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11 Cards in this Set
- Front
- Back
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daily triage
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Regular daily function of ED.
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Incident triage
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when ED has large influx of pts that need to be seen, delays will be longer, but eventually provides care to all pts. Critical and sickest seen first.
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Disaster triage
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When emergency services are overwhelmed to the point where immediate care cannot be provided to everyone who needs it.
Paradigm shift from caring for most unstable and acutely ll first to a utilitarian "do the most good for the most people". Pts are sorted into four categories based on severity taking into account resource availability and management: 1) critical 2) urgent 3) minor 4) catastrophic |
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Tactical-military triage
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Similar to disaster triage, but driven by military mission objectives rather than traditional civilian guidelines.
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Special conditions triage
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Used for incidents involving WMDs, radiation, biological agents, chemical contaminants.
Mandate PPE for all healthcare personnel and decontamination capabilities. During this response, triage responders must assure they themselves do not become victims. Workers only enter the scene when safety has been assured. |
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Triage during an epidemic
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Goal: prevent secondary transmission.
Whole population is involved. Divided into these five categories: 1) Susceptible - unexposed byt susceptible 2) Exposed - had contact, may be infected, incubating, but not yet contagious. 3) Infectious - symptomatic and contagious 4) Removed - have been sick already and are either immune or died, no longer contagious to others. 5) Vaccinated or receiving prophylactic drugs - critical resource for essential workforce. |
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Three tier hospital triage: Emergent
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requires tx immediately or within 15-30 minutes.
ABC system, ex: cardiac arrest, airway obstruction, seizures, asthma, acute bleeding or pain, low LOC. |
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Three tier hospital triage: Urgent
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serious illnesses that must be treated, but that can wait 2hrs without further adding to the morbidity or mortality of the pt.
Examples: long bone fx, bleeding that is under control with pressure dressing, acute psych (if pt is safe), high fever with other VSS. |
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Three tier hospital triage: Non urgent
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any condition that can wait 2hrs to be seen without likelihood of deterioration
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START system:
Simple Triage And Rapid Treatment |
Based on: ability to respond verbally, ambulate, respirations, perfusion, mental status (RPM).
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START cats:
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1) If walking - GREEN = Delayed, asked to move to specific location
2) Non-walking - 30-60sec assessment of RPM: RED = Critical: R>30, P [cap refill] >2sec, M - does not obey commands YELLOW = Urgent: R<30, P < 2sec, M - obeys commands. BLACK = Dead or dying: R=not breathing. |
