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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

LLQ DDX

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