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. 2017 May 2;19(Suppl D):D212–D228. doi: 10.1093/eurheartj/sux025

The following actions are recommended at triage (by nurses):

Steps Actions Timing
1. Assessment on the door Assessment of symptoms type Immediate
2. Targeted collection of clinical/ anamnestic data
  • Recording of data.

  • Fill an anamnestic questionnaire form if necessary

Within 10’
3. Perform 12-lead ECG Consider performing V3R-4R and V7-9; acquisition of report. Within 10’, or immediately if patient is in pain
4. Brief physical examination to assess vital parameters Fill in report indicating vital parameters
5. Assign priority colour code72 For method of assignment, see text After steps 1, 2, and 3
6. Re-assessment
  • Yellow codes

  • Green codes

  • → After 10'

  • → After 30'