Emergency Care Situations _ First Aid & Response
Emergency
Study
Care
Guide.pdf
Situations _ First Aid & Response
Emergency
Study
Care
Guide.pdf
Situations _ First Aid & Response Study Guide.pdf
Emergency Care
Situations | First
Aid & Response
Study Guide
Emergency Care Situations _ First Aid & Response
Emergency
Study
Care
Guide.pdf
Situations _ First Aid & Response
Emergency
Study
Care
Guide.pdf
Situations _ First Aid & Response Study Guide.pdf
,Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
Triage noun and verb •Translation "to sort"
•Noun
•A preliminary assessment of patients/casualties
•Determine urgency of need for treatment
•Determine nature of treatment necessary
•Verb
•Conducting a preliminary survey
•Process to determine the urgency and nature of necessary treatment
•Life-threatening problems are treated before others
•Triage system •Identifies and categorizes patients so most critical are treated first
Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
,Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
•Emergency severity index (ESI) 5-level ED triage system (Level 1 = most urgent, Level 5 = least urgent)
Uses a triage algorithm to assign level
Based on:
Acuity (how sick the patient is)
Expected resource use (labs, imaging, IV meds, etc.)
Determines who gets treated first
Supported by: Emergency Nurses Association (ENA) & American College of
Emergency Physicians (ACEP)
SUPER HIGH-YIELD ADD-ON (you NEED this for exams)
ESI 1: Immediate life-saving intervention needed (e.g., cardiac arrest, apnea)
ESI 2: High risk / confused / severe pain or distress
ESI 3: Stable BUT needs multiple resources
ESI 4: Stable, needs 1 resource
ESI 5: Stable, needs NO resources
©
KEY TEST PEARL (don't miss this):
If patient needs immediate life-saving intervention → ESI 1 (no questions
asked) © If not, then decide based on risk + resources
ESI on exam*
table 68.2
Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
, Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
ESI-1 •ESI-1: assess for threats to life
•Is the patient in imminent danger of dying?
Stability of vital functions (ABCs): unstable
Life threat or organ threat: Obvious
Immediate life threat → treat NOW
Ask: "Is the patient about to die?"
ABCs unstable (airway, breathing, circulation)
Requires immediate life-saving intervention
Obvious life or organ threat
©
ULTRA HIGH-YIELD PEARL:
If you even think they need resuscitation → ESI 1
Examples (know these):
Cardiac arrest
Respiratory failure/apnea
Unresponsive patient
Severe shock
Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
Emergency
Study
Care
Guide.pdf
Situations _ First Aid & Response
Emergency
Study
Care
Guide.pdf
Situations _ First Aid & Response Study Guide.pdf
Emergency Care
Situations | First
Aid & Response
Study Guide
Emergency Care Situations _ First Aid & Response
Emergency
Study
Care
Guide.pdf
Situations _ First Aid & Response
Emergency
Study
Care
Guide.pdf
Situations _ First Aid & Response Study Guide.pdf
,Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
Triage noun and verb •Translation "to sort"
•Noun
•A preliminary assessment of patients/casualties
•Determine urgency of need for treatment
•Determine nature of treatment necessary
•Verb
•Conducting a preliminary survey
•Process to determine the urgency and nature of necessary treatment
•Life-threatening problems are treated before others
•Triage system •Identifies and categorizes patients so most critical are treated first
Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
,Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
•Emergency severity index (ESI) 5-level ED triage system (Level 1 = most urgent, Level 5 = least urgent)
Uses a triage algorithm to assign level
Based on:
Acuity (how sick the patient is)
Expected resource use (labs, imaging, IV meds, etc.)
Determines who gets treated first
Supported by: Emergency Nurses Association (ENA) & American College of
Emergency Physicians (ACEP)
SUPER HIGH-YIELD ADD-ON (you NEED this for exams)
ESI 1: Immediate life-saving intervention needed (e.g., cardiac arrest, apnea)
ESI 2: High risk / confused / severe pain or distress
ESI 3: Stable BUT needs multiple resources
ESI 4: Stable, needs 1 resource
ESI 5: Stable, needs NO resources
©
KEY TEST PEARL (don't miss this):
If patient needs immediate life-saving intervention → ESI 1 (no questions
asked) © If not, then decide based on risk + resources
ESI on exam*
table 68.2
Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
, Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
ESI-1 •ESI-1: assess for threats to life
•Is the patient in imminent danger of dying?
Stability of vital functions (ABCs): unstable
Life threat or organ threat: Obvious
Immediate life threat → treat NOW
Ask: "Is the patient about to die?"
ABCs unstable (airway, breathing, circulation)
Requires immediate life-saving intervention
Obvious life or organ threat
©
ULTRA HIGH-YIELD PEARL:
If you even think they need resuscitation → ESI 1
Examples (know these):
Cardiac arrest
Respiratory failure/apnea
Unresponsive patient
Severe shock
Emergency care situations.pdf Emergency care situations.pdf Emergency care situations.pdf
