|
|
| Respiratory (RESP) |
- Airway compromise
- Severe respiratory distress, inadequate breathing
- Critical asthma
- Chest trauma with respiratory distress
|
| Neurological (CNS) |
- Major head injury
- Unconscious or unresponsive
- Active seizure state
|
| Cardiovascular (CVS) |
- Cardiac arrest
- Shock or hypotension
- Exsanguinating hemorrhage
|
| Musculoskeletal (MSK) |
- Major trauma
- Traumatic amputation -- extremity
- Major cold injury -- hypothermia
|
| Skin |
- Burn, >25% body surface area (BSA) or airway involvement
|
| Gastrointestinal (GI) |
- Difficulty swallowing, with airway or respiratory compromise
- Abdominal trauma -- penetrating or blunt -- signs or symptoms of shock
|
| Gynecological (GYN) |
- Vaginal bleeding, patient with abnormal vital signs
|
Hematologic/Immunologic
(HEM/IMMUN) |
|
| Endocrine (ENDO) |
- Diabetic -- altered consciousness
|
| Behaviour |
|
| Infection (INF) |
|
| Child abuse |
- Unstable situation or conflict
|
| |
|
|
| RESP |
- Marked stridor
- Moderate respiratory distress
- Severe asthma
- Foreign body aspiration with respiratory distress
- Inhalation of toxic substances
|
| CNS |
- Moderate head injury with altered mental state
- Altered consciousness
- Shunt dysfunction -- patient appears ill
- Sudden onset of confusion, weakness, severe headache
|
| CVS |
- Significant tachycardia
- Bradycardia
- Severe dehydration
- Uncontrolled major hemorrhage
|
| MSK |
- Traumatic amputation -- digit
- Fracture, open or with neurovascular impairment
- Back pain with neurologic deficit
- Avulsed permanent tooth
|
| Skin |
- Burn, >10% BSA or face, hand or foot involvement
- Burn, chemical or electrical
- Purpuric rash
|
| GI |
- Acute bleeding, vomitus or rectal
- Abdominal pain with vomiting, diarrhea, or abnormal vital signs
|
| Genitourinary (GU) |
- Severe testicular pain
- Urine retention >24 hours
- Paraphimosis, priapism
|
| GYN |
- Possible ectopic pregnancy with normal vital signs
- Severe vaginal bleeding
|
| Eye/ear/nose/throat (EENT) |
- Chemical substance in eye
- Burn, penetration, of eye
- Orbital infection
- Impaled object or amputation of ear
- Uncontrolled epistaxis / post T&A bleeding
- Sore throat with drooling, stridor, or difficulty swallowing
- Hoarseness, sudden onset with history of trauma to larynx
|
| HEM/IMMUN |
- Bleeding disorder
- Fever -- neutropenia / sickle cell disease
|
| ENDO |
- Diabetic -- ketoacidosis / hypoglycemia
|
| Psychiatry (PSYCH) |
- Toxic overdose
- High risk of harm to self or others
- Violent behaviour
|
| Behaviour |
- Lethargic child
- Infant <7 days old
|
| INF |
- Any infant or child with toxic appearance
- Infant <3 months, temperature <36° or >=38°C
|
| Child abuse |
|
| Pain |
|
| |
|
|
| RESP |
- Stridor
- Mild respiratory distress
- Moderate asthma
- Foreign body aspiration, cough present, with no distress
- Constant cough, appears distressed
|
| CNS |
- Minor head injury, GCS ¾15
- History of altered consciousness
- Headache
- Possible shunt obstruction with no distress
- Seizure prior to emergency visit, not actively seizuring
|
| CVS |
- Tachycardia
- Signs of dehydration
- Uncontrolled minor hemorrhage
|
| MSK |
- Probable fracture with no neurovascular deficit
- Tight cast with possible neurovascular impairment
- Joint pain with fever
- Dental trauma
|
| Skin |
- Burn, partial thickness and <10% BSA
- Burn, full thickness <5% BSA
- Localized cold injury
- Cellulitis -- patient appears ill, or is febrile
- Complex lacerations
|
| GI |
- Persistent or bilious vomiting
- Vomiting or diarrhea <2 years
- Possible appendicitis
|
| GU |
- Moderate testicular pain or swelling
- Inguinal bulge with pain
- Urinary retention >8 hours
|
| GYN |
- Vaginal bleeding with normal vital signs
|
| EENT |
- Foreign body in nose causing pain or possible risk of aspiration
- Epistaxis, controlled / history of post T&A bleeding
- Puncture wound of soft palate
- Tonsil pustules with difficulty swallowing
- Hearing problem -- acute onset
- History of postoperative bleeding -- tonsillectomy or adenoidectomy
- Foreign body in ear
- Periorbital swelling with fever
- Sudden vision change
|
| HEM/IMMUN |
- Sickle cell crisis
- Moderate allergic reaction
|
| ENDO |
- Diabetic -- Hyperglycemia
|
| PSYCH |
- Ingestion requiring observation
- Moderate risk of harm to self or others
- Disruptive or distressed
|
| Behaviour |
- Unconsolable infant
- Infant not feeding
|
| INF |
- Infant 336 months, temperature >38.5°C
|
| Child abuse |
- Physical assault
- Sexual assault <48 hours
|
| Pain |
|
| |
|
|
| RESP |
- Mild asthma
- Possible foreign body aspiration with no history of distress
- Minor chest injury with no respiratory distress
|
| CNS |
- Minor head injury -- no vomiting or altered consciousness, GCS = 15
- Chronic or repeating headache with no acute distress
|
| CVS |
- Chest pain with normal vital signs
|
| MSK |
- Possible extremity fracture, green-stick or buckle
- Sprain or strain
- Extremity swelling
|
| Skin |
- Minor cold injury -- no discolouration -- minimal pain
- Localized cellulitis
- Minor burn
|
| GI |
- Constipation; not eating; cramps
- Abdominal pain with vomiting or diarrhea >2 years old
|
| GU |
- Scrotal trauma
- Possible urinary infection
|
| EENT |
- Corneal foreign body or abrasion
- Crusting, matting, discharge from eye
- Ear drainage
- Earache
|
| HEM/IMMUN |
|
| PSYCH |
- Low risk of harm to self or others
- Depression
|
| Behaviour |
- Irritable consolable infant
- Atypical behaviour
|
| INF |
- Child >36 months with temperature >38.5°C, non toxic appearance
|
| Child abuse |
- Signs or history of family violence
|
| Pain |
|
| |
|
|
| Skin |
- Superficial burn
- Minor lacerations, abrasions, contusions
- Localized rash
- Minor bite
|
| GI |
- Vomiting or diarrhea, no pain or dehydration, normal vital signs
|
| EENT |
- Sore throat, laryngitis, minor mouth sores
- Nasal congestion, allergy or upper respiratory infection
- Conjunctivitis
|
| PSYCH |
- Chronic symptoms with no acute changes
|
| Pain |
|
