Table 3-4. Predicting Resources
| ESI Level |
Patient Presentation |
Interventions |
Resources |
| 5 |
Healthy 10-year-old child with poison ivy |
Needs an exam and prescription |
None |
| 5 |
Healthy 52-year-old male ran out of blood
pressure medication yesterday; BP 150/92 |
Needs an exam and prescription |
None |
| 4 |
Healthy 19-year-old with sore throat and fever |
Needs an exam, throat culture,
and prescriptions |
Lab (throat culture)* |
| 4 |
Healthy 29-year-old female with a urinary
tract infection, denies vaginal discharge |
Needs an exam, urine, and urine culture, maybe urine hCG, and prescriptions |
Lab (urine, urine C&S,
urine hCG)** |
| 3 |
A 22-year-old male with right lower
quadrant abdominal pain since early
this morning + nausea, no appetite |
Needs an exam, lab studies, IV fluid, abdominal CT, and perhaps surgical consult |
2 or more |
| 3 |
A 45-year-old obese female with left lower
leg pain and swelling, started 2 days
ago after driving in a car for 12 hours |
Needs exam, lab, lower extremity non-invasive vascular studies |
2 or more |
* In some regions, throat cultures are not routinely performed; instead, the patient is treated based on
history and physical exam. If that is the case, the patient would be an ESI level 5.
** All 3 tests count as one resource (Lab).
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