![Page 1: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/1.jpg)
CTASPediatric Triage
Using the Canadian Triage and Acuity Scale
Samantha Chande, Clinical Nurse Educator, Sidra Medicine
![Page 2: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/2.jpg)
• Identify key pediatric aspects of CTAS
• Describe differences in pediatric triage
• Define 1st and 2nd order modifiers to achieve a final CTAS level
Objectives
![Page 3: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/3.jpg)
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
![Page 4: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/4.jpg)
5 Levels
CTAS
![Page 5: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/5.jpg)
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
![Page 6: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/6.jpg)
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
![Page 7: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/7.jpg)
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?
![Page 8: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/8.jpg)
Some Pediatric Considerations…
• Prematurity
• Congenital anomalies
• Metabolic disease
• Technology Dependent Children
• Developmentally Challenged Children
• Child Maltreatment
Pediatric CTAS
![Page 9: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/9.jpg)
Anatomical Differences
• Proportionally big heads
• Smaller airways
• Breathing patterns vary by age
• Smaller size
• Weight dependent therapy
Pediatric CTAS
![Page 10: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/10.jpg)
![Page 11: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/11.jpg)
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
![Page 12: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/12.jpg)
5 most common presentations to the ED
• Fever
• Respiratory difficulties
• Vomiting and/or diarrhea
• Injuries
• Change in behavior
![Page 13: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/13.jpg)
Title goes here
Subtitle goes here
Section Divider
![Page 14: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/14.jpg)
Title goes here
Subtitle goes here
Section Divider
![Page 15: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/15.jpg)
More modifiers…
![Page 16: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/16.jpg)
![Page 17: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/17.jpg)
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
95
![Page 18: CTAS - Q-PEM – Qatar-Pediatric Emergency Medicine](https://reader033.vdocuments.us/reader033/viewer/2022042902/6269a52f3ad0697d96312b5f/html5/thumbnails/18.jpg)
Questions?