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Emergency Severity Index (ESI) Implementation Handbook, 2012 Edition

Table 6-6. Examples of Pediatric Trauma and ESI Levels

Table 6-6. Examples of Pediatric Trauma and ESI Levels

Patient PresentationResourcesESIRationale
EMS arrives with a 7-year-old male who was hit by a car. Child is somnolent, appears pale, non-labored respirations.Life-saving intervention, no need to assess for number of resourcesESI level 1Life threatening injury
14-year-old female is brought in by EMS after diving into the pool and hitting her head. She is awake, alert, and moving all extremities. She is currently immobilized on a back board with c-collar in place. VS: BP 118/72, HR 76, RR 14.High risk injury, no need to assess for number of resourcesESI level 2High risk injury due to the mechanism.
14-year-old male brought in by EMS who was tackled while playing football. He has an obvious deformity to his right lower leg. He has +2 pedal pulses and his toes are warm and dry. He is able to wiggle his toes. No head/neck injuries reported. VS: 118/78, HR 88, RR 18, T 98.2°F, Pain 6/10.More than one resource.ESI level 3Fracture will need reduction. He will need x rays, labs, IV antibiotics and pain medication
12-year-old female brought into the ED by mother. Claims she cut her thumb while washing dishes. She has a 2 cm superficial laceration to her right thumb. VS: BP 110/70, HR 72, RR 14, T 98.0°F.One resource.ESI level 4Will require suturing

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Page last reviewed November 2011
Internet Citation: Emergency Severity Index (ESI) Implementation Handbook, 2012 Edition: Table 6-6. Examples of Pediatric Trauma and ESI Levels. November 2011. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/systems/hospital/esi/esitab6-6.html