ED Pathway for Child with Acute Non-Traumatic Scrotal Pain

Triage

1 Critical 2 Acute 3 Urgent 4 Urgent 5 Non-Urgent
 
  • Acute onset of testicular/scrotal pain/redness/swelling in patients without penile complaints

    or
  • Acute testicular/scrotal pain with nausea/vomiting in any age
  • Priapism

  • Swelling of foreskin, shaft

  • Gradual onset of non-severe scrotal pain

  • Dysuria

  • Penile discharge

Make Level 1 and 2 patients NPO

Place NPO bracelet
Inform patient and family of NPO status

*THE VIABILITY OF THE TESTIS DECREASES SIGNIFICANTLY WHEN A BOY HAS HAD 6 OR MORE HOURS OF PAIN