Flashcards in Triage Deck (30)
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1
Resuscitation
Level 1
2
Emergent
Level 2
3
Urgent
Level 3
4
Less Urgent
Level 4
5
Non-urgent
Level 5
6
Level 1
Resuscitation
Immediate, life-saving intervention required without delay
Cardiac arrest
Massive bleeding
7
Level 2
Emergent
High risk of deterioration, or signs of a time-critical problem
Cardiac-related chest pain
Asthma attack
8
Level 3
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
9
Level 4
Less Urgent
Stable, with only one type of resource anticipated (such as only an X-ray, or only sutures)
Simple laceration
Pain on urination
10
Level 5
Non-urgent
Stable, with no resources anticipated except oral or topical medications, or prescriptions
Rash
Prescription refill
11
Stable, with no resources anticipated except oral or topical medications, or prescriptions
Level 5
12
High risk of deterioration, or signs of a time-critical problem
Level 2
13
Stable, with only one type of resource anticipated (such as only an X-ray, or only sutures)
Level 4
14
Stable, with multiple types of resources needed to investigate or treat (such as lab tests plus X-ray imaging)
Level 3
15
Immediate, life-saving intervention required without delay
Level 1
16
Abdominal pain
High fever with cough
Level 3 - Urgent
17
Cardiac-related chest pain
Asthma attack
Level 2 - Emergent
18
Rash
Prescription refill
Level 5 - Non Urgent
19
Simple laceration
Pain on urination
Level 4 - Less Urgent
20
Cardiac arrest
Massive bleeding
Level 1 - Resuscitation
21
Primary Survey
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
When assessing airway, be sure to
1. Provide O2 / ventilation
2. Expose neck and chest for proper PE
23
Secondary Survey
1. Full History and PE (head to toe)
2. Labs / radiology
3. Management
24
Abdominal pain DDX
Intraabdominal
- Gastrointestinal GI
- Genitourinary GU
- Gynecological GYN
- Vascular emergencies
Extraabdominal less common
- Cardiopulmonary
- Abdominal wall
- Toxic metabolic
- Neurogenic
Nonspecific abdominal pain
25
Life-threatening abdominal pain ddx
Abdominal aortic aneurysm
Bowel obstruction
Ruptured ectopic pregnancy or ectopic pregnancy
Splenic rupture
Myocardial infarction
Mesenteric ischemia
GI perforation
Testicular torsion
Ovarian torsion
26
Abdominal pain diagnostics
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
RUQ DDX
Gallbladder and biliary tract
Hepatitis
Hepatomegaly
Peptic ulcer
Pancreatitis
Retrocecal appendicitis
Renal pain
Herpes zoster
MI
PNA
Empyema
28
LUQ DDX
Gastritis
Pancreatitis
Splenic (enlargement, rupture, aneurysm, infraction)
MI
Renal pain
Herpes zoster
PNA
empyema
29
RLQ DDX
Appendicitis
Intestinal obstruction
Regional enteritis
Diverticulitis
Perforated ulcer
Ectopic pregnancy
Ovarian cyst or torsion
Endometriosis
30
