Emergency Department Triage System

This document contains official clinical protocols for emergency triage. All emergency department staff must be trained and certified in these procedures.

Emergency Severity Index (ESI) - 5-Level Triage System

ESI Level 1 - Resuscitation (Immediate)

Definition: Patient requires immediate life-saving intervention

  • Cardiac arrest / Respiratory arrest
  • Severe respiratory distress with cyanosis
  • Active hemorrhage with hemodynamic instability
  • Unresponsive or obtunded (GCS 8 or less)
  • Anaphylaxis with airway compromise
  • Severe trauma with unstable vital signs

Response: Immediate physician presence, activate trauma/code team as indicated

Target door-to-provider: 0 minutes

ESI Level 2 - Emergent (High Risk)

Definition: High-risk situation or severe pain/distress

  • Chest pain with cardiac risk factors
  • Stroke symptoms (FAST positive) - Activate stroke protocol
  • Severe abdominal pain with peritoneal signs
  • Altered mental status (GCS 9-13)
  • High-risk mechanism of injury
  • Active suicidal ideation with plan
  • Severe pain (8-10/10) requiring immediate intervention
  • Immunocompromised with fever greater than 38.5C

Response: Bedside RN assessment, physician evaluation within 10 minutes

Target door-to-provider: 10 minutes or less

ESI Level 3 - Urgent

Definition: Requires multiple resources but stable vital signs

Resource Prediction: Labs, imaging, IV fluids, specialty consultation

  • Moderate abdominal pain, stable vitals
  • Moderate to severe dehydration
  • Complex lacerations requiring suturing
  • Extremity injuries with deformity
  • Acute psychiatric presentation (not actively suicidal)
  • Fever with stable vital signs in adults

Target door-to-provider: 30 minutes or less

ESI Level 4 - Less Urgent

Definition: Requires one resource

  • Simple laceration
  • Urinary symptoms requiring UA only
  • Minor orthopedic injury needing X-ray only
  • Medication refill with stable chronic condition

Target door-to-provider: 60 minutes or less

ESI Level 5 - Non-Urgent

Definition: Requires no resources

  • Minor complaints appropriate for clinic/urgent care
  • Prescription refills
  • Chronic stable complaints

Target door-to-provider: 120 minutes or less

Critical Assessment Parameters

Primary Survey (ABCDE)

ComponentAssessmentImmediate Interventions
A - AirwayPatent? Obstructed? Protected?Head tilt-chin lift, jaw thrust, suction, OPA/NPA, intubation
B - BreathingRate, depth, SpO2, breath sounds, work of breathingSupplemental O2, BVM, needle decompression if tension pneumothorax
C - CirculationPulse quality/rate, BP, skin color/temp, cap refill, active bleedingIV access, fluid resuscitation, direct pressure, tourniquet PRN
D - DisabilityGCS, pupils, blood glucose, gross motor/sensoryGlucose if hypoglycemic, C-spine precautions
E - ExposureComplete examination, temperatureRemove clothing, prevent hypothermia, log roll

Time-Critical Diagnoses

STEMI Protocol

  • Recognition: Chest pain plus ST elevation 1mm or greater in 2 contiguous leads or new LBBB
  • Target: Door-to-balloon 90 minutes or less (if PCI available), Door-to-needle 30 minutes or less (if fibrinolysis)
  • Immediate actions:
    • 12-lead ECG within 10 minutes of arrival
    • Aspirin 325mg chewed (if no contraindication)
    • Activate cardiac catheterization lab
    • IV access, continuous cardiac monitoring

Stroke Protocol (Code Stroke)

  • Recognition: FAST positive (Face droop, Arm weakness, Speech difficulty, Time to call)
  • Target: Door-to-CT 25 minutes or less, Door-to-needle 60 minutes or less for tPA eligibility
  • Immediate actions:
    • Notify stroke team immediately
    • Establish time of symptom onset (Last Known Well)
    • Obtain STAT non-contrast head CT
    • Check blood glucose, INR/PT, PTT
    • NIH Stroke Scale assessment

Sepsis Protocol (Sepsis-3 Criteria)

  • Recognition: Suspected infection plus qSOFA 2 or greater (RR 22+, altered mentation, SBP 100 or less)
  • SEP-1 Bundle (Hour-1):
    • Measure lactate level
    • Obtain blood cultures before antibiotics
    • Administer broad-spectrum antibiotics
    • Begin 30 mL/kg crystalloid for hypotension or lactate 4 mmol/L or greater

Pediatric Triage Considerations

Pediatric Assessment Triangle (PAT)

  • Appearance: Tone, interactiveness, consolability, look/gaze, speech/cry (TICLS)
  • Work of Breathing: Abnormal sounds, positioning, retractions, nasal flaring
  • Circulation to Skin: Pallor, mottling, cyanosis

Age-Specific Vital Sign Parameters

AgeHeart RateRespiratory RateSystolic BP (min)
Newborn100-16030-6060
Infant (1-12 mo)100-16024-4070
Toddler (1-3 yr)90-15022-3070 + (age x 2)
Preschool (3-6 yr)80-14020-2670 + (age x 2)
School Age (6-12 yr)70-12018-2470 + (age x 2)
Adolescent (12+ yr)60-10012-2090

Mass Casualty Incident (MCI) Triage - START System

Simple Triage And Rapid Treatment (START) for multiple casualty events

CategoryTag ColorCriteriaPriority
ImmediateREDLife-threatening, salvageable with immediate intervention1st
DelayedYELLOWSerious but can wait 4-6 hours for treatment2nd
MinorGREENWalking wounded, can wait hours to days3rd
Deceased/ExpectantBLACKNot breathing after airway opening, or injuries incompatible with survivalLast/None