Triage Flashcards
Resuscitation
Level 1
Emergent
Level 2
Urgent
Level 3
Less Urgent
Level 4
Non-urgent
Level 5
Level 1
Resuscitation
Immediate, life-saving intervention required without delay
Cardiac arrest
Massive bleeding
Level 2
Emergent
High risk of deterioration, or signs of a time-critical problem
Cardiac-related chest pain
Asthma attack
Level 3
Urgent
Stable, with multiple types of resources needed to investigate or treat (such as lab tests plus X-ray imaging)
Abdominal pain
High fever with cough
Level 4
Less Urgent
Stable, with only one type of resource anticipated (such as only an X-ray, or only sutures)
Simple laceration
Pain on urination
Level 5
Non-urgent
Stable, with no resources anticipated except oral or topical medications, or prescriptions
Rash
Prescription refill
Stable, with no resources anticipated except oral or topical medications, or prescriptions
Level 5
High risk of deterioration, or signs of a time-critical problem
Level 2
Stable, with only one type of resource anticipated (such as only an X-ray, or only sutures)
Level 4
Stable, with multiple types of resources needed to investigate or treat (such as lab tests plus X-ray imaging)
Level 3
Immediate, life-saving intervention required without delay
Level 1
Abdominal pain
High fever with cough
Level 3 - Urgent
Cardiac-related chest pain
Asthma attack
Level 2 - Emergent
Rash
Prescription refill
Level 5 - Non Urgent
Simple laceration
Pain on urination
Level 4 - Less Urgent
Cardiac arrest
Massive bleeding
Level 1 - Resuscitation
Primary Survey
TRAUMA - Identifying life-threatening conditions
- Airway patency / signs of obstruction
- Breathing
- Circulation
- Disability
- Exposure (able to visualize entire body)
When assessing airway, be sure to
- Provide O2 / ventilation
2. Expose neck and chest for proper PE
Secondary Survey
- Full History and PE (head to toe)
- Labs / radiology
- Management
Abdominal pain DDX
Intraabdominal
- Gastrointestinal GI
- Genitourinary GU
- Gynecological GYN
- Vascular emergencies
Extraabdominal less common
- Cardiopulmonary
- Abdominal wall
- Toxic metabolic
- Neurogenic
Nonspecific abdominal pain
Life-threatening abdominal pain ddx
Abdominal aortic aneurysm Bowel obstruction Ruptured ectopic pregnancy or ectopic pregnancy Splenic rupture Myocardial infarction Mesenteric ischemia GI perforation Testicular torsion Ovarian torsion
Abdominal pain diagnostics
CBC CMP/BMP/LFTs Lipase PT/PTT/INR Pregnancy test Urinalysis Pelvic cultures CXR Ultrasound (gallbladder, appendix, pelvic, trans abdominal) CT abdomen and pelvis
RUQ DDX
Gallbladder and biliary tract Hepatitis Hepatomegaly Peptic ulcer Pancreatitis Retrocecal appendicitis Renal pain Herpes zoster MI PNA Empyema
LUQ DDX
Gastritis Pancreatitis Splenic (enlargement, rupture, aneurysm, infraction) MI Renal pain Herpes zoster PNA empyema
RLQ DDX
Appendicitis Intestinal obstruction Regional enteritis Diverticulitis Perforated ulcer Ectopic pregnancy Ovarian cyst or torsion Endometriosis
LLQ DDX
Diverticulitis Intestinal obstruction Appendicitis Leaking aneurysm Abdominal wall hematoma Ectopic pregnancy Ureteral calculi Renal pain Psoas abscess Seminal vasculitis
