In our er, we all rotate through different areas, main, peds, the chest pain unit, fast track. I was in fast track yesterday and started to wonder about who the heck was in triage first, and then about how fast is fast track. During the day I took care of numerous people who had the various bumps, bruises, sprains, strains. I also ruled one guy out for an MI, one other one for Anurysm (yeah, I can't spell), admitted a patient with a SLE flare, did a chemical eye burn, etc. and a conscious sedation! three of these patients stayed for well over 8 hours and really required a lot of treatment(the sedation took the only RN, ME working that area totally out of circulation for about 1.5 hrs). We don't have a physician in our fast track area- a PA or NP, so they are often going to consult with the attending on the more complicated situations. So most of the patients were very delayed in treatment, and stayed for over 4 hours. Whats your fast track like? Are you able to triage dislocated shoulders/hips and complex fractures there, or is my ER just gone nuts. I know I am venting a bit, but I think that actual fast track pts- stitches, sprains, strains, etc coudl get in and out a lot faster if I wasn't also coordinating EKG's and CT scans over there. What do you think?