It is normal that when you suffer an accident of any kind, the first reaction you have is to go to an emergency center where the illness is attended to, and we expect that attention will be provided immediately, without bearing in mind that not everything is due to immediate attention and that there are priority levels.
What is triage?
The term triage or triage comes from the French word “to choose” which is defined as choosing, separating or classifying, was originally used by the military to classify soldiers wounded in combat, in order to establish the priority of care.
According to MinSalud, it is the method of selection and classification of patients in emergency services in Colombia, this classification is based on the needs and resources available for care, according to Resolution 5596 of December 24, 2015.
One of the classification systems used in triage is the emergency severity index – ESI, which is an algorithm that establishes the 5 levels with which the patient who arrives at the emergency room is characterized, and that evaluates:
The severity of the clinical condition, which is determined according to the stability of vital functions and the possibility that life, limb or organ is threatened. The intensity of the pain that already presents the presence of an alteration of his state of consciousness.
The necessary resources, it is defined by the amount of resources expected to be able to make the decision on its disposition (discharge, admission, observation or referral).
How is triage classified?
The person has a clinical condition that puts their life in danger, so they must be attended to immediately, some situations can be: patients with cardiorespiratory arrest, cerebrovascular accidents, severe bleeding, loss of consciousness, loss of ‘a member or organ, among others.
The patient can rapidly deteriorate, lose a limb or organ or die and must be treated within 30 minutes. At this level, patients can present with very severe or extreme pain, injuries to non-vital organs, high-impact trauma such as falls from a height, among other pathologies.
The patient requires diagnostic and therapeutic measures in the emergency room and may have an approximate waiting time of 2 to 4 hours. They can occur in patients with mild, acute pain, such as most abdominal pain.
The patient presents medical conditions that do not compromise his general condition, nor represent an obvious risk to life or the loss of a limb or organ and may have an approximate care time of 4 to 12 hours. They can be patients with acute pain of mild intensity such as soft tissue trauma or foreign bodies in the ears.
The patient has a clinical condition related to acute or chronic problems without evidence of deterioration that compromises the general condition, may have an approximate care time of 12 to 24 hours. They can be patients with joint pain, chronic or not intense, they can also be patients with basic diseases for which the medicine has run out.
It should be noted that the attention times to levels III, IV and Vare not defined in the health regulations, so it is the criterion of the institution that provides this emergency service, the time of care, in the same way, these patients can access priority consultations in the places defined by their insurers
At the Shaio Clinic, being a highly complex center, the aim of this tool is to standardize the initial assessment of the patient (especially with cardiovascular and neurocardiovascular problems), identifying in the shortest time if they require immediate attention or classifying them according to the severity of signs and symptoms. This is carried out by qualified nurses in this classification system.
4 points that are taken into account for triage classification:
If the patient requires immediate resuscitation.
If you are a patient you should not wait.
Patients’ vital signs.
to our emergency service we have a skilled and specialized human team to attend to the patient, we provide support in services such as diagnostic images, clinical laboratory, cardiology, neurology, surgery, and other subspecialties. We have specialized interventional areas to treat cardiovascular problems, in addition to being one Center of Excellence for treating stroke patients.
This article had the advice of Dr. Alberto Lineros, hospital and emergency medical director of the Shaio Clinic.