The FRENCH (FRench Emergency Nurses Classification in Hospital) scale can be used to triage a patient in the Emergency Department. The authors are from Renee Diderot University in Paris.
Patient selection: patient in the Emergency Department
Status |
Triage |
no functional impairment or organic lesion requiring use of hospital resources |
5 |
stable, noncomplex functional impairment or organic lesions, but requires the urgent use of at least one hospital resource |
4 |
functional impairment or organic lesions likely to deteriorate within 24 hours or complex medical situation justifying the use of several hospital resources |
3 |
marked impairment of a vital organ OR imminently life-threatening OR functionally disabling traumatic lesion |
2 |
immediately life-threatening |
1 |
In addition, a star ("*") can be applied to triage level 3 or 4 if there is an intense symptom or abnormal vital parameter requiring rapid corrective action (within 20 minutes).
Triage |
Intervention |
Action |
5 |
medical within 240 minutes |
consultation with no procedures |
4 |
medical within 120 minutes |
consultation with limited diagnostic or therapeutic procedures |
3 |
medical within 60 minutes |
multiple; evaluation in addition to treatment |
2 |
immediate paramedical; medical within 20 minutes |
treatment of vital function or traumatic lesion |
1 |
immediate paramedical and medical |
support of >= 1 vital function |
Table 2 (page 63) maps the most common ED complaints or findings to the appropriate triage level.
Specialty: Surgery, orthopedic, Emergency Medicine