ESI question

Had a pt present to ED... young female with a hx of splenic artery aneurism that had appointment to operate in one week with sudden onset of sharp, tearing abdominal pain that radiated to her back. HR 150 and BP 90/45. Diaphoretic and tachypneic. I triaged her as an ESI-2 because she is here all the time." She ended up dying. My charge nurse chastised me, claiming that with a confirmed mechanism for shock, textbook symptoms of shock, and a clear need for life saving interventions, she should have been a 1, despite frequent flyer status. Was I wrong to put her as a 2?

I rearranged it a bit.

Let's say that was a test question for CEN, or even to get a job. Anybody here going for ESI 2? The fact that a given ER uses certain practices does not change a patient's ESI category.

Had the PT died, would the CN con back and changed your ESI 1 to a @?