Barfod et al reported triage protocols at the Hillerod Hospital in Denmark. One protocol involved patients with chest pain. This is one component of the Hillerod Acute Process Triage (HAPT) system.
Patient selection: adult being triaged to the Emergency Department with chest pain
Parameters:
(1) ECG changes
(2) ongoing chest pain (using 10 cm VAS scale)
(3) chest pain within the last 24 hours
(4) dyspnea on exertion
(5) severe comorbidity
Number |
Color Code |
Response Time |
1 |
red |
immediate |
2 |
orange |
15 minutes (urgent) |
3 |
yellow |
60 minutes (less urgent) |
4 |
green |
180 minutes (not urgent) |
Parameter |
Finding |
Color Code |
ECG changes |
life-threatening |
1 |
|
high risk |
2 |
|
low risk |
3 |
|
minor or normal |
4 |
ongoing chest pain |
very severe (10 of 10) |
1 |
|
severe (6 to 9 out of 10) |
2 |
|
mild to moderate |
3 |
|
none |
4 |
chest pain past 24 hours |
ischemic type |
2 |
|
non-ischemic type |
4 |
dyspnea on exertion |
very severe |
2 |
|
severe |
3 |
|
none |
4 |
severe comorbidity |
yes |
3 |
|
no |
4 |
Specialty: Surgery, orthopedic, Cardiology, Emergency Medicine