulsion
CTAS 2
Adult Prehospital CTAS
Pt has uncontrolled epistaxis
CTAS 2
Adult Prehospital CTAS
Pt has eye injury/acute vision loss
CTAS 2
Adult Prehospital CTAS
Pt has neck pain - neck stiffness/meningismus
headache, neck stiffness and photophobia
CTAS 2
Adult Prehospital CTAS
Pt has been sexually assulted within the last 2h
CTAS 2
Adult Prehospital CTAS
Pt has a soar throat - with drooling/stridor, obvious edema/swelling or oropharynx
CTAS 2
Adult Prehospital CTAS
Pt has UTI stmptoms (mild dysuria)
CTAS 4
Adult Prehospital CTAS
Pt needs a dressing change (plus normal vital signs +/- mild pain of LESS then 4)
CTAS 5
Adult Prehospital CTAS
Pt is vomiting blood or rectally bleeding - either a large amount or actively
CTAS 2
Adult Prehospital CTAS
Pt is vomiting blood a small amount of - emesis (coffee)
CTAS 3
Adult Prehospital CTAS
Pt is rectally bleeding melena sm amount
melena - black tary stool
CTAS 4
Adult Prehospital CTAS
Pt has constipation with a LESS than 4 pain
CTAS 4
Adult Prehospital CTAS
Pt has a small rectal bleed
CTAS 4
Adult Prehospital CTAS
Pt has diarrhea - mild with no dehydration
CTAS 5
Adult Prehospital CTAS
Pt has LESS then 92% with moderate respiratory distress
CTAS 2
Adult Prehospital CTAS
Patient is 92-94% with mild-moderate respiratory distress
CTAS 2
Adult Prehospital CTAS
Pt is GREATER/Equal to 94% with no respiratory distress
CTAS 4-5
Adult Prehospital CTAS
Pt is in shock/end-organ hypoperfusion
What are the signs and symptoms?
CTAS 1
Marked pallor
Coold skin
Diaphoresis
Weak/thready pulse
Hypotension
Postural syncope
Significant tachycardia OR braycardia
Ineffecive ventilation or oxgenation
Decreased level of consciousness
Could appear flushed, febrile, toxic - septic shock
Adult Prehospital CTAS
Pt is hemodynamically compromised with borerline perfusion
What does that mean in terms of signs and symptoms?
CTAS 2
Pale
hx of Diaphoresis
Unexplained tachycardia
hx of postural hypotension
Feeling faint
Supected hyoptension
Adult Prehospital CTAS
Pt has vital signs at the upper AND lower ends that are normal as they relate to the presenting complaint - especiallly if values don’t match up with general complaint
CTAS 3
Adult Prehospital CTAS
Pt has ‘normal’ vital signs
Pt is deceased
CTAS 4-5
CTAS 0
Adult Prehospital CTAS
Pt is unconscious with GCS 3-9
This usualy means the patient is unable to protect the airway
They respond to pain or loud noise only WITHOUT purpose
Pt could be having continuous seizures OR progressive deterioration of LOC
CTAS 2
Adult Prehospital CTAS
Pt has an altered LOC meaning GCS of 10-13
They’re respose is inappropriate to verbal stimuli
They’ll have loss of orientation to PERSON, PLACE, or TIME.
They’ll have altered behaviour and a new impairment of recent history
CTAS 2
Adult Prehospital CTAS
Pt is ‘normal’ with a GCS of 14-15
CTAS 3, 4, or 5
Adult Prehospital CTAS
Pt is immuno-compromised neutropenia, chemotherapy, immune-suppressive drugs (including steroids)
CTAS 2
Adult Prehospital CTAS
Pt appears septic
What are the S+S or qualifiers?
CTAS 2
There’s evidence of infection
They’re SIRS positive (HR is GREATER/EQUAL to 90bpm AND RR is GREATER/EQUAL to 20bpm)
Ther’s evidence of hemodynamic compromise, respiratory distress, AND decreased level of conciousness
Adult Prehospital CTAS
Pt apears unwell with LESS then 3 SIRS positive criteria but looks ill (flushed, lethargic, and anxious or agitated
CTAS 3
Adult Prehospital CTAS
Pt appears well - are comfortable with no distress
CTAS 4
Adult Prehospital CTAS
Pt has severe (8-10/10) ACUTE pain in the abdomen caused by trauma
CTAS 1
Adult Prehospital CTAS
Pt has severe (8-10/10) ACUTE pain in the central area
CTAS 2
Adult Prehospital CTAS
Pt has moderate (4-7/10) ACUTE pain in the central area
CTAS 3
Adult Prehospital CTAS
Pt has severe (8-10/10) ACUTE pain in the peripheral area
CTAS 3
Adult Prehospital CTAS
Pt has severe (8-10/10) CHRONIC pain in in the central area
CTAS 3
Adult Prehospital CTAS
Pt has mild (0-3/10) ACUTE pain in the cenrtral area
CTAS 4
Adult Prehospital CTAS
Pt has moderate (4-7/10) ACUTE pain in the peripheral area
CTAS 4
Adult Prehospital CTAS
Pt has moderate (4-7/10) CHRONIC pain in the peripheral area
CTAS 4
Adult Prehospital CTAS
Pt has severe (8-10/10) CHRONIC pain in the central area
CTAS 4
Adult Prehospital CTAS
Pt has mild (0-3/10) ACUTE or CHRONIC pain in the peripheral area
CTAS 5
Adult Prehospital CTAS
Pt has mild (0-3/10) with CHRONIC pain in the central area
CTAS 5
Adult Prehospital CTAS
Pt has experienced abuse either physical, mental, or high emotional stress
CTAS 3
Adult Prehospital CTAS
Pt has insomnia - ACUTE
CTAS 4
Adult Prehospital CTAS
Pt has insomnia - CHRONIC
CTAS 5
Adult Prehospital CTAS
Bizzare behaviour - CHRONIC or non-urgent
CTAS 5
Adult Prehospital CTAS
Pt has severe dehydration
marked volume loss AND S+S of shock
CTAS 1
Adult Prehospital CTAS
Pt has moderate dehydration
dry mucous mmembranes
tachycardia
+/- decreased skin turgor
Decreased urine output
CTAS 2
Adult Prehospital CTAS
Pt has mild dehydration
Stable vital signs with increased thirst
Concentrated urine
Hx of decreased fluid intake OR increased fluid loss OR both
CTAS 3
Adult Prehospital CTAS
Pt has potential dehydration
NO symptoms BUT presenting with fluid loss AND/OR ongoing/difficulty tolerating oral fluids
CTAS 4
Adult Prehospital CTAS
Pt has a BGL LESS than 3mmol/L
confusion, seizure, diaphoresis, behavioural changes, an acute focal deficits
CTAS 2
Adult Prehospital CTAS
Pt has a BGL of GREATER/EQUAL to 18mmol/L
WITH dyspnea, tachycardia, dehydration, thirst, weakness, and polyuria
CTAS 2
Adult Prehospital CTAS
Pt has a BGL of LESS then 3mmol/L
WITH no symptoms
CTAS 3
Adult Prehospital CTAS
Pt has a BGL GREATER/EQUAL to 18mmol/L
WITH no symptoms
CTAS 3
Adult Prehospital CTAS
Pt has a sytolic BP of GREATER/EQUAL to 220 OR
Pt has diastolic BP GREATER/EQUAL to 130 WITH any other symptoms
i.e. headache, CP, SOB, nausea
CTAS 2
Adult Prehospital CTAS
Pt has sytolic BP GREATER/EQUAL to 220 OR
Pt has diastolic BP GREATER/EQUAL to 130 WITH no symptoms
CTAS 3
Adult Prehospital CTAS
Pt has sytolic BP between 200-220 OR
Pt has diastolic BP between 110-130 WITH any other symptoms
i.e. headache, CP, SOB, Nausea
CTAS 3
Adult Prehospital CTAS
Pt has sytolic BP between 200-220 OR
Pt has diastolic BP between 110-130 WITH no symptoms
CTAS 4-5
Adult Prehospital CTAS
Pt has congenitial bleeding disorders, severe liver failer, or anticoagulant therapy AND bleeding:
- head/neck
- chest, abdo, pelvis, and spine
- massive vaginal hemorrhage
- Extremity muscle compartments
- Fractures or dislocations
- Deep lacerations
- any uncontrolled bleeding
- iliopsoas muscle and hip (hip flexor joint)
CTAS 2
Adult Prehospital CTAS
Pt has congenitial bleeding disorders, severe liver failer, or anticoagulant therapy AND bleeding:
- moderate or minor bleeds
- nose bleeds
- mouth bleeding Iincluding gums)
- Joints bleeding (hemathrases)
- Menorrhagia
- Abrasions and superficial lacerations
CTAS 5
Adult Prehospital CTAS
What do all the levels stand for?
0-5
0 - obvioulsy dead
1 - resuscitation - using interventions
2 - Emergency - threat to life/limb/function
3 - Urgent - could progress to serious problems
4 - less urgent
5 - non-urgent
