ESI Practice Cases well solved already passed
2025 updated
1. "I was taking my
ESI level 5: No resources.
contacts out last
night, and I think This patient will need an eye exam and will be
I scratched my cornea," discharged to home with prescriptions and an
re- appointment to follow up
ports a 27-year-old
female.
"I'm wearing these sunglasses with an ophthalmologist.
because the light really
both- ers my eyes." Her
right eye is red and
tearing. She rates her pain
as 6/10. Vital signs are
within normal limits.
2. EMS presents to the ED with an ESI level 1: Requires immediate lifesaving
intervention.
18-year-old female with a sus-
pected medication The patient's respiratory rate, oxygen saturation, and
overdose. Her college inability to protect her own airway indicate the need
roommates found her for immediate endotracheal intubation.
lethargic and "not acting
right," so they called 911.
The patient has a history
of de- pression. On exam,
you no- tice multiple
superficial lacera- tions to
both wrists. Her respi-
ratory rate is 10, and her
SpO2 on room air is 86
percent.
,ESI Practice Cases well solved already passed
2025 updated
3. EMS arrived with an unrespon- ESI level 1: Requires immediate lifesaving
intervention.
sive 19-year-old male with a
single self-inflicted The patient is unresponsive and will require
gunshot wound to the immediate life- saving interventions to maintain airway,
head. Prior to intubation, breathing, circulation, and neuro status; specifically, the
his Glasgow Coma Scale patient will require imme- diate confirmation of
score was 3. endotracheal tube placement.
4.
,ESI Practice Cases well solved already passed
2025 updated
"I ran out of my blood pressure ESI level 5: No resources.
medicine, and my doctor is on
vacation. Can someone The patient needs a prescription refill and has no
here write me a other med- ical complaints. His blood pressure is
prescription?" re- controlled with his cur-
quests a 56-year-old male with rent medication. If at triage his blood pressure
was 188/124
a history of HTN. Vital signs: BP and he complained of a headache, then he would
meet the
128/84, HR 76, RR 16, T 6. A 32-year-old female presents
97°F. to the emergency department
complaining of shortness of
breath for several hours. No
past medical history, +smoker.
Vital signs: RR 32, HR 96, BP
5. A 41-year-old male
involved in a bicycle
accident walks into the
emergency depart-
ment with his right arm
in a sling. He tells you
that he fell off his bike
and landed on his right
arm. His is complaining
of pain in the wrist area
and has a 2-centimeter
laceration on his left
elbow. "My helmet
saved me," he tells you.
, ESI Practice Cases well solved already passed
2025 updated
criteria for a high-risk situation and be
assigned to ESI level
2. If this patient's BP was elevated and the
patient had no complaints, he or she would
remain an ESI level 5. The blood pressure
would be repeated and would most likely not
be treated in the ED or treated with PO
medications. ESI level 2: High risk.
ESI level 3: Two or more resources. This 32-year-old female with new-onset shortness of
breath is on birth control pills. She is a smoker and is
At a minimum, this patient will require an x-ray
exhibiting signs and symptoms of respiratory distress
of his right arm and suturing of his left elbow
(SpO2 and respiratory rate.) Based on history and
laceration.
signs and symptoms, a pulmonary
126/80, SpO2 93% on room air, embolus, as well as other potential causes for her
respiratory
T 98.6°F. No allergies, distress, must be ruled out.
current
2025 updated
1. "I was taking my
ESI level 5: No resources.
contacts out last
night, and I think This patient will need an eye exam and will be
I scratched my cornea," discharged to home with prescriptions and an
re- appointment to follow up
ports a 27-year-old
female.
"I'm wearing these sunglasses with an ophthalmologist.
because the light really
both- ers my eyes." Her
right eye is red and
tearing. She rates her pain
as 6/10. Vital signs are
within normal limits.
2. EMS presents to the ED with an ESI level 1: Requires immediate lifesaving
intervention.
18-year-old female with a sus-
pected medication The patient's respiratory rate, oxygen saturation, and
overdose. Her college inability to protect her own airway indicate the need
roommates found her for immediate endotracheal intubation.
lethargic and "not acting
right," so they called 911.
The patient has a history
of de- pression. On exam,
you no- tice multiple
superficial lacera- tions to
both wrists. Her respi-
ratory rate is 10, and her
SpO2 on room air is 86
percent.
,ESI Practice Cases well solved already passed
2025 updated
3. EMS arrived with an unrespon- ESI level 1: Requires immediate lifesaving
intervention.
sive 19-year-old male with a
single self-inflicted The patient is unresponsive and will require
gunshot wound to the immediate life- saving interventions to maintain airway,
head. Prior to intubation, breathing, circulation, and neuro status; specifically, the
his Glasgow Coma Scale patient will require imme- diate confirmation of
score was 3. endotracheal tube placement.
4.
,ESI Practice Cases well solved already passed
2025 updated
"I ran out of my blood pressure ESI level 5: No resources.
medicine, and my doctor is on
vacation. Can someone The patient needs a prescription refill and has no
here write me a other med- ical complaints. His blood pressure is
prescription?" re- controlled with his cur-
quests a 56-year-old male with rent medication. If at triage his blood pressure
was 188/124
a history of HTN. Vital signs: BP and he complained of a headache, then he would
meet the
128/84, HR 76, RR 16, T 6. A 32-year-old female presents
97°F. to the emergency department
complaining of shortness of
breath for several hours. No
past medical history, +smoker.
Vital signs: RR 32, HR 96, BP
5. A 41-year-old male
involved in a bicycle
accident walks into the
emergency depart-
ment with his right arm
in a sling. He tells you
that he fell off his bike
and landed on his right
arm. His is complaining
of pain in the wrist area
and has a 2-centimeter
laceration on his left
elbow. "My helmet
saved me," he tells you.
, ESI Practice Cases well solved already passed
2025 updated
criteria for a high-risk situation and be
assigned to ESI level
2. If this patient's BP was elevated and the
patient had no complaints, he or she would
remain an ESI level 5. The blood pressure
would be repeated and would most likely not
be treated in the ED or treated with PO
medications. ESI level 2: High risk.
ESI level 3: Two or more resources. This 32-year-old female with new-onset shortness of
breath is on birth control pills. She is a smoker and is
At a minimum, this patient will require an x-ray
exhibiting signs and symptoms of respiratory distress
of his right arm and suturing of his left elbow
(SpO2 and respiratory rate.) Based on history and
laceration.
signs and symptoms, a pulmonary
126/80, SpO2 93% on room air, embolus, as well as other potential causes for her
respiratory
T 98.6°F. No allergies, distress, must be ruled out.
current
