A 70 year old female with her right arm in a cast is brought to triage by her daughter. The daughter states that her mother fell yesterday and fractured her arm. The patient is complaining of pain. Daughter states "they put this cast on yesterday, but I think it's too tight." Daughter reports her mother has been very restless at home and thinks her mother is in pain. Patient has a history of Alzheimer's disease. The patient is confused and mumbling (at baseline per her daughter); face flushed. She is unable to provide verbal description of her complaints. Her right upper extremity is in a short arm cast; digits appear tense, swollen and ecchymotic. Nail beds are pale; capillary refill delayed. Patient is not wearing a sling.
What is the ESI Level in this case?
A. ESI Level 1
B. ESI Level 2
C. ESI Level 3
D. ESI Level 4
E. ESI Level 5
