Description

The Irish Children's Triage System is used to triage pediatric patient coming to the Emergency Department.


Patient selection: genitourinary problem

 

Shared parameters:

(1) hemorrhage

(2) abnormal age-related vital signs

(3) shock

(4) Glasgow coma scale

(5) hypertension

(6) pain

(7) duration

(8) history

 

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

hypertension

severe

2

 

hypertension with significant renal history

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

2

 

inconsistent with findings

3

 

consistent

5

 

 

Other Parameters

Category

airway compromise

1

respiratory failure/arrest

1

currently seizing

1

temperature > 40°C

2

temperature <= 35.5°C

2

history of injury

2

priapism

2

testicular pain or swelling < 48 hours

2

scrotal trauma

2

frank hematuria

2

history of renal transplant

2

currently on dialysis

2

urinary retention

3

inguinal swelling with pain

3

penile or vaginal discharge

4

paraphimosis

4

history of vaginal bleeding

4

 

The final triage category is MIN(triage category for all of the parameters)

 


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