Emergency Severity Index (ESI) Calculator — Triage Assessment Tool

Emergency Severity Index (ESI) Calculator

Calculate the Emergency Severity Index (ESI) for patient triage based on acuity, resource needs, and vital signs. Determine appropriate ESI levels (1-5) for emergency department patients.

Step 1: Patient Acuity Assessment

3/10

Understanding ESI Levels

The Emergency Severity Index is a 5-level triage system that categorizes patients based on acuity and resource needs. ESI level 1 is the most urgent (immediate life-saving intervention required), while ESI level 5 is the least urgent.

Step 2: Resource Needs & Vital Signs

ESI Resource Examples

Resources include: Lab tests, ECG, X-rays, CT/MRI, IV fluids, IV/IM medications, specialty consultation, complex procedures. Simple interventions like wound care or oral medications are not counted as resources.

ESI Triage Results

Summary
ESI Levels
Triage Details

Emergency Severity Index

ESI 3
Urgent – Multiple resources needed
Resource Needs
One Resource
Pain Level
3/10
Heart Rate
80 bpm
O2 Saturation
98%

ESI Level Comparison

ESI Level Description Resources Needed Typical Wait Time % of ED Patients

ESI Decision Algorithm

ESI Triage Protocol

ESI Level Determination

ESI is determined by assessing: 1) Need for immediate life-saving intervention, 2) High-risk situation or altered mental status, 3) Number of resources needed, and 4) Vital signs. The algorithm ensures appropriate prioritization of emergency department patients.

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