Emergency Department signposting/ redirection guidance

Appendix B: NHS Grampian, Aberdeen Royal Infirmary - Emergency Department Triage Matrix

(Extract example for Abdominal Pain)

• Airway compromise Inadequate breathing RR>29 or <10 Shock

Yes: Red 1; No: continue

• Severe pain
• Pain radiating down back
• Vomiting blood
• PR bleeding
• PV blood loss and >20 weeks pregnant
• Very hot adult (>40 degrees C)
• Possible sepsis

Yes: Orange 2; No: continue

• NEWS ≥ 4
• History of acutely vomiting blood
• Black or redcurrant stools
• Persistent vomiting
• Possibly pregnant
• Hot adult >38.5°C
• Shoulder tip pain
• Moderate pain

Yes: Yellow 3; No: continue

• NEWS <4
• Vomiting
• Recent mild pain
• Recent problem <72 hours
• Urine pregnancy test negative

Yes: Grampian Medical Emergency Department (GMED); No: own GP.