ctas - q-pem – qatar-pediatric emergency medicine
TRANSCRIPT
CTASPediatric Triage
Using the Canadian Triage and Acuity Scale
Samantha Chande, Clinical Nurse Educator, Sidra Medicine
• Identify key pediatric aspects of CTAS
• Describe differences in pediatric triage
• Define 1st and 2nd order modifiers to achieve a final CTAS level
Objectives
Pediatric CTASWhat is CTAS?
5 Level triage scale
Pediatric CTAS has a 3 step approach to assessment:
• Initial Assessment of illness/injury
• Evaluation of the presenting complaint
• Assessment of behavioral and age-related complaints
5 Levels
CTAS
Adult vs Peds CTAS
What’s the same?
Acuity process is the same:
• First Look (Pediatric Assessment Triangle)
• Infection Control
• Chief Complaint
• Modifiers
The five levels and definitions are the same
The use of presenting complaint, assessment
and modifiers are the same
Pediatric CTAS
Pediatric CTAS
Adult vs Peds CTAS
What’s different?
• In children the assessment techniques and
methods of interviewing are different
• Anatomical and physiologic differences
• Psychological and Social Differences
• History Gathering
Assessment
Quick or Full?• Level I & II undergo a quick
assessment
• Level III and below require a full
assessment to avoid missing a subtle
presentation in pediatrics
• CTAS IV & V must have normal vital
signs
Pediatric CTAS
Quick or Full Assessment?
Some Pediatric Considerations…
• Prematurity
• Congenital anomalies
• Metabolic disease
• Technology Dependent Children
• Developmentally Challenged Children
• Child Maltreatment
Pediatric CTAS
Anatomical Differences
• Proportionally big heads
• Smaller airways
• Breathing patterns vary by age
• Smaller size
• Weight dependent therapy
Pediatric CTAS
Pediatric Triage Assessment Tips
• Unwrap, assess, rewrap!
• This is the one time it’s ok to WAKE a sleeping baby!!
• Interview before hands on assessment
• Listen to parents/caregivers
• Do the most invasive examination last
• Explain, explain, explain
Pediatric CTAS
5 most common presentations to the ED
• Fever
• Respiratory difficulties
• Vomiting and/or diarrhea
• Injuries
• Change in behavior
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More modifiers…
Resources:
http://caep.ca/resources/ctas
https://www.cambridge.org/core/journals/canadian-journal-of-emergency-
medicine/article/revisions-to-the-canadian-emergency-department-triage-and-acuity-
scale-ctas-guidelines-2016/E2CB3E2063C54E11259313FA4FEAE4
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Questions?