ED Pathway for the Evaluation/Treatment of the Child with Suspected Septic Arthritis

Triage

Limp

1 Critical 2 Acute 3 Urgent 4 Urgent 5 Non-Urgent
 
  • Impaired distal neurovascular status

  • Severe pain

  • PE evidence of fracture

    • Significant swelling
    • Deformity
    • Focal tenderness
  • Fever or history of fever with:
    • Refusal to bear weight
    • Significant limp
    • Significant joint ¬†swelling or pain
  • Tender erythema around a joint
  • Mild limp
  • Mild joint swelling without erythema or fever
  • Point tenderness w/o deformity
  • Mild limp with known trauma, i.e. not infection
  • History of limp

Assess and document pain
Administer acetaminophen/ibuprofen as per Standing Triage Order

Make Level 1, 2, 3 patients NPO