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
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