Emergency Severity Index (ESI): A Triage Tool for Emergency Department
Appendix B. ESI Triage Algorithm, v.4
© ESI Triage Research Team, 2004
D. Danger Zone Vital Signs. Consider uptriage to ESI 2 if any vital sign criterion is exceeded.
Pediatric Fever Considerations:
- 1 to 28 days of age: assign at least ESI 2 if temp >38.0 C (100.4F).
- 1-3 months of age: consider assigning ESI 2 if temp >38.0 C (100.4F).
- 3 months to 3 yrs of age: consider assigning ESI 3 if: temp >39.0 C (102.2 F), or incomplete immunizations, or no obvious source of fever.
©ESI Triage Research Team, 2004—(Refer to teaching materials for further clarification)
Page last reviewed October 2014