Irish Children's Triage System: Abdominal Pain or Isolated Abdominal Trauma

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

penetrating/blunt trauma

with signs of shock

1

without shock

2

none

5

pain

severe (VAS >= 7)

2

moderate (VAS 4-6)

3

mild (1 to 3)

4

none

5

dehydration

severe (> 10%)

2

moderate

3

mild

4

none

5

blood in urine

frank hematuria

2

blood on dipstick

3

negative

5

vomiting or diarrhea

persistent or severe

3

mild to moderate

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

temperature > 40°C

2

temperature <= 35.5°C

2

acute hematemesis

2

melena or red currant stools

2

inconsolable by parents

3

urine retention

3

jaundice

3

drawing up of legs

3

suspicion of pregnancy

3

history of constipation with no pain

5