Emergency Department Triage Manual, G-I

ED Triage Manual, G-I

Gastrostomy/Jejunostomy Tubes
GI Bleeding
Hernia
Immune System, Altered

Gastrostomy/Jejunostomy Tubes

Place 10 fr Foley into stoma as soon as possible. Do not inflate balloon. If unable to place foley, expedite room placement.
Make patient NPO.

1 Critical	2 Acute	3 Urgent	4 Urgent	5 Non-Urgent
	Tube out – unable to place Foley in triage Concern for obstruction: Abdominal distension Vomiting	Tube out – Foley placed in triage Tube malfunction: Leaking Clogged	Concern for infection: Erythema, exudate at site

GI Bleeding

1 Critical	2 Acute	3 Urgent	4 Urgent	5 Non-Urgent
Active GI Bleeding with hemodynamic compromise	Concern for GI bleeding with: Tachycardia Pallor Liver disease Transplant Hematologic disorder IBD	Blood streaked emesis w/o other comorbidities	Blood streaked stool

Hernia

1 Critical	2 Acute	3 Urgent	4 Urgent	5 Non-Urgent
	Hernia not reducible Concern for obstruction: Vomiting Abdominal distension Irritability Hernia tender	New inguinal hernia	Reducible inguinal hernia	Reducible umbilical hernia

Immune System, Altered

Immunocompromised patients should be placed in protective isolation upon arrival to ED, then triaged.

1 Critical	2 Acute	3 Urgent	4 Urgent	5 Non-Urgent
	Fever, or hx: fever ≥ 38°C (100.4°F) Malfunctioning central line	Varicella exposure

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.

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