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TABLE 6.1 HIGH-RISK PATIENTS • Hematology/oncology patient with fever • Shunt patient with headache, nausea/vomiting, and/or fever • Diabetic with altered mental status, ± nausea/vomiting • Bleeding disorder with significant trauma • Ocular exposure • Postoperative tonsillectomy and adenoidectomy bleed • Suicidal ideation or attempt • Gastrostomy tube or gastrojejunal tube out and unable to place Foley in stoma in triage • Smoke inhalation/carbon monoxide exposure • Open fracture or altered neurovascular status with deformity • Abdominal pain with peritoneal signs • Sickle cell patient with fever or pain • Cardiac patient with change in normal saturation and/or increased need for O2 • Infants ≤60 days with fever/hypothermia (temp ≤36°C or ≥38°C rectal by history or in ED) • Eye injury with significant pain • Scrotal pain • Apparent life-threatening event with history of cyanosis • Ingestions (excluding foreign body)— consult ED physician for non– foreign-body ingestions • Cervical spine immobilized and on backboard • Abdominal trauma with significant abdominal pain • Permanent tooth available for reimplantation TABLE 6.2 TRIAGE RESOURCES Aerosol treatments IV or IM medications Labs (blood, urine, cultures) X-rays ECG CT or ultrasound Specialty consultation IV fluids NG tube Simple procedure = (Laceration or Foley) Complex procedure = (sedation)