The Irish Children's Triage System is used to triage pediatric patient coming to the Emergency Department.
Patient selection: throat problem
Shared parameters:
(1) abnormal age-related vital signs
(2) post-tonsillectomy bleeding
(3) shock
(4) Glasgow coma scale
(5) breathing difficulties
(6) pain
(7) duration
|
Parameters |
Findings |
Category |
|
abnormal vital signs |
category 1 |
1 |
|
|
category 2 |
2 |
|
|
category 3 |
3 |
|
|
category 4 |
4 |
|
|
other |
5 |
|
post-tonsillectomy bleed |
uncontrollable |
1 |
|
|
other bleeding |
2 |
|
|
history of, not active |
3 |
|
|
none |
5 |
|
shock |
uncompensated |
1 |
|
|
compensated |
2 |
|
|
none |
5 |
|
Glasgow coma scale |
<= 12 |
1 |
|
|
13 or 14 |
2 |
|
|
15 |
5 |
|
breathing difficulties |
stridor and severe work of breathing |
1 |
|
|
stridor at rest |
2 |
|
|
without stridor |
4 |
|
|
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 |
|
Other Parameters |
Category |
|
airway compromise |
1 |
|
respiratory failure/arrest |
1 |
|
tripod positioning |
1 |
|
cyanosis |
1 |
|
history of trauma |
1 |
|
temperature > 40°C |
2 |
|
temperature <= 35.5°C |
2 |
|
foreign body or substance inhalation |
2 |
|
sudden onset of hoarseness |
2 |
|
central capillary refill time > 2 seconds |
2 |
|
difficulty swallowing or unable to tolerate oral fluids |
2 |
|
swallowing issue but tolerating oral fluids |
4 |
where:
• In breathing difficulties there was nothing for breathing difficulty without stridor.
• The original item for oral fluids was "tolerating oral fluids" but nothing for intolerance.
The final triage category is MIN(triage category for all of the parameters)
Specialty: Pedatrics
