Irish Children's Triage System: Chest Pain and Isolated Chest Injury

Parameters

Findings

Category

hemorrhage

exsanguinating

1

uncontrollable major

2

minor hemorrhage

3

none

5

abnormal vital signs

category 1

1

category 2

2

category 3

3

shock

uncompensated

1

compensated

2

none

5

Glasgow coma scale

<= 12

1

13 or 14

2

15

5

penetrating/blunt trauma

with signs of shock

1

without shock

2

minor without respiratory distress

3

none

5

pain

severe (VAS >= 7)

2

moderate (VAS 4-6)

3

mild (1 to 3)

4

none

5

SaO2 on room air

<= 90%

1

91%

2

>= 92% (not 94%)

5

duration

less than 48 hours (recent) or acute symptoms

4

> 48 hours without acute symptoms

5

history or mechanism

significant

2

inconsistent with findings

3

consistent

5

Other Parameters

Category

airway compromise

1

respiratory failure/arrest

1

cardiac arrhythmia

1

temperature > 40°C

2

temperature <= 35.5°C

2

significant bruising to chest/abdomen

2

seat belt sign

2

pleuritic pain

3

history of hemoptysis

3

significant medical or surgical history

3

local inflammation or infection

4