Last Updated on August 19, 2026
Triage
Primary triage
• Asking presenting complaint
• Any evident / potential life-threatening condition / limb or organ injuries
• Any high risk medical profile?
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📑If patients fulfill the above criteria, patient will be assigned to higher acuity zones e.g. yellow / red zone (bypassing secondary triage)
Secondary triage
• Objective assessment: vital signs, brief clinical assessment (e.g.
GCS
Glasgow Coma Scale (GCS)
Open: https://www.myhouseman.my/glasgow-coma-scale-gcs/
• Assign triage category based on findings from objective assessment
• Initiation of management e.g. pain management, wound dressing, immobilisation, relevant biochemical investigations / imaging
Zones in ED
Red zone
Yellow zone
Green zone
×Patients in Green Zone are relatively stable, it is important to identify which patients are high risk and should be referred to respective department for outpatient full work-up
Patients in Green Zone are relatively stable, it is important to identify which patients are high risk and should be referred to respective department for outpatient full work-up
Framework of Management in ED — ROSE
• Resuscitate
• Optimise treatment
• Stabilize patient / Monitoring
• Evaluation of treatment
Tips
• In any hospital you go, ask for the medication protocol in that hospital / department, and get familiar with it