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Algoritma Esi
Algoritma Esi
2014-06-13
JNUH dep. of EM
Sung Wook Song
The Emergency Severity Index
• Wuerz and Eitel – 1998
• Fundamentally the closest to when triage originated
• Principal goal of triage is to facilitate prioritization of patients based on
the urgency of the condition
– Which person is seen first
– How many resources will they require
• Patient sorting + patient streaming
• Underlying assumptions of the 1st 3 5-tier systems was “how long can
the patients wait
• There is no time allocation in ESI
• Dying patient- see immediately
• Sick appearing patient- “shouldn’t wait”
• The lower 3 levels are categorized based on resource needs
Patient dying?
no
yes 1
Shouldn’t wait?
yes
no
Vital signs
5 4 abnormal
no
3
Decision Point A
• Is the patient dying