Abstract
ED triage is the process of quickly sorting patients to determine the priority for further evaluation and care at the time of patient arrival in the emergency department [1]. This definition of ED triage by the ACEP/ENA Five-level Triage Task Force is universally applicable for all ED patients irrespective of their complaint or age. However, adherence to all aspects of this definition often becomes challenging when older ED patients present at the ED front door.
References
Fernandes CM et al (2005) Five-level triage: a report from the ACEP/ENA five-level triage task force. J Emerg Nurs 31(1):39–50
Safwenberg U, Terent A, Lind L (2007) The emergency department presenting complaint as predictor of in-hospital fatality. Eur J Emerg Med 14(6):324–331
Bhalla MC et al (2014) Weakness and fatigue in older ED patients in the United States. Am J Emerg Med 32(11):1395–1398
Bingisser R, Nickel CH (2013) The last century of symptom-oriented research in emergency presentations - have we made any progress? Swiss Med Wkly 143:w13829
Day JJ et al (1987) Acute myocardial infarction: diagnostic difficulties and outcome in advanced old age. Age Ageing 16(4):239–243
Croskerry P, Singhal G, Mamede S (2013) Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ Qual Saf 22(Suppl 2):ii58–ii64
Lamantia MA et al (2013) Predictive value of initial triage vital signs for critically ill older adults. West J Emerg Med 14(5):453–460
Buist M et al (2004) Association between clinically abnormal observations and subsequent in-hospital mortality: a prospective study. Resuscitation 62(2):137–141
Manchester Triage Group, et al (eds) (2006) Emergency triage, 2nd edn. Blackwell Publishing Ltd
Parenti N et al (2014) A systematic review on the validity and reliability of an emergency department triage scale, the Manchester triage system. Int J Nurs Stud 51(7):1062–1069
Baumann MR, Strout TD (2007) Triage of geriatric patients in the emergency department: validity and survival with the emergency severity index. Ann Emerg Med 49(2):234–240
Grossmann FF et al (2012) At risk of undertriage? Testing the performance and accuracy of the emergency severity index in elderly ED patients. Ann Emerg Med 60(3):317–325
Grossmann FF et al (2011) Transporting clinical tools to new settings: cultural adaptation and validation of the emergency severity index in german. Ann Emerg Med 57(3):257–264
Emergency Nurses Association (2011) Triage qualifications - position statement. Available from: https://www.ena.org/SiteCollectionDocuments/Position%20Statements/TriageQualifications.pdf
Jordi K et al (2015) Nurses’ accuracy and self-perceived ability using the emergency severity index triage tool: a cross-sectional study in four Swiss hospitals. Scand J Trauma Resusc Emerg Med 23(1):62
Platts-Mills TF et al (2010) Accuracy of the emergency severity index triage instrument for identifying elder emergency department patients receiving an immediate life-saving intervention. Acad Emerg Med 17(3):238–243
Phillips S et al (1996) The failure of triage criteria to identify geriatric patients with trauma: results from the Florida trauma triage study. J Trauma 40(2):278–283
Lehmann R et al (2009) The impact of advanced age on trauma triage decisions and outcomes: a statewide analysis. Am J Surg 197(5):571–574. discussion 574-5
Subbe CP et al (2003) Effect of introducing the modified early warning score on clinical outcomes, cardio-pulmonary arrests and intensive care utilisation in acute medical admissions. Anaesthesia 58(8):797–802
Fine MJ et al (1997) A prediction rule to identify low-risk patients with community-acquired pneumonia. N Engl J Med 336(4):243–250
Egermayer P et al (1998) Usefulness of D-dimer, blood gas, and respiratory rate measurements for excluding pulmonary embolism. Thorax 53(10):830–834
Kellett J et al (2014) A four item scale based on gait for the immediate global assessment of acutely ill medical patients – one look is more than 1000 words. Eur Geriatr Med 5(2):92–96
Grossmann FF et al (2014) Undertriage in older emergency department patients--tilting against windmills? PLoS One 9(8):e106203
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Grossmann, F.F., Nickel, C. (2018). Triage of Older ED Patients. In: Nickel, C., Bellou, A., Conroy, S. (eds) Geriatric Emergency Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-19318-2_2
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