1
Patient Intake
2
Vitals & Triage
Step 2 of 2
A. Vitals
BP Systolic (mmHg)
BP Diastolic (mmHg)
Blood Pressure (mmHg)
Heart Rate (bpm)
Pulse (bpm)
Respiratory Rate (breaths/min)
Oxygen Saturation (SpO2, %)
Height (cm)
Weight (kg)
Temperature (°C)
Vitals Note
B. Triage
ESI Level
Level 1 - Immediate
Level 2 - Emergent
Level 3 - Urgent
Level 4 - Less Urgent
Level 5 - Non-Urgent
Select the Emergency Severity Index (ESI) level for this patient.
