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Rapid Access Guide for TRIAGE AND EMERGENCY NURSESCHIEF COMPLAINTS WITH HIGH-RISK PRESENTATIONS Lynn Sayre Visser, MSN, RN, PHN, CEN, CPEN Anna Sivo Montejano, DNP, RN, PHN, CEN

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Rapid Access Guide for TRIAGE AND EMERGENCY NURSESCHIEF COMPLAINTS WITH HIGH-RISK PRESENTATIONS Lynn Sayre Visser, MSN, RN, PHN, CEN, CPEN Anna Sivo Montejano, DNP, RN, PHN, CEN 1. Triage Down and Dirty................................................ 1 2. The Secrets to Using This Guide ............................... 6 3. Screening Tools and Checklists ............................... 11 4. Pediatric Considerations.......................................... 17 5. Older Adult Considerations...................................... 24 6. Waiting Room Issues ............................................... 28 7. Legal Issues ............................................................. 31 Introduction to High-Risk Presentations.................... 35 8. Respiratory Emergencies....................................... 39 9. Cardiac Emergencies............................................. 53 10. Neurologic Emergencies........................................ 75 11. Abdominal Emergencies........................................ 94 12. Obstetric Emergencies ........................................ 121 13. Gynecologic Emergencies ................................... 143 14. Male Reproductive Emergencies......................... 153 15. Behavioral Health Emergencies........................... 165 16. Toxicology Emergencies ...................................... 184 17. Eye Emergencies ................................................. 203 18. Ear, Nose, and Throat Emergencies .................... 218 19. Musculoskeletal Emergencies ............................. 236 20. Bite and Sting Emergencies ................................ 257 21. Infectious Disease Emergencies.......................... 274 22. Trauma Emergencies ........................................... 289 23. Burn Emergencies ............................................... 311 24. Unique Situation Emergencies............................. 323 25. Active Shooter and/or Active Violence ................ 338 26. Emergency Management During a Disaster............................................................. 347 References ................................................................... 371 Additional Reading ....................................................... 373 Index............................................................................. 377 Rulers ........................................................... Inside Covers

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