Nursing- Triage Five Level Emergency Severity Index (ESI)

Stability of vital functions(ABCs) ESI-1
Unstable

Stability of vital functions(ABCs) ESI-2
Threatened

Stability of vital functions(ABCs) ESI-3
Stable

Stability of vital functions(ABCs) ESI-4
Stable

Stability of vital functions(ABCs) ESI-5
Stable

Threat to life or organ ESI-1
Obvious

Threat to life or organ ESI-2
Likely but not obvious

Threat to life or organ ESI-3
Unlikely but possible

Threat to life or organ ESI-4
No

Threat to life or organ ESI-5
No

How soon should be seen by MD ESI-1
Immediately

How soon should be seen by MD ESI-2
Within 10 minutes

How soon should be seen by MD ESI-3
Up to 1 hour

How soon should be seen by MD ESI-4
Could be delayed

How soon should be seen by MD ESI-5
Could be delayed

Expected Resource Intensity ESI-1
High. Staff at bedside continuously. Often mobilization of team response.

Expected Resource Intensity ESI-2
High. Multiple, often complex diagnostic studies. Frequent consultation. Continuous monitoring.

Expected Resource Intensity ESI-3
Medium to High. Multiple diagnostic studies (multiple labs, x-rays) or brief observation. Complex procedure (IV fluids, Medications).

Expected Resource Intensity ESI-4
Low. One simple diagnostic study (X-ray) or simple procedure (Sutures).

Expected Resource Intensity ESI-5
Low. Exam only.

Examples ESI-1
Cardiac Arrest. Intubated Trauma. Overdose with Bradypnea. Severe Respiratory Distress.

Examples ESI-2
Chest Pain (probable ischemia). Multiple Trauma unless responsive.

Examples ESI-3
Abdominal pain or gynecologic disorder unless in severe distress. Hip fracture in older patient.

Examples ESI-4
Closed extremity trauma. Simple lacerations. Cystitis.

Examples ESI-5
Cold symptoms. Minor burn. Recheck (wound). Prescription refills.

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