The Irish Children's Triage System is used to triage pediatric patient coming to the Emergency Department.
Patient selection: dental problems
Shared parameters:
(1) hemorrhage
(2) abnormal age-related vital signs
(3) Glasgow coma scale
(4) history of bleeding disorder
(5) pain
(6) facial appearance
(7) duration of chief complaint
(8) history or mechanism
Parameters |
Findings |
Category |
hemorrhage |
exsanguinating |
1 |
|
uncontrollable major |
2 |
|
uncontrollable minor hemorrhage |
3 |
|
other |
5 |
abnormal vital signs |
category 1 |
1 |
|
category 2 |
2 |
|
category 3 |
3 |
Glasgow coma scale |
<= 12 |
1 |
|
13 or 14 |
2 |
|
15 |
5 |
history of bleeding disorder |
with active bleeding |
2 |
|
without current bleeding |
3 |
|
none |
5 |
pain |
severe (VAS >= 7) |
2 |
|
moderate (VAS 4-6) |
3 |
|
mild (1 to 3) |
4 |
|
none |
5 |
facial appearance |
significant redness and/or swelling |
3 |
|
mild facial swelling |
4 |
|
none |
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 |
marked stridor with severe respiratory distress |
1 |
cyanosis |
1 |
temperature > 40°C |
2 |
temperature <= 35.5°C |
2 |
central capillary refill time > 2 seconds |
2 |
difficult swallowing |
2 |
acutely avulsed permanent tooth |
2 |
oral laceration with no dental involvement |
4 |
traumatic loss of deciduous teeth |
5 |
final triage category =
= MIN(categories for all of the parameters)
Specialty: Pedatrics