The Irish Children's Triage System is used to triage pediatric patient coming to the Emergency Department.
Patient selection: eye injury or problem
Shared parameters:
(1) abnormal age-related vital signs
(2) eye trauma
(3) vision loss
(4) perirobital changes
(5) pain
(6) duration
(17) history or mechanism
|
Parameters |
Findings |
Category |
|
abnormal vital signs |
category 1 |
1 |
|
|
category 2 |
2 |
|
|
category 3 |
3 |
|
|
other |
5 |
|
eye trauma |
penetrating |
1 |
|
|
significant to eye or head |
2 |
|
|
other |
5 |
|
vision loss |
sudden loss |
1 |
|
|
acutely reduced |
3 |
|
|
other |
5 |
|
periorbital changes |
orbital cellulitis |
2 |
|
|
peri-orbital swelling or focal infection |
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 |
3 |
|
|
inconsistent with findings |
3 |
|
|
consistent |
5 |
|
Other Parameters |
Category |
|
chemical eye injury |
1 |
|
hyphema |
2 |
|
abnormal pupil after trauma |
2 |
|
foreign body |
3 |
|
sticky eye |
4 |
|
discharge from eye |
4 |
final triage category =
= MIN(categories for all of the parameters)
Specialty: Pedatrics
