What key component was added to initial acuity-only models when developing systems like the ESI?
Answer
The resource component (Levels 4 and 5 focus)
A noteworthy development in modern triage algorithms was the inclusion of the resource component, particularly evident in ESI Levels 4 and 5. This addition stemmed from recognizing that simply identifying who needs care is insufficient; emergency departments must predict who will consume significant physician or nursing time. The system began to weight patients based on the complexity of their necessary care path—such as demanding an immediate MRI—rather than solely on the immediate threat level, marking a significant divergence from Larrey's pure survival focus.

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