MALAYSIAN TRIAGE CATEGORY

COLOUR CODE

RED

CATEGORY

Critical

Seen

Immediately

SUB-CATEGORY

Requires Immediate Life Saving Intervention

USUAL PRESENTATION

·         Cardiac arrest.

·         Stridor/respiratory arrest/RR>30/min or <10/min

·         Severe respiratory distress/agonal or gasping type respiration.

·         SpO <90%

·         Unresponsive trauma patient.

·         Severe bradycardia (HR<60/min) or tachycardia (HR>150/min) with signs of hypo-perfusion.

·         Hypotension (SBP<90mmHg) with signs of hypo-perfusion.

·         Trauma patient who requires immediate fluid resuscitations.

·         Chest pain (Anginal type), pale, diaphoretic.

·         Anaphylactic reaction.

·         Baby that is flaccid (unresponsive)

·         Unresponsive with history of poisoning.

·         Hypoglycemia with a change in mental status.

·         Exsanguinations hemorrhage

·         Severe crush injuries to limbs

·         Extensive burns (> than 25% BSA) or involve facial region

·         Near-drowning

·         Firearms wounds to head, neck, trunk or abdomen or trajectory undetermined

·         Elevated BP systolic >220 mmHg or diastolic >120 mmHg with systemic symptoms or neurological deficit

·         Elevated blood sugars with neurological or systemic impairment

 

COLOUR CODE

YELLOW

CATEGORY

High Risk

Seen within 30 minutes

SUB-CATEGORY

High Risk Situation

or

Confused/lethargy/disorientated

or

Severe pain/Distress

or

Unable to walk but airway is secure, haemodynamically stable and on trolleys

USUAL PRESENTATION

·         Altered conscious level but not comatose

·         Head injured:  GCS>13

·         GCS full but pupils are unequal

·         Fractures of long bones of lower limbs/pelvis

·         Active chest pain, suspicious for coronary syndrome, but does not require an immediate life-saving intervention, stable.

·         Chest pain – visceral and not associated with other symptoms

·         Immunocompromised (on chemotherapy, SLE) with a fever.

·         A suicidal or homicidal patient

·         Open fractures of upper limbs

·         Spine injuries

·         Eye injuries with loss or impaired vision

·         Dislocations of major joints

·         Limb amputation: total or near-total

·         Burns 15-25% of BSA regardless of depth and/or 10-20% 3rd degree burns with no compromise to airway and circulation

·         Vascular injuries

·         Uncontrollable major bleeding

·         Patients with acute abdomen

·         Chemical exposure involving eyes

·         Poisoning or drug overdose with impairment of conscious level

·         Severe pain:  Pain score: 7 - 10/10

·         Post-ictal states with neurological deficit

·         Mild or moderate dyspnoea with saturation >95% and/or rate <40/min

·         Hyperventilation and unable to maintain posture

·         Arrhythmias: heart rate <150 or >60/min

·         Elevated BP systolic <220 mmHg or diastolic <120 mmHg with minimal systemic symptoms but no neurological deficit

 

 

COLOUR CODE

GREEN

CATEGORY

Non-Critical

SUB-CATEGORY

G1

Requires many resources

G2

Requires minimal resources

G3

Non-emergency

USUAL PRESENTATION

G1

·         Children less than 2 years

·         Senior citizens more than 65 years

·         Chest pain – No risk factors and not associated with other symptoms, normal ECG

·         Abdominal pain

·         Abuse/Neglect/Assault

·         Elevated blood sugar without any major symptoms

·         Mild asthma

·         Acute urinary retention

·         Closed fracture of upper limbs or ankle with major angulations

·         Dislocations of small joints

·         Diarrhea and/or vomiting with dehydration

G2

·         Non-aggressive psychiatric patients

·         Foreign body

·         Minor allergic reaction

·         Burns <15% of BSA regardless of depth and/or <10% 3rd degree burns

·         Minor trauma

·         Diarrhea and/or vomiting with no dehydration

·         Lumps and bumps

·         Abdominal pain: chronic

·         General medical conditions or minor illnesses not requiring monitoring

·         Ear ache

·         Nail prick

·         Acute infective eye conditions

·         Fever >38º C for adult age

·         Fever in children between 2 to 12 years of age

G3

·         Sore throat – no respiratory symptoms

·         Simple skin diseases – chronic

·         Simple upper respiratory tract infection in adults

·         Chronic trauma injuries >6 months

·         Missed appointments

·         Medications exhausted

·         Second opinion seeking

·         Wound dressing and opening stitches (STO)

·         Medical Certificate

·         Specialist clinic cases

·         Routine change of urinary catheter and naso-gastric tube

TRIAGE AWAY POLICY

  • Non-emergency cases can be turned away from Emergency Department
  • Documentation must be done
  • Secondary triaging done and recording of vital signs
  • Cannot triage away from primary triage
  • Children below 12 years old should not be triaged away

1GovUC Email



CLICK ON THE ICON ABOVE TO LOG IN TO 1GOVUC EMAIL

Visitor Statistic

1.png6.png7.png7.png8.png3.png
Today168
Yesterday230
This week636
This month4149
Total167783

Who's Online

We have 11 guests and no members online

Location Map

 

Last Updated

  • Update date: Tuesday 14 February 2017.
Page Loading Speed 0.32 Seconds