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Emergency nursing : 5-tier triage protocols, second edition -- Contents -- Preface -- Acknowledgments -- Abdominal Pain, Adult -- Abdominal Pain, Pediatric -- Alcohol and Drug Use, Abuse, Overdose, and Dependence -- Allergic Reaction -- Altered Mental Status -- Ankle Pain and Swelling (nontraumatic; for injury, see Extremity Injury) -- Anxiety (If chest pain is present, see Chest Pain) -- Asthma -- Back Pain -- Bee Sting -- Bites, Animal and Human -- Bites, Insect and Tick -- Bites, Marine Animal -- Bites, Snake -- Body Art Complications -- Breast Problems -- Breathing Problems -- Burns -- Chest Pain -- Cold Exposure, Hypothermia/Frostbite -- Cold Symptoms -- Confusion -- Contusion -- Cough -- Crying Baby -- Depression -- Diabetic Problems -- Diarrhea, Adult -- Diarrhea, Pediatric -- Ear Problems -- Electric Shock/Lightning Injury -- Extremity Injury -- Eye Injury or Problems -- Feeding Tube Problems -- Fever -- Finger and Toe Problems -- Foreign Body, Ear -- Foreign Body, Ingested -- Foreign Body, Inhaled -- Foreign Body, Rectum or Vagina -- Foreign Body, Skin -- Genital Problems, Female -- Genital Problems, Male -- Headache -- Head Injury -- Heart Rate, Rapid -- Heart Rate, Slow -- Heat Exposure -- Hip Pain/Injury -- Hives -- Hypertension -- Itching Without a Rash -- Jaundice -- Jaundice, Newborn -- Knee Pain and/or Swelling -- Laceration -- Lightheadedness/Fainting -- Menstrual Problems -- Mouth Problems -- Neck Pain -- Nosebleed -- Poisoning, Exposure or Ingestion -- Pregnancy, Abdominal Pain -- Pregnancy, Back Pain -- Pregnancy, Vaginal Bleeding -- Pregnancy, Vaginal Discharge -- Pregnancy, Vomiting -- Puncture Wound -- Rash, Adult and Pediatric -- Rectal Problems (see Foreign Body, Rectum or Vagina,for foreign body problem) -- Seizure -- Seizure, Pediatric Febrile -- Sexual Assault -- Shoulder Pain -- Sinus Pain and Congestion -- Sore Throat -- Stroke -- Suicidal Behavior -- Sunburn -- Toothache/Tooth Injury -- Traumatic Injury (Skateboard, Ski, Snowboard, Bike, Car, etc.) -- Urinary Catheter Problems -- Urination Problems -- Vaginal Bleeding, Abnormal -- Vomiting -- Weakness -- Wound Infection -- Wrist Pain and Swelling -- Appendix A: Triage Program Development -- Appendix C: Triage Pearls -- Appendix B: Key Questions to Ask Triage Nurses -- Appendix D: Triage Training Outline -- Appendix E: Triage Training Exercises -- Appendix F: Triage Assessment Skills Checklist -- Appendix G: Chart Audit Tool -- Appendix H: Triage Log -- Appendix I: Differential Assessment of Abdominal Pain -- Appendix J: Differential Assessment of Chest Pain -- Appendix K: Headache: Common Characteristics -- Appendix L: MVA Triage Questions -- Appendix M: Mechanisms of Injury: Adult -- Appendix N: Mechanisms of Injury: School Age and Adolescent (7–17 years old) -- Appendix O: Mechanisms of Injury: Toddler and Preschooler (1–6 years old) -- Appendix P: Mechanisms of Injury: Infant (birth to 1 year old) -- Appendix Q: Drugs of Abuse -- Appendix R: Poisonings -- Appendix S: Biological Agents/Chemical Agents -- Appendix T: Communicable Diseases, Colds Versus Flu, and Sexually Transmitted Diseases -- Bibliography -- Index. |