Emergency Triage Education Kit | Page 33

Figure 4.1: AVPU scale 143
A = Alert V = Responds to voice P = Responds to pain
• Purposefully
• Non-purposefully – Withdrawal / flexor response – Extensor response
U = Unresponsive
Eye injuries warrant careful assessment and are based on the mechanism of injury and the potential for ongoing visual impairment. Table 4.2 shows considerations for triaging eye injury using the ATS descriptors.
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Table 4.2: Summary of ophthalmic emergency predictors for the ATS
Category 1 Immediate
Category 2 10 minutes
Category 3 30 minutes
Category 4 60 minutes
Category 5 120 minutes
• Penetrating eye injury
• Chemical injury
• Sudden loss of vision with or without injury
• Sudden onset severe eye pain
• Sudden abnormal vision with or without injury
• Moderate eye pain, e. g. – blunt eye injury – flash burns – foreign body
• Normal vision
• Mild eye pain, e. g. – blunt eye injury – flash burns – foreign body
• Normal vision
• No eye pain
Department of Health and Ageing – Emergency Triage Education Kit