The Irish Children's Triage System is used to triage pediatric patient coming to the Emergency Department.
Patient selection: seizure, absent episode or collapse
Shared parameters:
(1) seizures
(2) abnormal age-related vital signs
(3) shock
(4) Glasgow coma scale
(5) blood glucose
(6) pain
(7) history
|
Parameters |
Findings |
Category |
|
seizures |
currently seizing |
1 |
|
|
history of seizures (none now) |
3 |
|
|
other |
4 |
|
abnormal vital signs |
category 1 |
1 |
|
|
category 2 |
2 |
|
|
category 3 |
3 |
|
|
other |
4 |
|
shock |
uncompensated |
1 |
|
|
compensated |
2 |
|
|
none |
4 |
|
Glasgow coma scale |
<= 12 |
1 |
|
|
13 or 14 |
2 |
|
|
15 |
4 |
|
blood glucose |
<= 2.7 mmol/L |
2 |
|
|
2.8 to 3.4 mmol/L |
3 |
|
|
> 3.4 mmol/L |
4 |
|
pain |
severe (VAS >= 7) |
2 |
|
|
moderate (VAS 4-6) |
3 |
|
|
mild (1 to 3) |
4 |
|
|
none |
4 |
|
history or mechanism |
significant |
2 |
|
|
inconsistent with findings |
3 |
|
|
consistent |
4 |
|
Other Parameters |
Category |
|
airway compromise |
1 |
|
respiratory failure/arrest |
1 |
|
cyanosis |
1 |
|
temperature > 40°C |
2 |
|
temperature <= 35.5°C |
2 |
|
significant medical condition |
2 |
|
meningismus |
2 |
|
new neurological symptom |
2 |
|
history of seizure and diabetes |
2 |
|
history of or suspicion for toxic ingestion |
2 |
where:
• New neurological symptom: sudden onset of confusion, drowsiness, altered level of consciousness, loss of sensation, limb weaknesss, change in bladder or bowel function, irritability.
The final triage category is MIN(triage category for all of the parameters).
The lowest category allowed in this condition is Category 4 (no Category 5).
Specialty: Pedatrics
