Triage Flashcards

1
Q

Resuscitation

A

Level 1

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2
Q

Emergent

A

Level 2

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3
Q

Urgent

A

Level 3

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4
Q

Less Urgent

A

Level 4

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5
Q

Non-urgent

A

Level 5

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6
Q

Level 1

A

Resuscitation

Immediate, life-saving intervention required without delay

Cardiac arrest
Massive bleeding

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7
Q

Level 2

A

Emergent

High risk of deterioration, or signs of a time-critical problem

Cardiac-related chest pain
Asthma attack

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8
Q

Level 3

A

Urgent

Stable, with multiple types of resources needed to investigate or treat (such as lab tests plus X-ray imaging)

Abdominal pain
High fever with cough

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9
Q

Level 4

A

Less Urgent

Stable, with only one type of resource anticipated (such as only an X-ray, or only sutures)

Simple laceration
Pain on urination

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10
Q

Level 5

A

Non-urgent

Stable, with no resources anticipated except oral or topical medications, or prescriptions

Rash
Prescription refill

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11
Q

Stable, with no resources anticipated except oral or topical medications, or prescriptions

A

Level 5

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12
Q

High risk of deterioration, or signs of a time-critical problem

A

Level 2

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13
Q

Stable, with only one type of resource anticipated (such as only an X-ray, or only sutures)

A

Level 4

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14
Q

Stable, with multiple types of resources needed to investigate or treat (such as lab tests plus X-ray imaging)

A

Level 3

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15
Q

Immediate, life-saving intervention required without delay

A

Level 1

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16
Q

Abdominal pain

High fever with cough

A

Level 3 - Urgent

17
Q

Cardiac-related chest pain

Asthma attack

A

Level 2 - Emergent

18
Q

Rash

Prescription refill

A

Level 5 - Non Urgent

19
Q

Simple laceration

Pain on urination

A

Level 4 - Less Urgent

20
Q

Cardiac arrest

Massive bleeding

A

Level 1 - Resuscitation

21
Q

Primary Survey

A

TRAUMA - Identifying life-threatening conditions

  1. Airway patency / signs of obstruction
  2. Breathing
  3. Circulation
  4. Disability
  5. Exposure (able to visualize entire body)
22
Q

When assessing airway, be sure to

A
  1. Provide O2 / ventilation

2. Expose neck and chest for proper PE

23
Q

Secondary Survey

A
  1. Full History and PE (head to toe)
  2. Labs / radiology
  3. Management
24
Q

Abdominal pain DDX

A

Intraabdominal

  • Gastrointestinal GI
  • Genitourinary GU
  • Gynecological GYN
  • Vascular emergencies

Extraabdominal less common

  • Cardiopulmonary
  • Abdominal wall
  • Toxic metabolic
  • Neurogenic

Nonspecific abdominal pain

25
Q

Life-threatening abdominal pain ddx

A
Abdominal aortic aneurysm
Bowel obstruction
Ruptured ectopic pregnancy or ectopic pregnancy
Splenic rupture
Myocardial infarction
Mesenteric ischemia
GI perforation
Testicular torsion
Ovarian torsion
26
Q

Abdominal pain diagnostics

A
CBC
CMP/BMP/LFTs
Lipase 
PT/PTT/INR
Pregnancy test
Urinalysis
Pelvic cultures
CXR
Ultrasound (gallbladder, appendix, pelvic, trans abdominal)
CT abdomen and pelvis
27
Q

RUQ DDX

A
Gallbladder and biliary tract
Hepatitis
Hepatomegaly
Peptic ulcer
Pancreatitis
Retrocecal appendicitis
Renal pain
Herpes zoster
MI
PNA
Empyema
28
Q

LUQ DDX

A
Gastritis
Pancreatitis
Splenic (enlargement, rupture, aneurysm, infraction)
MI
Renal pain
Herpes zoster
PNA
empyema
29
Q

RLQ DDX

A
Appendicitis
Intestinal obstruction
Regional enteritis
Diverticulitis
Perforated ulcer 
Ectopic pregnancy
Ovarian cyst or torsion
Endometriosis
30
Q

LLQ DDX

A
Diverticulitis
Intestinal obstruction
Appendicitis
Leaking aneurysm
Abdominal wall hematoma
Ectopic pregnancy
Ureteral calculi
Renal pain 
Psoas abscess
Seminal vasculitis