| Red | Orange | Yellow | Green | |
| TEWS | 8 or more | 6–7 | 3–5 | 2 or less |
| Mechanism of injury | Entrapment | Impact—high | Impact—low | |
| Pain | Severe | Moderate | Mild | |
| Respiratory | Asthma—status | Asthma | ||
| Cardiac | Chest Pain | |||
| Vascular | Haemorrhage—arterial | |||
| Neurological | Seizure—current | Seizure—postictal | ||
| Unresponsive | Responds to pain | Responds to voice | Alert | |
| Psychiatric | Psychosis/aggression | |||
| Orthopaedic | Limb—threatened | |||
| Dislocation—major joint | Dislocation—minor joint | |||
| Fracture—open | Fracture—closed | |||
| Burn | Burn face/inhalation | Burn >20% | Burn—minor | |
| Metabolic | Hypoglycaemia <2.2 | Overdose/poisoning | ||
| Intestinal | Haematemesis | Abdominal pain | ||
| Obstetric | Pregnancy—trauma | Pregnancy—PV bleed | ||
| Anatomy | Trauma—airway | Trauma—head/neck/torso /evisceration | Trauma—limb |
CTS, Cape triage score; PV, per vagina; TEWS, triage early warning score. Senior healthcare professional’s discretion.
CTS, Cape triage score; PV, per vagina; TEWS, triage early warning score. Senior healthcare professional’s discretion.