Intro Flashcards

1
Q

What is the gold standard in EM?

A
  • Management of disease, not just dx
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2
Q

What is EMTALA?

A
  • Emergency Medical Tx and Labor Act

- law that reqrs that anyone coming in to ED be tx and stabilized regardless of insurance or ability to pay

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3
Q

Diff types of Disaster triage?

A
  • immediate: life threat that is easily addressed
  • delayed: pt can wait w/o risk
  • minimal: pt rqrs little intervention
  • expectant: pt will likely die w/o major intervention or will likely die regardless of intervention
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4
Q

Components of routine ED triage?

A
  • usually performd by nursing staff
    Goals:
  • define and classify urgency based on complaint and presentation
  • ensure pt safety
  • facilitate care and flow through ED
  • satisfy legal requirements for screening
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5
Q

5 levels of rating pts in ED?

A
  • immediate (level 1)
  • very urgent (level 2)
  • urgent (level 3)
  • semi-urgent (level 4)
  • non-urgent (level 5)
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6
Q

Immediate (level 1) rating?

A
  • complaint or condition reqrs immediate assessment and intervention
  • any delay represents an unacceptable risk
  • ex:
    cardiac arrest
    anaphylaxis
    compromised airway
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7
Q

Very urgent (level 2) rating?

A
  • complaint or condition that requires assessment and intervention w/in 10 min
  • ex:
    chest pain
    CVA
    sig bleeding
    major trauma
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8
Q

Urgent (level 3) rating?

A
  • complaint or condition reqr assessment and intervention w/in 30-60 min
  • ex:
    toxic ingestions
    severely painful conditions
    mult organ system involvement
    abnormal, non-emergent screening vital sign or test
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9
Q

Semi-urgent (level 4) rating?

A
  • complaint or condition reqr assessment and intervention w/in 1-2 hrs
  • ex:
    lacerations
    long bone fxs
    dislocations w/o neurovasc compromise
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10
Q

Non-urgent (level 5) rating?

A
  • complaint or condition reqr assessment and intervention w/in 2-4 hrs (or longer)
  • ex:
    suture removal
    wound recheck
    minor rash
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