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The Emergency Severity Index

Author: Jassin M. Jouria, MD
(Click author's name for bio)

CE: 3 hours Pharmacology: 0.5 hour
Rated 4.7 out of 5.0 based on 2329 reviews

Course Summary

One of the main challenges encountered by emergency departments is determining how to appropriately triage patients. Although some systems only take into account a single determining factor, the Agency for Healthcare Research and Quality promotes a system that considers both the acuity of patients’ health care problems as well as the number of resources needed to treat them. The Emergency Severity Index (ESI) provides emergency departments with a unique tool to ensure that the most at-risk patients are being seen and treated in the most efficient manner.

Course Format


Course Syllabus

I.       Introduction
II.      ESI Triage Fundamentals
III.    Level 1
1.   Evaluation at Level 1
2.   Decision Point A: Immediate Intervention?
3.   Level 1 Emergency Department Interventions
IV.     Level 2
1.   Decision Point B: High Risk Situation?
2.   Decision Point C: Determining Resources
3.   Decision Point D: Vital Signs
4.   Predicting Resources: Levels 3,4, 5
V.      Physical And Medical Conditions Influencing ESI Triage Categories
1.       Abdominal and Gastrointestinal
2.       Cardiovascular
3.       Nose and Throat
4.       Respiratory
5.       Toxicological
6.       Other Medical Conditions
7.       Neurological
8.       Mental Health
9.       Pediatric
10.        Transplant
11.        Trauma
12.        Environmental
13.        Special Situations
VI.     Levels 3, 4 And 5 Compared
VII.    Summary


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