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
Purpose: To triage a patient in the Emergency Department using the Emergency Severity Index (ESI), version 2.
Specialty: Surgery, orthopedic, Emergency Medicine, Critical Care, Surgery, general
Objective: severity, prognosis, stage
ICD-10: S00-S09, S10-S19, S20-S29, S30-S39, S40-S49, S50-S59, S60-S69, S70-S79, S80-S89, S90-S99, T00-T07, T08-T14,
