10-year-old male confused and crying but directable and answering
questions. Denies LOC, No signs of head trauma. I.TRIAGE COLOR The patient appears to be able to walk and should be placed in the GREEN ZONED/NON-URGENT. The patient has less serious or minor injury and non-life threatening, treatment may be delayed until the patients in other categories have been dealt. PRIORITY NURSING DIAGNOSIS
·Acute pain related to injuring agents.
1
·Risk for seizures related to intracranial bleeding.
2 ·
3 Acute confusion related to traumatic injury.
Priority Intervention Prior to transfer: - perform neurological exam
At the hospital: - Allow patient to rest and avoid excessive physical activity