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Flashcards in Intro Deck (10):
1

What is the gold standard in EM?

- Management of disease, not just dx

2

What is EMTALA?

- Emergency Medical Tx and Labor Act
- law that reqrs that anyone coming in to ED be tx and stabilized regardless of insurance or ability to pay

3

Diff types of Disaster triage?

- immediate: life threat that is easily addressed
- delayed: pt can wait w/o risk
- minimal: pt rqrs little intervention
- expectant: pt will likely die w/o major intervention or will likely die regardless of intervention

4

Components of routine ED triage?

- usually performd by nursing staff
Goals:
- define and classify urgency based on complaint and presentation
- ensure pt safety
- facilitate care and flow through ED
- satisfy legal requirements for screening

5

5 levels of rating pts in ED?

- immediate (level 1)
- very urgent (level 2)
- urgent (level 3)
- semi-urgent (level 4)
- non-urgent (level 5)

6

Immediate (level 1) rating?

- complaint or condition reqrs immediate assessment and intervention
- any delay represents an unacceptable risk
- ex:
cardiac arrest
anaphylaxis
compromised airway

7

Very urgent (level 2) rating?

- complaint or condition that requires assessment and intervention w/in 10 min
- ex:
chest pain
CVA
sig bleeding
major trauma

8

Urgent (level 3) rating?

- complaint or condition reqr assessment and intervention w/in 30-60 min
- ex:
toxic ingestions
severely painful conditions
mult organ system involvement
abnormal, non-emergent screening vital sign or test

9

Semi-urgent (level 4) rating?

- complaint or condition reqr assessment and intervention w/in 1-2 hrs
- ex:
lacerations
long bone fxs
dislocations w/o neurovasc compromise

10

Non-urgent (level 5) rating?

- complaint or condition reqr assessment and intervention w/in 2-4 hrs (or longer)
- ex:
suture removal
wound recheck
minor rash