Welcome to the Pandemic Influenza Triage Tools!

We hope you will find these tools useful when planning for or responding to an event.

The Pandemic Influenza Triage Tools are a toolkit for healthcare professionals and community healthcare leaders and decision makers to manage influenza-like illness (ILI) and medical surge during a pandemic. The toolkit consists of these tools:

Pandemic Influenza Triage Algorithm (PITA): A standardized tool for use by all community healthcare professionals for face-to-face encounters to triage ILI patients.

Community Healthcare Decision Making Tool (CHDMT): A tool for use by community healthcare leaders and decision makers to assess medical surge at the community level to mobilize necessary resources during an influenza pandemic, and assist in ensuring patients are directed to appropriate sites of care. The CHDMT consists of the following components:

These triage tools collectively provide a timely and accurate patient and resource assessment that will help reduce medical surge during an influenza pandemic.

You may also want to visit Flu.gov a federal government website managed by the U. S. Department of Health and Human Services which provides one-stop access to information pertaining to Seasonal Flu, H3N2v, H1N1 (Swine Flu), H5N1 (Avian/Bird Flu) and Pandemic Awareness information.

The Healthcare Preparedness Activity (HPA) within CDC's Division of State and Local Readiness (DSLR) works to improve the healthcare delivery system’s ability to respond to potential natural disasters and public health threats, such as pandemic influenza. Please visit http://www.cdc.gov/phpr/healthcare/ for information on other tools and resources intended to enhance healthcare preparedness in communities.

Pandemic Influenza Triage Algorithm (PITA)

CHDMT: Community Site-of-Care Tool

CHDMT: Community Healthcare Decision Pathway

About These Tools

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Acronyms

Pandemic Influenza Triage Algorithm (PITA)

The PITA is an algorithm designed to help clinicians triage patients with influenza-like illness (ILI) during an influenza pandemic. The PITA is intended for use during face-to-face clinician and patient encounters in a healthcare facility.

Healthcare professionals use the PITA to determine patient acuity and estimate resource needs (e.g., intravenous fluids or ventilator) in order to predict the complexity of care required to adequately treat patients.

Healthcare professionals who use the PITA are expected to be experienced or otherwise trained in patient triage specific to their site of practice.

The PITA uses a valid, five-level triage scale to classify patients on a scale from 1 to 5, with Level 1 (Resuscitation) the most urgent (life-threatening condition) and Level 5 (Stable) the least urgent (patient needing only an exam and discharge to home).

The PITA Level 1–5 printable triage forms are optional forms that can be completed by the user once a PITA triage acuity level has been determined, and then printed to assist with the timely provision of appropriate medical treatment and/or care. Click on a link below for the applicable PITA level triage form:

Begin

This algorithm is designed to assist healthcare professionals and those under their supervision in triaging patients with ILI. It is not meant as a substitute for sound clinical judgment.

Is resuscitation required? (Note 1)

Yes ButtonNo Button

Airway

Inability to protect/maintain airway (respiratory failure/exhaustion)

Needing interventions like BVM ventilation, intubation or BiPAP/CPAP

Breathing

Oxygen saturation <90%

Severe respiratory distress

Breathlessness – inability to speak complete sentences

Apnea

Excessive work of breathing (e.g., exaggerated retractions/nasal flaring and/or tripod position)

Extremely labored breathing/grunting

Cyanosis

Circulation

Cardiopulmonary arrest

Weak, thready or absent pulse

Cool, clammy

Marked pallor, delayed capillary refill, mottling

Needing interventions such as ACLS or PALS resuscitation, large volumes of fluid or vasopressors

Mental status

Unresponsive – a patient that is either nonverbal and not following commands acutely or requires noxious stimuli (P or U on AVPU scale)

Strikingly agitated or irritable

Active seizures

Infants – decreased responsiveness and poor muscle tone

Level 1 (Resuscitation)

PITA Level 1 (Resuscitation) patients need lifesaving interventions to treat major problems with airway, breathing, circulation or mental status. Therefore, this is the most urgent acuity level.

Back to the Beginning

Printable Level 1 (Resuscitation) Triage Form

PDF Document Word Document

Disclaimer

The printable triage forms option allows the healthcare professional conducting triage duties to record and print information about each patient’s influenza-like illness when assigning a PITA acuity level.  This form is designed to expedite pandemic influenza triage including the coordination and management of patient care during a severe medical surge and is not intended to take the place of approved forms that already exist or are in use at your healthcare facility.  Use of this form does not preclude compliance with HIPAA privacy rule.

Is patient toxic and/or at high risk for deterioration or hospitalization? (Note 2)

Yes ButtonNo Button

Toxic Appearance

Respiratory

Oxygen saturation 90% or 91%

Moderate respiratory distress

Shortness of breath

Breathing fast or slow

Increased work of breathing (e.g., some nasal flaring, mild retractions or grunting)

Infants – inability to feed

Neurological

Acute mental status changes (change from baseline):

Infants – extremely irritable, inconsolable

High Risk for Deterioration/Hospitalization

High Risk

Assign Level 2 (Emergent) if patient has influenza-like illness (ILI) symptoms and is in high-risk group (consult CDC website for current list of high-risk groups for influenza), including but not limited to:

Immunocompromised patients (including immunosuppression caused by HIV or by medication, such as chemotherapy or chronic steroids)

Comorbidities/Considerations

Consider assigning Level 2 (Emergent) for patients with these considerations or comorbid conditions who present with ILI (especially with abnormalities in airway, breathing, circulation and mental status):

Asthma – moderate to severe

COPD, cystic fibrosis or other chronic lung disease

Serious congenital heart disease

Congestive heart failure

Renal disease – on dialysis

Sickle cell disease or other serious anemias

Chronic neurologic or neuromuscular conditions (e.g., muscular dystrophy, spinal cord injury, cerebral palsy, stroke or multiple sclerosis)

Chronic metabolic, hepatic or hematologic disorders

Elderly

Resident of chronic care facility

Does patient have significant abnormalities in vital signs? (Note 2)

Yes ButtonNo Button

If one or more vital signs exceed parameters listed, consider assigning Level 2 (Emergent). For additional information see the Limitations section and Table 4 of the PITA User Guide.

Age RR HR Temperature Celsius (Fahrenheit) Systolic BP Sa02
< 3 mo <40 >60 <100 >205 >38* (100.4) + <92
3mo – <1y <25 >40 <100 >190 >38 (100.4) + <92
1y – <3y <22 >34 <80 >160 >39 (102.2) + <92
3y – <5y <20 >26 <75 >140 ≥40 (104) + <92
5y – <10y <18 >24 <60 >120 ≥40 (104) + <92
≥ 10y <16 >20 <50 >100 ≥40 (104) <90 <92

*Recommendation: When fever exceeds 38°C (100.4°F), rate patients aged 1-28 days as Level 2 (Emergent) and consider rating patients aged 1-3 months as Level 2 (Emergent).

+Assess perfusion in children using capillary refill and skin color.

Level 2 (Emergent)

PITA Level 2 (Emergent) patients are those who are at high risk for problems with airway, breathing, circulation or mental status; therefore, should not wait for evaluation or care. Level 2 (Emergent) patients may appear toxic, while others may not appear toxic, but are at risk of deteriorating or developing a more serious illness and/or hospitalization.

Back to the Beginning

Printable Level 2 (Emergent) Triage Form

PDF Document Word Document

Disclaimer

The printable triage forms option allows the healthcare professional conducting triage duties to record and print information about each patient’s influenza-like illness when assigning a PITA acuity level.  This form is designed to expedite pandemic influenza triage including the coordination and management of patient care during a severe medical surge and is not intended to take the place of approved forms that already exist or are in use at your healthcare facility.  Use of this form does not preclude compliance with HIPAA privacy rule.

Does patient need a workup and multiple interventions? (Note 3)

Yes ButtonNo Button

Interventions may include:

Consider Level 3 (Urgent) for patients with:

Level 3 (Urgent)

PITA Level 3 (Urgent) patients are those who do not meet the criteria for PITA Levels 1 (Resuscitation) or 2 (Emergent) (including no significant abnormalities in vital signs), but are in need of complex care that may include a workup for possible hospital admission as well as multiple interventions. For example, a patient may require multiple interventions that include, but are not limited to, a chest radiograph, laboratory studies, intravenous fluids/medications and oxygen.

Back to the Beginning

Printable Level 3 (Urgent) Triage Form

PDF Document Word Document

Disclaimer

The printable triage forms option allows the healthcare professional conducting triage duties to record and print information about each patient’s influenza-like illness when assigning a PITA acuity level.  This form is designed to expedite pandemic influenza triage including the coordination and management of patient care during a severe medical surge and is not intended to take the place of approved forms that already exist or are in use at your healthcare facility.  Use of this form does not preclude compliance with HIPAA privacy rule.

Does patient need minimal interventions? (Note 4)

Yes ButtonNo Button

Minimal interventions (no more than one) may include those in Note 3 (chest radiograph, laboratory studies [complete blood count, electrolytes and cultures], intravenous [IV] fluids and medications, nebulized medications, oxygen) or:

Consider Level 4 (Semi-urgent) for patients who may have influenza, but are stable and:

Level 4 (Semi-urgent)

PITA Level 4 (Semi-urgent) patients are those needing minimal care. These patients are hemodynamically stable and not likely to need hospitalization. They require a lower complexity of care and minimal interventions. Level 4 (Semi-urgent) patients may need a single intervention from those listed as examples for Level 3 (Urgent) or medication by metered dose inhaler (MDI) or oral medications.

Back to the Beginning

Printable Level 4 (Semi-urgent) Triage Form

PDF Document Word Document

Disclaimer

The printable triage forms option allows the healthcare professional conducting triage duties to record and print information about each patient’s influenza-like illness when assigning a PITA acuity level.  This form is designed to expedite pandemic influenza triage including the coordination and management of patient care during a severe medical surge and is not intended to take the place of approved forms that already exist or are in use at your healthcare facility.  Use of this form does not preclude compliance with HIPAA privacy rule.

Does patient need only an exam and discharge to home? (Note 5)

Yes ButtonNo Button

No defined interventions needed (such as those listed in Note 3 and Note 4 (e.g., chest radiograph, laboratory studies [complete blood count, electrolytes and cultures], intravenous [IV] fluids and medications, nebulized medications, oxygen, MDI or oral medications)

Patient will receive exam and discharge education, and may receive prescriptions

Level 5 (Stable)

PITA Level 5 (Stable) patients include those who are mildly ill with ILI as well as those who may have been exposed to influenza but are well. They do not need any of the defined resources that PITA Levels 3 (Urgent) and 4 (Semi-urgent) patients may need. These patients will receive an examination by a provider and discharge education (to include information about when to return, such as, if not better in 10 days or if symptoms worsen) and may receive discharge prescriptions when appropriate.

Back to the Beginning

Printable Level 5 (Stable) Triage Form

PDF Document Word Document

Disclaimer

The printable triage forms option allows the healthcare professional conducting triage duties to record and print information about each patient’s influenza-like illness when assigning a PITA acuity level.  This form is designed to expedite pandemic influenza triage including the coordination and management of patient care during a severe medical surge and is not intended to take the place of approved forms that already exist or are in use at your healthcare facility.  Use of this form does not preclude compliance with HIPAA privacy rule.

You can start the triage process over by clicking on the "Back to Beginning" button below.

Back to the Beginning

PITA User Guide

The Pandemic Influenza Triage Tools User Guide was designed to serve as a resource to assist healthcare professionals who will be performing triage duties during an influenza pandemic to have a working knowledge and understanding of the tool to ensure application as intended. This User Guide includes:

PITA User Guide

PITA Resources

The Pandemic Influenza Triage Algorithm (PITA) is a tool designed to be used by healthcare professionals to triage patients with influenza-like illness during an influenza pandemic. A printable PITA including pocket guide and wall chart versions can be obtained by clicking on the applicable link below:

The PITA User Guide contains detailed information on the PITA to include an educational program to train healthcare professionals on how to use the PITA in triaging patients presenting with influenza-like illness. Click on the applicable link below to access the PITA User Guide and/or PowerPoint slides (with instructor notes):

The PITA Level 1–5 printable triage forms are optional forms that can be completed by the user once a PITA triage acuity level has been determined, and then printed to assist with the timely provision of appropriate medical treatment and/or care. Click on a link below for the applicable PITA level triage form:

CHDMT: Community Site-of-Care Tool

The Community Site-of-Care Tool Assists:

  1. Healthcare providers in directing patients to appropriate sites of care based on patients PITA acuity level and resource needs.
  2. Community and healthcare leaders and other decision makers in providing awareness of the healthcare provider's decision points for optimizing the community healthcare delivery system and preserving quality of care to patients.

Use the Site-of-Care Tool When:

Use the Begin button below to explore the Community Site-of-Care Tool.

Begin

Medical Surge Capacity: Ability to provide adequate medical resources during events that exceed the limits of normal infrastructure of an affected community.

Medical Surge Capability: The capability of the community to rapidly expand the capacity of the existing healthcare system in order to provide subsequent medical care.

Use the patient's PITA level to determine appropriate site of care.

The Site-of-Care Tool is used to help determine appropriate treatment facilities for patients based on their PITA levels.

My patients are:

PITA Levels 1 or 2PITA Levels 3, 4 or 5

Five patient PITA levels are assigned through PITA patient triage. Review the PITA for detailed information about the five levels.

PITA Levels 1 or 2

Level 1 (Resuscitation):

PITA Level 1 (Resuscitation) patients need lifesaving interventions to treat major problems with airway, breathing, circulation or mental status. Therefore, this is the most urgent acuity level.

Level 2 (Emergent):

PITA Level 2 (Emergent) patients are those who are at high risk for problems with airway, breathing, circulation or mental status; therefore, should not wait for evaluation or care. Level 2 (Emergent) patients may appear toxic, while others may not appear toxic, but are at risk of deterioration or developing a more serious illness and/or hospitalization.

Continue

See also: Pandemic Influenza Triage Algorithm (PITA)

Treat at Emergency Department (ED)

The appropriate site of care for patient PITA Levels 1 or 2 is at the Emergency Department due to their resource needs and illness acuity. Patients who are assigned as PITA Level 1 (Resuscitation) need lifesaving interventions. Patients who are assigned as PITA Level 2 (Emergent) have a high risk to deteriorating and may need lifesaving interventions.

Back to the Beginning

See also: Community Healthcare Decision Pathway - An algorithm to assess resource availability and medical surge at the community healthcare level.

PITA Levels 3, 4 or 5

Level 3 (Urgent):

PITA Level 3 (Urgent) patients are those who do not meet the criteria for PITA Levels 1 (Resuscitation) or 2 (Emergent) (including no significant abnormalities in vital signs), but are in need of complex care that may include a workup for possible hospital admission as well as multiple interventions. For example, a patient may require multiple interventions that include, but are not limited to, a chest radiograph, laboratory studies, intravenous fluids/medications and oxygen.

Level 4 (Semi-urgent):

PITA Level 4 (Semi-urgent) patients are those needing minimal care. These patients are hemodynamically stable and not likely to need hospitalization. They require a lower complexity of care and minimal interventions. Level 4 (Semi-urgent) patients may need a single intervention from those listed as examples for Level 3 (Urgent) or medication by metered dose inhaler (MDI) or oral medications.

Level 5 (Stable):

PITA Level 5 (Stable) patients include those who are mildly ill with ILI as well as those who may have been exposed to influenza but are well. They do not need any of the defined resources that PITA Levels 3 (Urgent) and 4 (Semi-urgent) patients may need. These patients will receive an examination by a provider and discharge education (to include information about when to return, such as, if not better in 10 days or if symptoms worsen), and may receive discharge prescriptions when appropriate.

Continue

See also: Pandemic Influenza Triage Algorithm (PITA)

Are resources available at current site?

Resource availability is essential in the treatment of patients, and helps determine appropriate sites of care.

If resources are available at the patient's current treatment site for PITA Levels 3–5, then maintaining treatment at their current facility is appropriate.

If resources are not available at the patient's current treatment site for PITA Levels 3–5, then the healthcare facility staff should consider transferring the patient to a site that has resources available for appropriate care.

YesNo

Does demand exceed capacity and/or capability at current site?

Sufficient capacities are essential in the treatment of patients, and helps determine their appropriate sites of care.

If demand does not exceed capacity and/or capability at the patient's current treatment site for PITA Levels 3–5, then maintaining treatment at their current facility is appropriate.

If demand does exceed capacity and/or capability at the patient's current treatment site for PITA Levels 3–5 to treat/care for patients safely, then the healthcare facility staff should consider transferring the patient to a site that has adequate staffing and beds (resources) available for appropriate care.

YesNo

Medical Surge Capacity: Ability to provide adequate medical resources during events that exceed the limits of normal infrastructure of an affected community.

Medical Surge Capability: The capability of the community to rapidly expand the capacity of the existing healthcare system in order to provide subsequent medical care.

Consider transferring patient to site that has resources available, sufficient capacity and capability

Consider transferring patient PITA Levels 3–5 to an appropriate site of care if their current site does not have available resources or the demand exceeds capacity and capability.

Suggestions for Appropriate Patient Site of Care:

The following information is dependent on resource availability, patient demand and other community coordination considerations:

Level 3–5: Emergency department, urgent care centers, primary care providers, outpatient clinics, long-term care facilities or other alternate healthcare facilities (depending upon resource availability)

Back to the Beginning

See also: Community Healthcare Decision Pathway - An algorithm to assess resource availability and medical surge at the community healthcare level.

Medical Surge Capacity: Ability to provide adequate medical resources during events that exceed the limits of normal infrastructure of an affected community.

Medical Surge Capability: The capability of the community to rapidly expand the capacity of the existing healthcare system in order to provide subsequent medical care.

Treat at current site

The appropriate site of care for patient PITA Levels 3–5 is their current site if resources are available and demand does not exceed capacity and/or capability. These patients will need resources for treatment, but not as comprehensive as patient PITA Levels 1 (Resuscitation) or 2 (Emergent).

Suggestions for Appropriate Patient Site of Care:

The following information is dependent on resource availability, patient demand and other community coordination considerations:

Level 3–5: Emergency department, urgent care centers, primary care providers, outpatient clinics, long-term care facilities or other alternate healthcare facilities (depending upon resource availability)

Back to the Beginning

See also: Community Healthcare Decision Pathway - An algorithm to assess resource availability and medical surge at the community healthcare level.

CHDMT Brief Guide

The CHDMT Brief Guide provides general information about the tool including goals, assumptions and recommended use.

CHDMT Brief Guide

CHDMT Resources

CHDMT: Community Healthcare Decision Pathway

The Community Healthcare Decision Pathway provides an algorithm for community and healthcare leaders and other decision makers to assess resource availability and medical surge at the healthcare and community levels.

Use the Pathway When:

Begin

Request and initiate resource assessment at all healthcare facilities (Note 1)

PITA Resource Needs Table

Continue

Printable Resource Assessment Worksheet

PDF Document Word Document

Disclaimer

The printable worksheets option will assist community leaders and decision makers in their selection of appropriate sites of care where patients may be screened, treated and/or transferred during an influenza pandemic. The worksheets are designed to assist coordination and management of resource availability, medical surge within the community and the severity of medical surge. This option is not a substitution for existing plans, systems or approved forms, but is an additional resource for making informed decisions.

Request and initiate medical surge assessment at all healthcare facilities (Note 2)

Initial Medical Surge Assessment Table

Continue

Printable Surge Assessment Worksheet

PDF Document Word Document

Disclaimer

The printable worksheets option will assist community leaders and decision makers in their selection of appropriate sites of care where patients may be screened, treated and/or transferred during an influenza pandemic. The worksheets are designed to assist coordination and management of resource availability, medical surge within the community and the severity of medical surge. This option is not a substitution for existing plans, systems or approved forms, but is an additional resource for making informed decisions.

Medical surge? (Note 3)

Yes ButtonNo Button

Daily Medical Surge Assessment Table

Printable Influenza Surge Severity Worksheet

PDF Document Word Document

Disclaimer

The printable worksheets option will assist community leaders and decision makers in their selection of appropriate sites of care where patients may be screened, treated and/or transferred during an influenza pandemic. The worksheets are designed to assist coordination and management of resource availability, medical surge within the community and the severity of medical surge. This option is not a substitution for existing plans, systems or approved forms, but is an additional resource for making informed decisions.

Mobilize additional resources to increase capacities and capabilities (Note 4)

Back to the Beginning

Printable Increased Resources Worksheet

PDF Document Word Document

Disclaimer

The printable worksheets option will assist community leaders and decision makers in their selection of appropriate sites of care where patients may be screened, treated and/or transferred during an influenza pandemic. The worksheets are designed to assist coordination and management of resource availability, medical surge within the community and the severity of medical surge. This option is not a substitution for existing plans, systems or approved forms, but is an additional resource for making informed decisions.

2 Negative pressure is created by adjusting a room's or area's ventilation system so that more air is mechanically exhausted than is mechanically supplied. This creates a ventilation imbalance through which air is continually being drawn into the room or area rather than being let out into other areas where exposure may occur.

Continue to monitor

Designated healthcare facility staff (e.g., primary care office manager) should assess for patient surge daily to determine the severity of the event during an influenza pandemic.

If the assessment indicated no medical surge is currently occurring, the healthcare facility staff should continue to monitor as directed according to pandemic influenza plans.

Back to the Beginning

CHDMT Brief Guide

The CHDMT Brief Guide provides general information about the tool including goals, assumptions and recommended use.

CHDMT Brief Guide

CHDMT Resources

About These Tools

Title

Pandemic Influenza Triage Tools

Version

Version 2.0

Date

October 23, 2015

Product Goals and Purpose

The goals of these triage tools are to:

The purpose of the Pandemic Influenza Triage Algorithm (PITA) is to:

Assumptions

The Pandemic Influenza Triage Tools (PITA & CHDMT) are provided as standardized tools for all healthcare components within the community. These tools are intended solely as an option to supplement existing tools from which to choose to help triage ILI patients during a pandemic, and to help decrease medical surge and conserve resources. Each healthcare community should determine the benefit in using these tools versus tools already in place in the community.

Description

These tools are designed to be used in tandem in communities where collaborations exist between healthcare providers and healthcare decision-makers (government officials or managers, agency and department leads, elected officials, policy makers, healthcare providers, community planners, etc.) during the iterative process that enhances integration of public health and medical assets during an influenza pandemic.

The Pandemic Influenza Triage Tools can be used in conjunction with the National Incident Management System (NIMS) and Incident Command System (ICS) structure. Familiarity with NIMS, including the community's ICS and Emergency Operations Center (EOC), is essential for community leaders and decision makers. Having an understanding of NIMS will assist community leaders and decision makers to determine the appropriate method of information sharing to enhance coordination with their healthcare partners, and to create effective communication about resource needs, medical surge and sites of care for patients during an influenza pandemic.

Designed For

Web Version

CD Version

Mobile Version

The Mobile Version is specifically designed for mobile devices and mobile browsers. If you try to open the Mobile Version using your desktop browser, it may not display properly.

The mobile version may be viewable on your desktop using one of the following browsers:

Please keep in mind that the mobile version was developed for, and intended to be viewed on, touch interface based mobile devices. Viewing the mobile version via a desktop has only been tested using Windows 7 only. Although the mobile version is viewable from a desktop, via the browsers listed above, functionality may vary.

Contact Us

If you have questions or comments regarding the Pandemic Influenza Triage Tools please direct them to CDC at the following E-mail address: healthcareprepared@cdc.gov.

Acknowledgments/Credits

Primary contributors to the development of the Pandemic Influenza Triage Tools:

Debbie Travers, PhD, RN, FAEN
Assistant Professor
University of North Carolina
Chapel Hill, North Carolina

Nicki Gilboy, MS, RN, FAEN
Associate Chief Nursing Officer for Emergency Medicine
UMass Memorial Health Center
Worcester, Massachusetts

Alexander Rosenau, DO, CPE, FACEP
Associate Professor, Dept. of Medicine
University of South Florida
Senior Vice Chair, Department of Emergency Medicine
Lehigh Valley Health Network
Allentown, Pennsylvania

Primary contributors' organizations were current at the time of development of the Pandemic Influenza Triage Tools.

The Oak Ridge Institute for Science and Education (ORISE) is a U.S. Department of Energy (DOE) institute focusing on scientific initiatives to research health risks from occupational hazards, assess environmental cleanup, respond to radiation medical emergencies, support national security and emergency preparedness and educate the next generation of scientists.

These tools were prepared for the Centers for Disease Control and Prevention (CDC) by ORISE through an interagency agreement with DOE. ORISE is managed by Oak Ridge Associated Universities under DOE contract number DE-AC05-06OR23100.

The findings and conclusions in these tools are those of the authors, and do not necessarily represent the official position of the Centers for Disease Control and Prevention. The authors, CDC and ORISE cannot be responsible for any adverse consequences arising from the independent application by individual professionals using the Pandemic Influenza Triage Tools to particular circumstances encountered in their practices or communities.

Contact Us

If you have questions or comments regarding the Pandemic Influenza Triage Tools please direct them to CDC at the following E-mail address: healthcareprepared@cdc.gov.

Acronyms

ACF: Alternate Care Facility

ACLS: Advanced Cardiac Life Support

ACS: Alternate Care System

AVPU: A-alert; V-responds to verbal commands; P-responds to pain only; U-unresponsive

BIPAP: Biphasic Positive Airway Pressure

BP: Blood Pressure

BVM Ventilation: Bag-Valve-Mask ventilation

CBC with diff: Complete Blood Count with Differential

CDC: Centers for Disease Control and Prevention

CHDMT: Community Healthcare Decision Making Tool

COPD: Chronic Obstructive Pulmonary Disease

CPAP: Continuous Positive Airway Pressure

CXR: Chest X-Ray

DSNS: Division of Strategic National Stockpile

ED: Emergency Department

EOC: Emergency Operations Center

HIV: Human Immunodeficiency Virus

HR: Heart Rate

ICS: Incident Command System

ILI: Influenza-like Illness

IV: Intravenous

Labs: Laboratory Studies

MDI: Metered Dose Inhaler

MOU: Memorandum of Understanding

ORISE: Oak Ridge Institute for Science and Education

P: Pulse

PALS: Pediatric Advanced Life Support

PITA: Pandemic Influenza Triage Algorithm

QC: Quality Control

R (or RR): Respirations or Respiratory Rate

SaO2 (or O2 Sat): Saturation (level)Oxygen (in hemoglobin)

T:  Temperature

USPHS: United States Public Health Service