ESI Triage Exam With Complete
Solutions
1. What is the first level of triage and
Immediate, done immediately
how long should they wait for care?
2. What is the second level of triage and how long Emergent, 1-14
minutes
should they wait for care?
3. What is the third level of triage and Urgent, 15-60 minutes
how long should they wait for care?
4. What is the fourth level of triage and Semi-urgent, 1-2 hours
how long should they wait for care?
5. What is the fifth level of triage and Nonurgent, 2-24 hours
how long should they wait for care?
6. What are resources? Labs (blood, urine), ECG, x-
rays, CT-MRI-
ultrasoundangiography, IV
fluids, IV, IM or nebulizer
medica-
tions, specialty consultation,
lacera- tion repair, foley
catheter, complex
procedures
7. What are not resources? history, physical (including
pelvic), point of care-glucose,
home preg- nancy, strep
testing, saline or hep lock, PO
medications, tetanus immu-
nizations, prescription refills,
phone call to PCP, dressing
changes, wound recheck,
, ESI Triage Exam With Complete
Solutions
crutches, splints, slings
8. What are some examples of ESI level 1 Cardiac arrest, respiratory arrest,
se-
vere respiratory distress,
SpO2<90, critically injured
trauma pt who pre-
, ESI Triage Exam With Complete
Solutions
sents unresponsive, overdose
with RR of 6, severe
respiratory dis- tress with
agonal or grasping-type R,
severe bradycardia or
tachycar-
dia with signs of hypo
perfusion, hy- potension with
signs of hypo perfu- sion,
requiring immediate crystalloid
and colloid resuscitation, chest
pain, pale, diaphoretic, blood
pressure 70/palp, weak and
dizzy, HR=30, anaphylactic
shock, baby that is flaccid,
unresponsive with strong
odor of alcohol, hypoglycemia
with change with change in
9. " I was taking my contacts out last mental status, intubated head
night, and I think I scratched my bleed with unequal pupils, child
cornea," reports that fell out tree and is
a 27-year-old female. "I'm wearing unresponsive to painful
these sun- glasses because the light stimuli
really bothers my
ESI level 5: No resources This
patient will need an eye exam
and will be discharged to
home with prescrip- tions and
an appointment to follow
eyes. "Her right eye is red and tearing. She rates up with an
ophthalmologist.
her pain as 6/10. Vital signs are within
normal limits.
Solutions
1. What is the first level of triage and
Immediate, done immediately
how long should they wait for care?
2. What is the second level of triage and how long Emergent, 1-14
minutes
should they wait for care?
3. What is the third level of triage and Urgent, 15-60 minutes
how long should they wait for care?
4. What is the fourth level of triage and Semi-urgent, 1-2 hours
how long should they wait for care?
5. What is the fifth level of triage and Nonurgent, 2-24 hours
how long should they wait for care?
6. What are resources? Labs (blood, urine), ECG, x-
rays, CT-MRI-
ultrasoundangiography, IV
fluids, IV, IM or nebulizer
medica-
tions, specialty consultation,
lacera- tion repair, foley
catheter, complex
procedures
7. What are not resources? history, physical (including
pelvic), point of care-glucose,
home preg- nancy, strep
testing, saline or hep lock, PO
medications, tetanus immu-
nizations, prescription refills,
phone call to PCP, dressing
changes, wound recheck,
, ESI Triage Exam With Complete
Solutions
crutches, splints, slings
8. What are some examples of ESI level 1 Cardiac arrest, respiratory arrest,
se-
vere respiratory distress,
SpO2<90, critically injured
trauma pt who pre-
, ESI Triage Exam With Complete
Solutions
sents unresponsive, overdose
with RR of 6, severe
respiratory dis- tress with
agonal or grasping-type R,
severe bradycardia or
tachycar-
dia with signs of hypo
perfusion, hy- potension with
signs of hypo perfu- sion,
requiring immediate crystalloid
and colloid resuscitation, chest
pain, pale, diaphoretic, blood
pressure 70/palp, weak and
dizzy, HR=30, anaphylactic
shock, baby that is flaccid,
unresponsive with strong
odor of alcohol, hypoglycemia
with change with change in
9. " I was taking my contacts out last mental status, intubated head
night, and I think I scratched my bleed with unequal pupils, child
cornea," reports that fell out tree and is
a 27-year-old female. "I'm wearing unresponsive to painful
these sun- glasses because the light stimuli
really bothers my
ESI level 5: No resources This
patient will need an eye exam
and will be discharged to
home with prescrip- tions and
an appointment to follow
eyes. "Her right eye is red and tearing. She rates up with an
ophthalmologist.
her pain as 6/10. Vital signs are within
normal limits.
