The Irish Children's Triage System is used to triage pediatric patient coming to the Emergency Department.
Patient selection: abnormal blood glucose concentration or history of diabetes
Parameters:
(1) abnormal age-related vital signs
(2) shock
(3) Glasgow coma scale
(4) seizures
(5) blood glucose in mmol/L
(7) dehydration
(8) airway compromise
(9) respiratory failure or arrest
(10) Kussmaul breathing
(11) cerebral edema
(12) severe dehydration (>= 10%)
(13) lethargy, listless or floppy
(14) irritiable
(15) history of diabetes AND vomiting
(16) hisotry of diabetes AND diarrhea
(17) history of diabetes AND need to fast
(18) history of diabetes AND non-acute illness
|
Parameters |
Findings |
Category |
|
abnormal vital signs |
category 1 |
1 |
|
|
category 2 |
2 |
|
|
category 3 |
3 |
|
shock |
uncompensated |
1 |
|
|
compensated |
2 |
|
|
neither |
4 |
|
Glasgow coma scale |
<= 12 |
1 |
|
|
13 or 14 |
2 |
|
|
15 |
5 |
|
seizures |
currently seizing |
1 |
|
|
history of seizures AND diabetes |
2 |
|
|
neither |
4 |
|
blood glucose |
<= 2.7 mmol/L |
2 |
|
|
2.8 to 3.4 mmol/L |
3 |
|
|
3.4 to 6.6 mmol/L |
4 |
|
|
> 6.6 mmol/L AND blood ketones <= 1 mmol/L |
3 |
|
|
> 11 mmol/L AND blood ketones > 1 mmol/L |
2 |
where:
• The table has a gap for blood glucose 6.6 to 11 mmol/L with ketones.
|
Other Parameters |
Category |
|
airway compromise |
1 |
|
respiratory failure/arrest |
1 |
|
Kussmaul breathing |
1 |
|
cerebral edema |
1 |
|
severe dehydration (>=10%) |
2 |
|
lethargy, listless, floppy |
2 |
|
irritable |
2 |
|
history of diabetes AND vomiting |
3 |
|
history of diabetes AND diarrhea |
3 |
|
history of diabetes AND need to fast |
3 |
|
history of diabetes AND non-acute problem |
4 |
If the patient has an abnormal blood glucose OR a history of diabetes, then do not triage to Category 5.
final triage category =
= MIN(categories for all of the parameters)
Specialty: Pedatrics
