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The Emergency Severity Index: Guidelines For Triage

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

CE: 3 hours
Rated 4.7 out of 5.0 based on 2381 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. This course is the second in a two-part series on ESI and will provide health clinicians with knowledge of the ESI guidelines and best practice principles for emergency triage.

Course Format


Course Syllabus

I.       Introduction


II.      Guidelines For Triaging And Assigning Resources


III.    The ESI And Triage Standardization


1.   History of the Emergency Severity Index


IV.     Research On The ESI


1.   Benefits of the Emergency Severity Index


V.      The ESI And Pediatric Patients


1.       Pediatric Triage and Age Dependent Differences

2.       Standardized Approaches

3.       ABCDE

4.       Patient History

5.       Pain in Children

6.       Skin Conditions and Rashes

7.       Triaging Patients Under Age One

8.       Assigning ESI Levels for Pediatric Patients

9.       Resource Considerations for Levels 3, 4, and 5

10.        Trauma Considerations

11.        Comorbid Conditions and What to Consider


VI.     Pediatric Psychiatry And ESI


VII.    Quality And The ESI


1.   Quality Indicators for ESI Triage

2.   Collecting ESI Triage Data

3.   Making Improvements and Sharing Data

4.   Collecting ESI Triage Examples


X.      Summary


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