Description

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)


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