Pediatric emergency medicine trisk 0129 0129
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TABLE 6.1
HIGH-RISK PATIENTS
• Hematology/oncology patient with
fever
• Shunt patient with headache,
nausea/vomiting, and/or fever
• Diabetic with altered mental status,
± nausea/vomiting
• Bleeding disorder with significant
trauma
• Ocular exposure
• Postoperative tonsillectomy and
adenoidectomy bleed
• Suicidal ideation or attempt
• Gastrostomy tube or gastrojejunal
tube out and unable to place Foley
in stoma in triage
• Smoke inhalation/carbon monoxide
exposure
• Open fracture or altered
neurovascular status with
deformity
• Abdominal pain with peritoneal
signs
• Sickle cell patient with fever or pain
• Cardiac patient with change in normal
saturation and/or increased need for
O2
• Infants ≤60 days with
fever/hypothermia (temp ≤36°C or
≥38°C rectal by history or in ED)
• Eye injury with significant pain
• Scrotal pain
• Apparent life-threatening event with
history of cyanosis
• Ingestions (excluding foreign body)—
consult ED physician for non–
foreign-body ingestions
• Cervical spine immobilized and on
backboard
• Abdominal trauma with significant
abdominal pain
• Permanent tooth available for
reimplantation
TABLE 6.2
TRIAGE RESOURCES
Aerosol treatments
IV or IM medications
Labs (blood, urine, cultures)
X-rays
ECG
CT or ultrasound
Specialty consultation
IV fluids
NG tube
Simple procedure = 1 (Laceration or Foley)
Complex procedure = 2 (sedation)
