Injuries and sicknesses vary when people show up to an ER for medical care, so doctors must decide, depending on the severity, which cases take priority in determining how soon patients can be treated in a room and the order in which they are seen.
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Johns County construction site pleads not guilty– If you’ve ever had the misfortune to end up in an emergency room, the order in which patients were seen might have seemed confusing. We’re used to following a first-come, first-served system in most scenarios, but hospitals, particularly ERs, function very differently -- and for good reason. Injuries and sicknesses vary when people show up to an ER for medical care, so doctors must decide, depending on the severity, which cases take priority in determining how soon patients can be treated in a room and the order in which they are seen.Dr. Steven Goodfriend, an emergency medicine physician at HCA Florida Memorial Hospital, says the hospital uses a five-tier system, with 1 being the most serious cases, in figuring out the order in which patients are sent back to a room. Dr. Steven Goodfriend is an emergency medicine physician at HCA Florida Memorial Hospital. He says the hospital use a 5-tier system, with 1 being the most serious cases, in figuring out the order patients get sent back to a room.Goodfriend put News4JAX anchor and reporter Aaron Farrar to a triage test to see what decision he would make if he needed to. With the following four scenarios, Goodfriend wanted to know which order Farrar would see the patients in:An 85-year-old slip and fall who takes a blood thinner“I’m gonna go with the chest pain patient first,” Farrar said.“I would say definitely that’s the first one because you want to get an EKG on that patient,” Goodfriend said. “You want to see if they are having a heart attack or not.”“Yes,” Goodfriend said. “Slip and fall, hit their head a blood thinner. They are coming back because that is a high-risk patient. If it is a 25-year-old slip and fall who hurt their head a little bit, they will probably have to wait a little bit longer. But patient has a high risk of bleeding into the brain, a cranial injury.”“It is a trick question because it is based on what their vital signs are,” Goodfriend said. “If they had a low oxygen level, if their fever was really high, if they did not really look that good . If they started to develop a rash, then they would go back faster.”“If a younger female or patient with abdominal pain [who possibly was pregnant, if they just had a little bit of a stomach ache, but their vital signs were stable, then the kid would still go back faster,” he said. Goodfriend says it can be frustrating at times for patients who may need to wait a little longer than others, but he says medical attention starts as soon as you set foot in a hospital. He says that includes getting X-rays and doctors putting in orders for medication while in the waiting area. HCA Florida Memorial Hospital does not want people to become so frustarted that they leave without getting the care they need. “What our focus has been the last six months is when we see them, get them back to a room,” Goodfriend said. “If your child comes in with a fever and you think it is nothing, ‘I’ve been waiting for two hours. It is probably nothing. I’m tired of waiting, and I’ll go home.’ That can be meningitis. It could be a severe, life-threatening illness.”Aaron Farrar joins News4JAX as a weekend morning reporter after working for a year at WFXR in Roanoke, Virginia, as a morning news reporter and primary fill-in anchor.Carlos Acevedo is a photojournalist at WJXT News4Jax and a University of North Florida graduate with a degree in Communications, concentrating in Digital Video Production. Since joining News4Jax in 2024, he has been responsible for shooting compelling news stories that capture and share important events with the community.Jacksonville OIG launches investigation into JEA over millions in potential unpaid capacity feesLudacris takes the stage at Military Appreciation Day during The Players ChampionshipMarch 10, 6 p.m. scene of a crash on Edgewood Avenue, News4JAX working to learn moreGet your garden growing! The weather is perfect and there is some rain on the wayMorning Show anchor Bruce Hamilton shares update on his cancer journeyThe Players Championship practice rounds get underway under sunny skiesDeadly Westside crash closes lanes on 103rd Street near Valdura AvenueBishop Kenny boys basketball team has used youth to power run to final fourJFRD didn’t inspect a halfway house for 59 years. Now the house faces costly issuesAG Pam Bondi talks about attack in New York City
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