
| Vol 1/Issue 1 ~ Triage First Quarterly Newsletter ~ 4th Quarter, 2006 | |
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Two-Day Course Comments "Absolutely, positively awesome course!" "The instructors are dynamite!" "Their knowledge base, expertise, and professionalism clearly shine through." "Triage First's course will greatly add to my nursing practice. I sincerely thank you for that!" "Everything covered was nurse-driven – this class is for nurses, by nurses." "Two-day course is real world knowledge – now I can't wait to go to the Triage Specialist Course."
2007 Workshops Santa Barbara, CA January 11-12 Decatur, GA February 1-2 San Francisco, CA February 22-23 Albuquerque, NM March 13-14 Charlotte, NC April 17-18 St. Louis, MO May 8-9 Washington, DC June 19-20 More info
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Triage Specialist Course Comments "The Triage Specialist Course was a wonderful complement to the 2-day course...taking triage concepts to new heights." "The best course I have ever taken – I have been a nurse for 39 years, 30 of them in the ED. At last we have a course that teaches a methodical method for triage!" "I have spent 30 of the last 32 years in emergency nursing. I've learned more from this course than any other course I've taken." "It offers practical situations and solutions to our real life emergency departments." "I feel it will positively impact our practice." "The course was excellent, realistic and applicable."
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Newsletter Contents
Front Page Welcome! Case Presentation Ask the Experts Literature & Research What's New at Triage First Triage First Services Ask the Experts Five-level acuity scales: I'll drink to that! Question: ESI (Emergency Severity Index) seems to say that I have to make every drunk, unconscious patient a Level 1 – is that true?
Answer: Yes, it is true. According to the Emergency Severity Index, Version 4: Implementation Handbook, "Any patient who is unresponsive, including the intoxicated patient who is unresponsive to painful stimuli, meets the Level 1 criteria and should receive immediate evaluation." ESI further defines unresponsiveness as a patient that either: "(1) is nonverbal and not following commands (acutely) or (2) requires noxious stimulus (P or U on AVPU scale)." It is important to note that the Canadian Triage Acuity Scale (CTAS) would also assign this patient a Level 1 - Resuscitation category. CTAS defines Level 1 as: "conditions that are threats to life or limb (or imminent risk of deterioration) requiring immediate aggressive interventions." Any unresponsive patient that is not already intubated is at risk for airway compromise regardless of the cause of the unresponsiveness.
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