The Irish Children's Triage System is used to triage pediatric patient coming to the Emergency Department.
Patient selection: genitourinary problem
Shared parameters:
(1) hemorrhage
(2) abnormal age-related vital signs
(3) shock
(4) Glasgow coma scale
(5) hypertension
(6) pain
(7) duration
(8) history
Parameters |
Findings |
Category |
hemorrhage |
exsanguinating |
1 |
|
severe |
2 |
|
moderate uncontrolled |
3 |
|
other |
4 |
|
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 |
hypertension |
severe |
2 |
|
hypertension with significant renal history |
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 |
2 |
|
inconsistent with findings |
3 |
|
consistent |
5 |
Other Parameters |
Category |
airway compromise |
1 |
respiratory failure/arrest |
1 |
currently seizing |
1 |
temperature > 40°C |
2 |
temperature <= 35.5°C |
2 |
history of injury |
2 |
priapism |
2 |
testicular pain or swelling < 48 hours |
2 |
scrotal trauma |
2 |
frank hematuria |
2 |
history of renal transplant |
2 |
currently on dialysis |
2 |
urinary retention |
3 |
inguinal swelling with pain |
3 |
penile or vaginal discharge |
4 |
paraphimosis |
4 |
history of vaginal bleeding |
4 |
The final triage category is MIN(triage category for all of the parameters)
Specialty: Pedatrics