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Emergency Severity Index (ESI) Implementation Handbook, 2012 Edition

Table 4-2. Examples of Resources for ESI Levels 3-5

Table 4-2. Examples of Resources for ESI Levels 3-5

ScenarioPredicted Resources
(ESI Resources in italic)
ESI Triage Category
Right lower quadrant pain:
22-year-old male, right lower quadrant abdominal pain since early this morning, also nausea, and no appetite.
ESI Resources = 2 or more
Exam
Laboratory studies
IV fluid
Abdominal CT
(possible) Surgery Consult
3
Left lower leg pain
45-year-old obese female with left lower leg pain & swelling which started 2 days ago, after driving in a car for 12 hours
ESI Resources = 2 or more
Exam
Laboratory studies
Lower extremity non-invasive vascular studies
(possible) Anticoagulant therapy
3
Ankle injury:
Healthy, 19-year-old female who twisted her ankle playing soccer. Edema at lateral malleolus, hurts to bear weight.
ESI Resources = 1
Exam
Ankle x-ray
Ace wrap
Crutch-walking instruction
4
Urinary tract infection symptoms:
Healthy, 29-year-old female with UTI symptoms, appears well, afebrile, denies vaginal discharge.
ESI Resources = 1
Exam
Urine & urine culture
(possible) Urine hCG

Prescriptions
4
Poison ivy:
Healthy 10-year-old child with 'poison ivy' on extremities.
ESI Resources = none
Exam
Prescription
5
Prescription refill:
Healthy 52-year-old who ran out of blood pressure medication yesterday. BP 150/84. No acute complaints.
ESI Resources = none
Exam
Prescription
5

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Page last reviewed November 2011
Internet Citation: Emergency Severity Index (ESI) Implementation Handbook, 2012 Edition: Table 4-2. Examples of Resources for ESI Levels 3-5. November 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/hospital/esi/esitab4-2.html