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 |
|
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 |
|
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