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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Home</a> > <a href="/qual/" class="crumb_link">Quality Assessment</a> > <a href="/qual/measurix.htm" class="crumb_link">Measuring Healthcare Quality</a> > <a href="." class="crumb_link">Emergency Severity Index, Version 4</a> > > Table 5-2</span></p>
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<tr>
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<td height="30px"><span class="title"><a name="h1" id="h1"></a>Emergency Severity Index, Version 4: Implementation Handbook</span>
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</td>
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<tr>
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<td><div id="centerContent">
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<h3>Table 5-2. Examples of Resources for ESI Level 3-5</h3>
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<table border="1" cellpadding="4" cellspacing="0" width="90%">
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<tr valign="top">
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<th scope="col" width="45%">Scenario</th>
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<th scope="col" width="45%">Predicted Resources<br />
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(<em>ESI Resources in italics</em>)</th>
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<th scope="col" width="10%">ESI Level</th>
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</tr>
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<td scope="row">Right lower quadrant pain: 22-year-old male, right lower quadrant abdominal
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pain since early this morning, also nausea, and no appetite. </td>
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<td> <em>ESI Resources = 2 or more</em><br />
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Exam<br />
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<em>Laboratory studies<br />
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IV fluid<br />
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Abdominal CT<br />
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(possible) Surgery Consult</em></td>
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<td align="center">3</td>
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</tr>
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<tr valign="top">
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<td scope="row">Left lower leg pain: 45-year-old obese female with left lower leg pain & swelling which started 2 days ago, after driving in a car for 12 hours. </td>
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<td> <em>ESI Resources = 2 or more</em><br />
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Exam<br />
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<em>Laboratory studies<br />
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Lower extremity non-invasive vascular studies<br />
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(possible) Anticoagulant therapy</em></td>
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<td align="center">3</td>
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</tr>
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<tr valign="top">
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<td scope="row">Ankle injury: Healthy, 19-year-old female who twisted her ankle playing soccer. Edema at lateral malleolus, hurts to bear weight. </td>
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<td> <em>ESI Resources = 1</em><br />
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Exam<br />
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<em>Ankle x-ray</em><br />
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Ace wrap<br />
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Crutch-walking instruction</td>
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<td align="center">4</td>
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</tr>
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<tr valign="top">
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<td scope="row">Urinary tract infection symptoms: Healthy, 29-year-old female with UTI symptoms, appears well, afebrile, denies vaginal discharge. </td>
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<td> <em>ESI Resources = 1</em><br />
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Exam<br />
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<em>Urine & urine culture<br />
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(possible) Urine hCG</em><br />
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Prescriptions</td>
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<td align="center">4</td>
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</tr>
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<tr valign="top">
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<td scope="row">Poison ivy: Healthy 10-year-old child with 'poison ivy' on extremities.</td>
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<td> <em>ESI Resources = none</em><br />
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Exam<br />
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Prescription</td>
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<td align="center">5</td>
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</tr>
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<tr valign="top">
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<td scope="row">Prescription refill: Healthy 52-year-old who ran out of blood pressure
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medication yesterday. BP 150/84. No acute complaints.</td>
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<td> <em>ESI Resources = none</em><br />
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Exam<br />
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Prescription</td>
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<td align="center">5</td>
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</tr>
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</table>
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<p class="size2"><a href="esi5.htm#Tab5-2">Return to Document</a></p>
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<p> </p>
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<div class="footnote">
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<p> The information on this page is archived and provided for reference purposes only.</p></div>
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