The Irish Children's Triage System is used to triage pediatric patient coming to the Emergency Department.
Patient selection: eye injury or problem
Shared parameters:
(1) abnormal age-related vital signs
(2) eye trauma
(3) vision loss
(4) perirobital changes
(5) pain
(6) duration
(17) history or mechanism
|
Parameters
|
Findings
|
Category
|
|
abnormal vital signs
|
category 1
|
1
|
|
|
category 2
|
2
|
|
|
category 3
|
3
|
|
|
other
|
5
|
|
eye trauma
|
penetrating
|
1
|
|
|
significant to eye or head
|
2
|
|
|
other
|
5
|
|
vision loss
|
sudden loss
|
1
|
|
|
acutely reduced
|
3
|
|
|
other
|
5
|
|
periorbital changes
|
orbital cellulitis
|
2
|
|
|
peri-orbital swelling or focal infection
|
3
|
|
|
none
|
5
|
|
pain
|
severe (VAS >= 7)
|
2
|
|
|
moderate (VAS 4-6)
|
3
|
|
|
mild (1 to 3)
|
4
|
|
|
none
|
5
|
|
duration
|
less than 48 hours (recent) or acute symptoms
|
4
|
|
|
> 48 hours without acute symptoms
|
5
|
|
history or mechanism
|
significant
|
3
|
|
|
inconsistent with findings
|
3
|
|
|
consistent
|
5
|
|
Other Parameters
|
Category
|
|
chemical eye injury
|
1
|
|
hyphema
|
2
|
|
abnormal pupil after trauma
|
2
|
|
foreign body
|
3
|
|
sticky eye
|
4
|
|
discharge from eye
|
4
|
final triage category =
= MIN(categories for all of the parameters)
