triage review. triage is an effective strategy in situations where: there are many more victims...
TRANSCRIPT
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Triage Review
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Triage is an effective strategy in situations where: There are many more victims than rescuers There are limited resources Time is critical
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During triage: Victims are evaluated Sorted by the urgency of the treatment needed Placed into immediate and delayed
treatment areas
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Doing the Greatest Good, For the Greatest Number
KEY PRINCIPLE
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SCENE SAFETY: Size UpSize up the scene, Make sure the scene is safe
for you to enter
CREATE ORDER:Next, ask those who are not injured or who have
minor injuries to identify themselves
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Walking Wounded…
When entering room or area, shout out,“if you can hear me, come to the soundof my voice.”
Self rescue is best rescue
Tag GREEN for minor, Send to a safe area
Ask about other victims in area
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Triage Color Codes
GREEN – minor
BLACK – deceased
RED – immediate
YELLOW – delayed
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With START one patient is assessedevery 30 seconds
First responder quickly assesses tocategorize a patient’s condition
Airway and respiration Pulse and / or capillary refill Level of consciousness
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The only treatment rendered by the triageteam is to: Open a patient’s airway (head tilt / neck lift) Apply direct pressure to stop an obvious bleed Elevating the extremities
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Triage Rule – 30, 2, How are you?
• 30 respirations/minutes• 2 second capillary refill rate [or strong pulse]• Able to obey simple commands
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How would you tag each of the victims describedbelow?
G = GREEN, Minor Y = YELLOWYELLOW, DelayR = RED, Immediate B = BLACK, Dead
No bleeding. Dazed and confused. Doesn't squeeze hand
when asked. R <30, P 2 seconds RED, Immediate
Non-Ambulatory. Responds to voice triage. Minor bleeding. R <30, P Normal blanch 2 seconds, M RespondsYELLOWYELLOW, Delay
SELF TEST
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How would you tag each of the victims describedbelow?
G = Green, Minor Y = Yellow, DelayR = Red, Immediate B = Black, Dead
Very bloody thigh. Unconscious. After two attempts to open airway, still
not breathing. Black, Dead
No signs of bleeding. Unconscious. R <30. Capillary refill > 5 seconds Red, Immediate
Minor bleeding. R <30. Capillary refill < 2 seconds. Conscious - slightly disoriented, but obeys commands Yellow, Delay
SELF TEST
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Ready to Try?