Med Surg Exam 3- Emergency Severity Index/ Triage/ Multiple
Trauma with all Correct & 100% Verified Answers |Already Graded
A+
1. ESI Level 1 Immediate lifesaving Intervention.
Does this person require immediate life-saving intervention?
To decide if the patient requires immediate life saving interventions
assess ABD (airway, breathing, circulation)
2. ESI Level 1: Airway unstable,
Clinical
Apneic,
Conditions
Intubated,
Severe respiratory
distress, Pulse ox Less
than 90%, Pulseless,
Emergency medications: atropine,
Unresponsive,
Acute mental status
change. Cardiac arrest.
Overdose with bradypnea,
3. ESI Level 2 Is this a person who shouldn't wait?
Should be seen within about 10 mins.
Vital signs aren't totally unstable but there is a
potential, Multiple diagnostic tests needed,
Continuous monitoring,
Could this patient quickly deteriorate?
Assess for high-risk situations, confused, lethargic, disoriented, severe
pain (7/10 or above), mental, emotional or psychological distress.
4. ESI Level 2: Active chest pain.
Clinical
Stroke
Conditions
symptoms.
Needle stick injury to HC workers.
1/
24
, Med Surg Exam 3- Emergency Severity Index/ Triage/ Multiple
Trauma with all Correct & 100% Verified Answers |Already Graded
A+
S
u
i
c
i
d
a
l
o
r
h
o
m
i
c
i
d
a
l
.
Immunocompromised with
fever.
2/
24
, Med Surg Exam 3- Emergency Severity Index/ Triage/ Multiple
Trauma with all Correct & 100% Verified Answers |Already Graded
A+
High risk situation is one whose condition could easily deteriorate or
who pre-sents with symptoms suggestive of a condition requiring time-
sensitive treatment; potential life, limb or organ threat.
5. ESI Level 3 How many resources is this person going to need?
Many resources:
-Labs,
-EKG, CT, MRI, X-ray,
-I.V fluids, IM, Neb
treatment. For Example:
"A 45 -year- old obese female with left lower calf pain and swelling who
just drove 12 hours".
1st Step: consider vital signs- All normal.
2nd Step: consider resources- Needs labs, u/s, anticoagulant therapy
(many resources).
(Consider vital signs, if danger vital signs are
present, then assign ESI 2. )
6. ESI Level 3: Abdominal pain or gynecologic disorders unless in severe
Clinical
distress, Hip fracture in older patients.
Conditions
7. ESI Level 4 One resource
needed.
Examples:
-Ankle injury- needs x-ray, crutches , ace wrap.
-UTI no fever- Lab for urine and culture.
8. ESI Level 4: Closed extremity trauma,
Clinical
Simple laceration,
Conditions
Cystitis.
3/
24
Trauma with all Correct & 100% Verified Answers |Already Graded
A+
1. ESI Level 1 Immediate lifesaving Intervention.
Does this person require immediate life-saving intervention?
To decide if the patient requires immediate life saving interventions
assess ABD (airway, breathing, circulation)
2. ESI Level 1: Airway unstable,
Clinical
Apneic,
Conditions
Intubated,
Severe respiratory
distress, Pulse ox Less
than 90%, Pulseless,
Emergency medications: atropine,
Unresponsive,
Acute mental status
change. Cardiac arrest.
Overdose with bradypnea,
3. ESI Level 2 Is this a person who shouldn't wait?
Should be seen within about 10 mins.
Vital signs aren't totally unstable but there is a
potential, Multiple diagnostic tests needed,
Continuous monitoring,
Could this patient quickly deteriorate?
Assess for high-risk situations, confused, lethargic, disoriented, severe
pain (7/10 or above), mental, emotional or psychological distress.
4. ESI Level 2: Active chest pain.
Clinical
Stroke
Conditions
symptoms.
Needle stick injury to HC workers.
1/
24
, Med Surg Exam 3- Emergency Severity Index/ Triage/ Multiple
Trauma with all Correct & 100% Verified Answers |Already Graded
A+
S
u
i
c
i
d
a
l
o
r
h
o
m
i
c
i
d
a
l
.
Immunocompromised with
fever.
2/
24
, Med Surg Exam 3- Emergency Severity Index/ Triage/ Multiple
Trauma with all Correct & 100% Verified Answers |Already Graded
A+
High risk situation is one whose condition could easily deteriorate or
who pre-sents with symptoms suggestive of a condition requiring time-
sensitive treatment; potential life, limb or organ threat.
5. ESI Level 3 How many resources is this person going to need?
Many resources:
-Labs,
-EKG, CT, MRI, X-ray,
-I.V fluids, IM, Neb
treatment. For Example:
"A 45 -year- old obese female with left lower calf pain and swelling who
just drove 12 hours".
1st Step: consider vital signs- All normal.
2nd Step: consider resources- Needs labs, u/s, anticoagulant therapy
(many resources).
(Consider vital signs, if danger vital signs are
present, then assign ESI 2. )
6. ESI Level 3: Abdominal pain or gynecologic disorders unless in severe
Clinical
distress, Hip fracture in older patients.
Conditions
7. ESI Level 4 One resource
needed.
Examples:
-Ankle injury- needs x-ray, crutches , ace wrap.
-UTI no fever- Lab for urine and culture.
8. ESI Level 4: Closed extremity trauma,
Clinical
Simple laceration,
Conditions
Cystitis.
3/
24
