The Irish Children's Triage System is used to triage pediatric patient coming to the Emergency Department.
Patient selection: testicular pain or other male genital problem
Shared parameters:
(1) abnormal age-related vital signs
(2) Glasgow coma scale
(3) pain
(4) scrotal findings
(5) duration
|
Parameters
|
Findings
|
Category
|
|
abnormal vital signs
|
category 1
|
1
|
|
|
category 2
|
2
|
|
|
category 3
|
3
|
|
|
category 4
|
4
|
|
|
other
|
5
|
|
Glasgow coma scale
|
<= 12
|
1
|
|
|
13 or 14
|
2
|
|
|
15
|
5
|
|
pain
|
severe (VAS >= 7)
|
2
|
|
|
moderate (VAS 4-6)
|
3
|
|
|
mild (1 to 3)
|
4
|
|
|
none
|
5
|
|
scrotal findings
|
significant skin color change
|
2
|
|
|
history of testicular pain or swelling < 48 hours
|
2
|
|
|
other scrotal swelling
|
3
|
|
|
none
|
5
|
|
duration
|
less than 48 hours (recent) or acute symptoms
|
4
|
|
|
> 48 hours without acute symptoms
|
5
|
|
Other Parameters
|
Category
|
|
airway compromise
|
1
|
|
respiratory failure/arrest
|
1
|
|
temperature > 40°C
|
2
|
|
temperature <= 35.5°C
|
2
|
|
frank hematuria
|
2
|
|
direct trauma to testes/scrotum
|
2
|
|
dysuria
|
4
|
|
penile discharge
|
4
|
The final triage category is MIN(triage category for all of the parameters)
