documents.pub_triage-ppt.ppt
•Download as PPT, PDF•
0 likes•71 views
Triage is the process of sorting patients into priority groups for treatment based on the severity of their condition. It is used in mass casualty incidents to provide the greatest benefit to the largest number of patients when resources are limited. Patients are categorized as red (highest priority), yellow, green, or black (dead) based on their airway, breathing, circulation, and mental status. The START method involves a rapid initial assessment and tagging of patients to identify those needing immediate care. Secondary triage provides a more thorough reassessment once resources are available. Special considerations are made for injured rescuers, hysterical patients, children, and those with hypothermia or multiple injuries. An incident command system is activated to coordinate the emergency
Report
Share
Report
Share
Recommended
Triage
This document discusses triage, which is the process of sorting patients based on the urgency of their medical condition. It defines triage and outlines its objectives of identifying patients, prioritizing their needs, and directing them to the appropriate care provider. It describes different types of triage including simple, advanced, continuous integrated, and reverse triage. It also discusses under and over triage. The document outlines levels of triage from red to green based on the severity of the patient's condition. Finally, it discusses the role and characteristics of EMTs in effectively performing triage.
Triage final
This document discusses triage in trauma care. It begins by defining triage as sorting patients based on need to receive the right care at the right time. The goals of triage are to rapidly identify urgent cases and ensure treatment is timely and appropriate. Patients are assessed and assigned a priority level based on factors like vital signs, injuries, and pain level. Cultural considerations must also be taken into account. The document then describes the roles of various professionals involved in trauma situations and transport of patients to facilities that can provide the necessary care.
Secondary assessment
The document discusses the process of secondary assessment in nursing. It begins with an overview stating that secondary assessment is brief, performed after primary assessment and resuscitation, and is useful for discovering occult problems in patients with poor histories.
The goals of secondary assessment are then outlined as discovering all non-life threatening abnormalities or injuries. Key components of secondary assessment are described in detail and include taking a full set of vital signs, focused adjunct exams, providing comfort measures, obtaining a thorough medical history, and conducting a head-to-toe physical exam. The document provides guidance on assessing each body system.
Triage scenarios
The document provides 12 triage scenarios with patient details and suggested triage scores. For each scenario, the triage score and brief rationale is given, focusing on airway, breathing, circulation, risk of deterioration, and urgency of treatment. Triage scores range from 1 to 5, with 1 indicating treatment is needed immediately and 5 being non-urgent. The scenarios cover a range of medical conditions and injuries seen in emergency departments.
Triage in emergency department 100121135547-phpapp01-170528183022
Triage is the process of sorting patients based on the urgency of their condition to provide the right care to the patients who need it most. It involves an initial assessment of patients upon arrival to identify life-threatening issues and prioritize patients into categories based on need. The document outlines the goals and categories of triage in both emergency and disaster situations, with categories ranked from resuscitation to non-urgent based on the threat to life, limb, or function. It also describes the key components of triage including an initial across-the-room assessment and ongoing re-assessments to manage patient flow efficiently and address needs as conditions may change.
Triage with quiz show
The document discusses triage and the Emergency Severity Index (ESI) system used at Santiam Hospital. ESI triage involves rapidly sorting patients into 5 levels (1 being critical and 5 needing few resources) based on 4 decision points: need for immediate intervention, ability to wait, expected resource needs, and vital signs. Level 1 patients need immediate lifesaving care. Level 2 patients have high-risk conditions and should be placed in a room soon. Level 3 patients likely need 2+ resources and vital signs may be abnormal. Level 4 patients need one resource and can wait hours. Level 5 patients need no resources. The goal is to prioritize patients and identify those who cannot wait for treatment.
Triage In Emergency Department
Triage is the process of sorting patients based on the urgency of their condition to provide the right care to the right patient at the right time. It involves initially assessing patients at arrival to identify those needing immediate care, determine the appropriate treatment area, and avoid congestion. The goals are to treat the most severely injured first while maximizing survival in a mass casualty event. Triage categories range from resuscitation to non-urgent to ensure critical patients receive rapid medical attention. Reassessment is important as a patient's condition may deteriorate while waiting.
Mci smart triage
An MCI requires EMS providers to change their approach from single patient care to managing multiple patients simultaneously. This involves effectively applying limited resources in a timely manner through incident and time management. It requires organizing, coordinating, and communicating within EMS operations with accountability of resources and patient distribution. Appropriate triage and distribution of patients to destinations is needed so that patients go to the right facilities based on their needs. Proper review after the incident can help identify lessons learned and improve existing plans for future MCIs.
Recommended
Triage
This document discusses triage, which is the process of sorting patients based on the urgency of their medical condition. It defines triage and outlines its objectives of identifying patients, prioritizing their needs, and directing them to the appropriate care provider. It describes different types of triage including simple, advanced, continuous integrated, and reverse triage. It also discusses under and over triage. The document outlines levels of triage from red to green based on the severity of the patient's condition. Finally, it discusses the role and characteristics of EMTs in effectively performing triage.
Triage final
This document discusses triage in trauma care. It begins by defining triage as sorting patients based on need to receive the right care at the right time. The goals of triage are to rapidly identify urgent cases and ensure treatment is timely and appropriate. Patients are assessed and assigned a priority level based on factors like vital signs, injuries, and pain level. Cultural considerations must also be taken into account. The document then describes the roles of various professionals involved in trauma situations and transport of patients to facilities that can provide the necessary care.
Secondary assessment
The document discusses the process of secondary assessment in nursing. It begins with an overview stating that secondary assessment is brief, performed after primary assessment and resuscitation, and is useful for discovering occult problems in patients with poor histories.
The goals of secondary assessment are then outlined as discovering all non-life threatening abnormalities or injuries. Key components of secondary assessment are described in detail and include taking a full set of vital signs, focused adjunct exams, providing comfort measures, obtaining a thorough medical history, and conducting a head-to-toe physical exam. The document provides guidance on assessing each body system.
Triage scenarios
The document provides 12 triage scenarios with patient details and suggested triage scores. For each scenario, the triage score and brief rationale is given, focusing on airway, breathing, circulation, risk of deterioration, and urgency of treatment. Triage scores range from 1 to 5, with 1 indicating treatment is needed immediately and 5 being non-urgent. The scenarios cover a range of medical conditions and injuries seen in emergency departments.
Triage in emergency department 100121135547-phpapp01-170528183022
Triage is the process of sorting patients based on the urgency of their condition to provide the right care to the patients who need it most. It involves an initial assessment of patients upon arrival to identify life-threatening issues and prioritize patients into categories based on need. The document outlines the goals and categories of triage in both emergency and disaster situations, with categories ranked from resuscitation to non-urgent based on the threat to life, limb, or function. It also describes the key components of triage including an initial across-the-room assessment and ongoing re-assessments to manage patient flow efficiently and address needs as conditions may change.
Triage with quiz show
The document discusses triage and the Emergency Severity Index (ESI) system used at Santiam Hospital. ESI triage involves rapidly sorting patients into 5 levels (1 being critical and 5 needing few resources) based on 4 decision points: need for immediate intervention, ability to wait, expected resource needs, and vital signs. Level 1 patients need immediate lifesaving care. Level 2 patients have high-risk conditions and should be placed in a room soon. Level 3 patients likely need 2+ resources and vital signs may be abnormal. Level 4 patients need one resource and can wait hours. Level 5 patients need no resources. The goal is to prioritize patients and identify those who cannot wait for treatment.
Triage In Emergency Department
Triage is the process of sorting patients based on the urgency of their condition to provide the right care to the right patient at the right time. It involves initially assessing patients at arrival to identify those needing immediate care, determine the appropriate treatment area, and avoid congestion. The goals are to treat the most severely injured first while maximizing survival in a mass casualty event. Triage categories range from resuscitation to non-urgent to ensure critical patients receive rapid medical attention. Reassessment is important as a patient's condition may deteriorate while waiting.
Mci smart triage
An MCI requires EMS providers to change their approach from single patient care to managing multiple patients simultaneously. This involves effectively applying limited resources in a timely manner through incident and time management. It requires organizing, coordinating, and communicating within EMS operations with accountability of resources and patient distribution. Appropriate triage and distribution of patients to destinations is needed so that patients go to the right facilities based on their needs. Proper review after the incident can help identify lessons learned and improve existing plans for future MCIs.
Triage basics
Presentation on the basics of Triage for the Emergency Nurse working in Australian Emergency Department.
Triage
Triage is the process of prioritizing patients according to the severity of their condition in order to ensure those with the most serious injuries receive care first when resources are limited. It involves classifying patients into categories based on initial assessments and then reassessing as needed. The goal is to do the most good for the most people using available resources. Triage methods like START and SAVE are used in disaster situations to rapidly assess and prioritize patients into categories to determine who should receive immediate care, delayed care, or comfort care only. In the emergency department, a triage team assesses all patients and assigns a color code category of red, yellow, green or black to indicate treatment priority and direct patients to the appropriate care area
Advanced trauma life support (atls)
This document outlines the Advanced Trauma Life Support (ATLS) protocol for assessing and treating traumatic patients. It discusses the importance of a standardized approach and maximizing the "golden hour" after trauma. The protocol includes 4 phases: primary survey to address life threats and stabilize the patient, secondary survey for a full physical exam and history, resuscitation, and tertiary survey for comprehensive treatment and stabilization for transfer. Key components of the primary survey are the ABCDE approach to assess airway/cervical spine, breathing, circulation with hemorrhage control, disability, and exposure/environment. The secondary survey involves a full history and head-to-toe physical exam. The goal of tertiary survey is complete treatment
Triage based emergency care
the emergency assessment to be done carefully and immediately .the emergency nurse have quick review and deliver the health carein the quality manner in all the fields of health care as medical,surgical, paediatric ,and obstertics .
First aid
The document provides information on first aid, including roles and responsibilities of first aiders, objectives of first aid, characteristics of good first aiders, basic precautions and practices, emergency action principles, vital signs, common injuries and their treatments, and bandaging techniques. A first aider is responsible for ensuring safety, providing immediate care, summoning medical help, and documenting care provided to bridge the gap between injury and medical treatment. The goals of first aid are to prevent further injury, prolong life, and alleviate suffering.
Mass casulaty incidents
This document discusses mass casualty incidents and the role of emergency medical responders. It describes what constitutes a mass casualty incident, the sectors that should be established at the scene including triage, treatment and transportation. It outlines the START triage plan involving assessing airways, breathing, circulation and mental status to assign patients priority levels of red, yellow, green or black to determine treatment. The emergency responder's role is to begin triaging patients and provide initial care until additional EMS support arrives.
Mass Casualty Triage System START, and JumpSTART
This document provides information on triage systems and procedures. It defines triage as sorting patients based on treatment priority. The START and JumpSTART triage systems categorize patients as red/immediate, yellow/delayed, green/minor, or black/deceased based on their respiration, pulse, and mental status. It outlines how to rapidly assess and tag patients in a mass casualty event using these criteria in 3 sentences or less per patient to maximize survivability. The document recommends clearing walking patients first and prioritizing life-saving interventions for immediate patients before movement or additional treatment.
Transport of-sick-child
The document discusses pediatric transport, including the goals of providing intensive care during transfer and improving outcomes through specialist care. It describes who may need transport, such as trauma victims, preterm infants with complications, and children with severe illnesses or complications. The transport team is described, including roles like medical director, transport coordinator, doctor, nurse, and paramedic. Considerations for transport include the patient's condition, transit times, vehicle availability, and weather. The primary assessment focuses on the pediatric assessment triangle of airway, breathing, and circulation. Secondary assessment includes signs and symptoms, history, and ongoing documentation to facilitate quality improvement.
INTERNATIONAL PATIENT SAFETY GOALS
International Patient Safety Goals (IPSG) help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
International-Patient-Safety-GoalsGoal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
Nursing in emergencies
1. Emergency nursing is a specialty that cares for patients during the critical phase of illness or injury when the cause is unknown. Emergency nurses treat a wide range of issues from minor to life-threatening for all ages.
2. The primary goals in emergency nursing are to assess patients, establish airways, control bleeding, and determine ability to follow commands in order to guide initial treatment and monitoring.
3. Emergency nurses must be prepared to assess and treat many different medical conditions and injuries ranging from minor illnesses to trauma emergencies in patients of all ages.
Triage protocols
The document outlines triage protocols and guidelines for nurses to follow when assessing patients over the phone. It describes the structure and organization of protocols, including overview sections, assessment questions, dispositions, and care advice. It provides examples of 911-worthy emergencies and guidelines for handling urgent vs non-urgent calls. It emphasizes effective communication strategies and the nursing process of identifying problems, exploring solutions, and providing home care instructions or referrals. It also notes goals for call length and considerations for handling newborn patients.
Nurses role in arterial puncture and abg analysis
The document discusses arterial blood gas analysis and interpretation. It provides information on equipment and procedures for arterial blood sampling and analysis. Normal ranges are provided for pH, PCO2, PO2, oxygen saturation, and HCO3. Types of acid-base imbalances are explained including compensated and uncompensated respiratory and metabolic acidosis and alkalosis. Examples of arterial blood gas results are given and their acid-base interpretations.
basic life support
This document provides information on basic life support (BLS) procedures including chain of survival, high quality chest compressions, rescue breathing, use of an automated external defibrillator (AED), and differences in BLS for adults, children, and infants. It emphasizes the importance of early CPR, specifically initiating chest compressions within 10 seconds, maintaining a rate of 100 compressions per minute with appropriate depth for the victim's age, and minimizing interruptions. The sequence of BLS is described as check for response, check for breathing, activate emergency response, get AED, check pulse, provide 30 chest compressions and 2 breaths.
Ambulance equipments
Paramedics use several important medical devices and equipment to treat patients in emergency situations, including cardiac monitors and defibrillators to treat severe heart issues, collapsible wheelchairs to move patients, medical kits containing supplies for treatment, oxygen tanks for respiratory distress, splints for broken bones, blood pressure cuffs, breathing tubes to maintain airways, and neck collars to prevent movement for spinal injuries.
NURSING PROCEDURE OBTAIN 12 LEAD ECG
An electrocardiogram (ECG or EKG) records the electrical activity of the heart. A 12-lead ECG uses electrodes placed on the wrists, ankles, and chest to assess the heart from 12 different views. It is a valuable diagnostic tool that displays the heart's electrical activity as waveforms. The procedure involves preparing the ECG machine, attaching electrodes to the patient's limbs and chest in specific positions, recording the 12 leads automatically, and removing the electrodes after.
principles of EMERGENCY CARE
This document provides information on emergency care and triage. It discusses the principles of emergency care which include providing care without delay and using triage to prioritize patients. Triage involves sorting patients into categories of emergent, urgent, and non-urgent based on the seriousness of their conditions. The document then describes the triage process in more detail, including the different color codes used to categorize patients and the criteria for each category. It also discusses the roles of triage team members and how to set up an effective triage system.
Basic CPR .pptx
I. Introduction
A. Definition of CPR
1. Explanation of what CPR stands for
2. Definition of CPR as a life-saving technique
B. Importance of CPR
1. Statistics on cardiac arrest and survival rates
2. Explanation of why CPR is crucial for saving lives
C. Objective of the manual
1. Explanation of what readers will learn from the manual
2. Statement of the manual's purpose
II. Getting Started with CPR
A. Assessing the situation
1. Importance of assessing the situation before starting CPR
2. Factors to consider when assessing the situation
B. Checking for responsiveness
1. Explanation of how to check for responsiveness
2. Importance of checking for responsiveness
C. Activating the emergency response system
1. Explanation of when to activate the emergency response system
2. Step-by-step guide to activating the emergency response system
III. Basic Life Support Techniques
A. Key components of basic life support
1. Explanation of the components of basic life support
2. Importance of each component
B. The ABCs of CPR
1. Explanation of the ABCs of CPR
2. Importance of each step in the ABCs of CPR
C. Performing chest compressions
1. Explanation of how to perform chest compressions
2. Importance of proper chest compression technique
D. Delivering rescue breaths
1. Explanation of how to deliver rescue breaths
2. Importance of proper rescue breath technique
E. Utilizing an automated external defibrillator (AED)
1. Explanation of what an AED is and how it works
2. Step-by-step guide to using an AED
F. Administering medications during CPR
1. Explanation of medications used during CPR
2. Dosages and administration guidelines for each medication
IV. Advanced Life Support Techniques
A. Advanced airway management
1. Explanation of advanced airway management techniques
2. Importance of advanced airway management in CPR
B. Advanced monitoring techniques
1. Explanation of advanced monitoring techniques
2. Importance of advanced monitoring in CPR
C. Invasive interventions
1. Explanation of invasive interventions
2. Importance of invasive interventions in CPR
D. Extracorporeal membrane oxygenation (ECMO)
1. Explanation of ECMO
2. Importance of ECMO in CPR
V. Improving Outcomes in CPR
A. Factors influencing CPR outcomes
1. Explanation of factors that influence CPR outcomes
2. Importance of understanding these factors
B. Strategies for improving CPR outcomes
1. Explanation of strategies for improving CPR outcomes
2. Importance of implementing these strategies
C. The role of high-quality CPR in improving outcomes
1. Explanation of what high-quality CPR is
2. Importance of performing high-quality CPR
VI. Special Considerations in CPR
A. CPR in special populations
1. Explanation of special populations that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
B. CPR in special settings
1. Explanation of special settings that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
C. CPR during a pandemic
1
A & E TRAIAGE
Triage aims to ensure patients are treated based on clinical urgency and allocated to the appropriate treatment area. There are multiple types of triage including for multiple casualties where resources exceed needs and mass casualties where needs exceed resources. The document discusses the Advanced Trauma Score (ATS) scale used in triage with 5 categories ranging from immediate/highest priority to non-urgent/lowest priority based on factors like vital signs, respiratory rate, level of consciousness. It emphasizes triage should do a quick 2-5 minute assessment of general appearance and physiology to determine the maximum safe waiting time for each patient.
350787 Principles Of First Aid
This document provides an overview of basic first aid principles and procedures. It outlines the qualities of a first aider as being calm, confident, willing to offer assistance, and patient. The three aims of a first aider are to preserve life, prevent injuries from worsening, and promote recovery. To preserve life, a first aider should control bleeding, treat for shock, maintain the airway, and perform CPR if needed. To prevent worsening, they should dress wounds to prevent infection and make the casualty comfortable. To promote recovery, they should relieve anxiety and pain/discomfort and handle the casualty gently. The document also covers initial assessment using the ABCs - Airway, Breathing, and Circulation
TRIAGE
Triage is the process of prioritizing patients according to the urgency of their need for care. It aims to ensure patients are treated in order of clinical urgency and receive timely care. There are three main types of triage - primary triage in the field, secondary triage in the emergency department, and tertiary triage by specialists. The START and SAVE methods are used for disaster triage in the field to categorize patients into immediate, delayed, or minimal care/expectant groups. In the ED, patients are assigned colors based on their condition - red for most urgent, yellow intermediate, green less urgent, and black for deceased. Documentation, equipment, and designated triage teams are needed to properly conduct triage
Triage protocol
This document outlines a triage protocol as defined by Ms. Ambika Bagora. Triage is the process of sorting patients by medical need to ensure the most critical receive care first. It describes different types of triage including simple, advanced, continuous integrated, and reverse triage. Patients are categorized by condition into priority levels like red, orange, yellow, and green. Effective triage requires training, critical thinking skills, and maintaining good communication throughout the process.
More Related Content
What's hot
Triage basics
Presentation on the basics of Triage for the Emergency Nurse working in Australian Emergency Department.
Triage
Triage is the process of prioritizing patients according to the severity of their condition in order to ensure those with the most serious injuries receive care first when resources are limited. It involves classifying patients into categories based on initial assessments and then reassessing as needed. The goal is to do the most good for the most people using available resources. Triage methods like START and SAVE are used in disaster situations to rapidly assess and prioritize patients into categories to determine who should receive immediate care, delayed care, or comfort care only. In the emergency department, a triage team assesses all patients and assigns a color code category of red, yellow, green or black to indicate treatment priority and direct patients to the appropriate care area
Advanced trauma life support (atls)
This document outlines the Advanced Trauma Life Support (ATLS) protocol for assessing and treating traumatic patients. It discusses the importance of a standardized approach and maximizing the "golden hour" after trauma. The protocol includes 4 phases: primary survey to address life threats and stabilize the patient, secondary survey for a full physical exam and history, resuscitation, and tertiary survey for comprehensive treatment and stabilization for transfer. Key components of the primary survey are the ABCDE approach to assess airway/cervical spine, breathing, circulation with hemorrhage control, disability, and exposure/environment. The secondary survey involves a full history and head-to-toe physical exam. The goal of tertiary survey is complete treatment
Triage based emergency care
the emergency assessment to be done carefully and immediately .the emergency nurse have quick review and deliver the health carein the quality manner in all the fields of health care as medical,surgical, paediatric ,and obstertics .
First aid
The document provides information on first aid, including roles and responsibilities of first aiders, objectives of first aid, characteristics of good first aiders, basic precautions and practices, emergency action principles, vital signs, common injuries and their treatments, and bandaging techniques. A first aider is responsible for ensuring safety, providing immediate care, summoning medical help, and documenting care provided to bridge the gap between injury and medical treatment. The goals of first aid are to prevent further injury, prolong life, and alleviate suffering.
Mass casulaty incidents
This document discusses mass casualty incidents and the role of emergency medical responders. It describes what constitutes a mass casualty incident, the sectors that should be established at the scene including triage, treatment and transportation. It outlines the START triage plan involving assessing airways, breathing, circulation and mental status to assign patients priority levels of red, yellow, green or black to determine treatment. The emergency responder's role is to begin triaging patients and provide initial care until additional EMS support arrives.
Mass Casualty Triage System START, and JumpSTART
This document provides information on triage systems and procedures. It defines triage as sorting patients based on treatment priority. The START and JumpSTART triage systems categorize patients as red/immediate, yellow/delayed, green/minor, or black/deceased based on their respiration, pulse, and mental status. It outlines how to rapidly assess and tag patients in a mass casualty event using these criteria in 3 sentences or less per patient to maximize survivability. The document recommends clearing walking patients first and prioritizing life-saving interventions for immediate patients before movement or additional treatment.
Transport of-sick-child
The document discusses pediatric transport, including the goals of providing intensive care during transfer and improving outcomes through specialist care. It describes who may need transport, such as trauma victims, preterm infants with complications, and children with severe illnesses or complications. The transport team is described, including roles like medical director, transport coordinator, doctor, nurse, and paramedic. Considerations for transport include the patient's condition, transit times, vehicle availability, and weather. The primary assessment focuses on the pediatric assessment triangle of airway, breathing, and circulation. Secondary assessment includes signs and symptoms, history, and ongoing documentation to facilitate quality improvement.
INTERNATIONAL PATIENT SAFETY GOALS
International Patient Safety Goals (IPSG) help accredited organizations address specific areas of concern in some of the most problematic areas of patient safety.
International-Patient-Safety-GoalsGoal 1: Identify patients correctly
Goal 2: Improve effective communication
Goal 3: Improve the safety of high-alert medications
Goal 4: Ensure safe surgery
Goal 5: Reduce the risk of health care-associated infections
Goal 6: Reduce the risk of patient harm resulting from falls
Nursing in emergencies
1. Emergency nursing is a specialty that cares for patients during the critical phase of illness or injury when the cause is unknown. Emergency nurses treat a wide range of issues from minor to life-threatening for all ages.
2. The primary goals in emergency nursing are to assess patients, establish airways, control bleeding, and determine ability to follow commands in order to guide initial treatment and monitoring.
3. Emergency nurses must be prepared to assess and treat many different medical conditions and injuries ranging from minor illnesses to trauma emergencies in patients of all ages.
Triage protocols
The document outlines triage protocols and guidelines for nurses to follow when assessing patients over the phone. It describes the structure and organization of protocols, including overview sections, assessment questions, dispositions, and care advice. It provides examples of 911-worthy emergencies and guidelines for handling urgent vs non-urgent calls. It emphasizes effective communication strategies and the nursing process of identifying problems, exploring solutions, and providing home care instructions or referrals. It also notes goals for call length and considerations for handling newborn patients.
Nurses role in arterial puncture and abg analysis
The document discusses arterial blood gas analysis and interpretation. It provides information on equipment and procedures for arterial blood sampling and analysis. Normal ranges are provided for pH, PCO2, PO2, oxygen saturation, and HCO3. Types of acid-base imbalances are explained including compensated and uncompensated respiratory and metabolic acidosis and alkalosis. Examples of arterial blood gas results are given and their acid-base interpretations.
basic life support
This document provides information on basic life support (BLS) procedures including chain of survival, high quality chest compressions, rescue breathing, use of an automated external defibrillator (AED), and differences in BLS for adults, children, and infants. It emphasizes the importance of early CPR, specifically initiating chest compressions within 10 seconds, maintaining a rate of 100 compressions per minute with appropriate depth for the victim's age, and minimizing interruptions. The sequence of BLS is described as check for response, check for breathing, activate emergency response, get AED, check pulse, provide 30 chest compressions and 2 breaths.
Ambulance equipments
Paramedics use several important medical devices and equipment to treat patients in emergency situations, including cardiac monitors and defibrillators to treat severe heart issues, collapsible wheelchairs to move patients, medical kits containing supplies for treatment, oxygen tanks for respiratory distress, splints for broken bones, blood pressure cuffs, breathing tubes to maintain airways, and neck collars to prevent movement for spinal injuries.
NURSING PROCEDURE OBTAIN 12 LEAD ECG
An electrocardiogram (ECG or EKG) records the electrical activity of the heart. A 12-lead ECG uses electrodes placed on the wrists, ankles, and chest to assess the heart from 12 different views. It is a valuable diagnostic tool that displays the heart's electrical activity as waveforms. The procedure involves preparing the ECG machine, attaching electrodes to the patient's limbs and chest in specific positions, recording the 12 leads automatically, and removing the electrodes after.
principles of EMERGENCY CARE
This document provides information on emergency care and triage. It discusses the principles of emergency care which include providing care without delay and using triage to prioritize patients. Triage involves sorting patients into categories of emergent, urgent, and non-urgent based on the seriousness of their conditions. The document then describes the triage process in more detail, including the different color codes used to categorize patients and the criteria for each category. It also discusses the roles of triage team members and how to set up an effective triage system.
Basic CPR .pptx
I. Introduction
A. Definition of CPR
1. Explanation of what CPR stands for
2. Definition of CPR as a life-saving technique
B. Importance of CPR
1. Statistics on cardiac arrest and survival rates
2. Explanation of why CPR is crucial for saving lives
C. Objective of the manual
1. Explanation of what readers will learn from the manual
2. Statement of the manual's purpose
II. Getting Started with CPR
A. Assessing the situation
1. Importance of assessing the situation before starting CPR
2. Factors to consider when assessing the situation
B. Checking for responsiveness
1. Explanation of how to check for responsiveness
2. Importance of checking for responsiveness
C. Activating the emergency response system
1. Explanation of when to activate the emergency response system
2. Step-by-step guide to activating the emergency response system
III. Basic Life Support Techniques
A. Key components of basic life support
1. Explanation of the components of basic life support
2. Importance of each component
B. The ABCs of CPR
1. Explanation of the ABCs of CPR
2. Importance of each step in the ABCs of CPR
C. Performing chest compressions
1. Explanation of how to perform chest compressions
2. Importance of proper chest compression technique
D. Delivering rescue breaths
1. Explanation of how to deliver rescue breaths
2. Importance of proper rescue breath technique
E. Utilizing an automated external defibrillator (AED)
1. Explanation of what an AED is and how it works
2. Step-by-step guide to using an AED
F. Administering medications during CPR
1. Explanation of medications used during CPR
2. Dosages and administration guidelines for each medication
IV. Advanced Life Support Techniques
A. Advanced airway management
1. Explanation of advanced airway management techniques
2. Importance of advanced airway management in CPR
B. Advanced monitoring techniques
1. Explanation of advanced monitoring techniques
2. Importance of advanced monitoring in CPR
C. Invasive interventions
1. Explanation of invasive interventions
2. Importance of invasive interventions in CPR
D. Extracorporeal membrane oxygenation (ECMO)
1. Explanation of ECMO
2. Importance of ECMO in CPR
V. Improving Outcomes in CPR
A. Factors influencing CPR outcomes
1. Explanation of factors that influence CPR outcomes
2. Importance of understanding these factors
B. Strategies for improving CPR outcomes
1. Explanation of strategies for improving CPR outcomes
2. Importance of implementing these strategies
C. The role of high-quality CPR in improving outcomes
1. Explanation of what high-quality CPR is
2. Importance of performing high-quality CPR
VI. Special Considerations in CPR
A. CPR in special populations
1. Explanation of special populations that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
B. CPR in special settings
1. Explanation of special settings that require unique CPR techniques
2. Importance of understanding these unique CPR techniques
C. CPR during a pandemic
1
A & E TRAIAGE
Triage aims to ensure patients are treated based on clinical urgency and allocated to the appropriate treatment area. There are multiple types of triage including for multiple casualties where resources exceed needs and mass casualties where needs exceed resources. The document discusses the Advanced Trauma Score (ATS) scale used in triage with 5 categories ranging from immediate/highest priority to non-urgent/lowest priority based on factors like vital signs, respiratory rate, level of consciousness. It emphasizes triage should do a quick 2-5 minute assessment of general appearance and physiology to determine the maximum safe waiting time for each patient.
350787 Principles Of First Aid
This document provides an overview of basic first aid principles and procedures. It outlines the qualities of a first aider as being calm, confident, willing to offer assistance, and patient. The three aims of a first aider are to preserve life, prevent injuries from worsening, and promote recovery. To preserve life, a first aider should control bleeding, treat for shock, maintain the airway, and perform CPR if needed. To prevent worsening, they should dress wounds to prevent infection and make the casualty comfortable. To promote recovery, they should relieve anxiety and pain/discomfort and handle the casualty gently. The document also covers initial assessment using the ABCs - Airway, Breathing, and Circulation
What's hot (20)
Similar to documents.pub_triage-ppt.ppt
TRIAGE
Triage is the process of prioritizing patients according to the urgency of their need for care. It aims to ensure patients are treated in order of clinical urgency and receive timely care. There are three main types of triage - primary triage in the field, secondary triage in the emergency department, and tertiary triage by specialists. The START and SAVE methods are used for disaster triage in the field to categorize patients into immediate, delayed, or minimal care/expectant groups. In the ED, patients are assigned colors based on their condition - red for most urgent, yellow intermediate, green less urgent, and black for deceased. Documentation, equipment, and designated triage teams are needed to properly conduct triage
Triage protocol
This document outlines a triage protocol as defined by Ms. Ambika Bagora. Triage is the process of sorting patients by medical need to ensure the most critical receive care first. It describes different types of triage including simple, advanced, continuous integrated, and reverse triage. Patients are categorized by condition into priority levels like red, orange, yellow, and green. Effective triage requires training, critical thinking skills, and maintaining good communication throughout the process.
DISASTER MANAGEMENT
This document discusses disaster management and is divided into several sections. It defines disasters and hazards, and classifies disasters into 5 categories including water/climate, geological, chemical/industrial, accident, and biological disasters. It describes the disaster cycle and impact/response phase, which involves search and rescue, triage, tagging victims, and caring for the dead. The relief phase focuses on disease control, nutrition, vaccination, and rehabilitation. Other sections cover the recovery, preparedness, and planning phases of disaster management.
Triage
1. The document discusses different types and purposes of triage. Triage is used to prioritize patient treatment during mass casualty events based on urgency of conditions. It aims to allocate patients to the most appropriate care provider and area to maximize lives saved.
2. Primary triage is done in the field to classify patients into categories of urgent need. Secondary triage in the ED further evaluates patients and assigns color codes. Tertiary triage by specialists determines who needs emergency surgery or ICU care.
3. The triage process involves classifying patients into categories of red (most urgent), yellow, green, or black (deceased) based on injury severity and prognosis to direct patients to the right level
EMS NC II triage.pptxpppppppppppppppppppppppppp
The document discusses triage protocols for mass casualty incidents (MCIs). It describes several triage tools and systems used in emergency medicine to prioritize patient care based on severity of injury, including START, SALT, and ABCDE approaches. The goal of triage is to maximize survival by allocating limited healthcare resources to patients with the most life-threatening injuries first. Patients are assigned triage tags or sorted into categories like Red (immediate), Yellow (delayed), Green (walking wounded), and Black (deceased/expectant).
Emergency Care.pdf
This document provides information on emergency care and triage. It discusses the principles of emergency care which include providing care without delay and using triage to prioritize patients. Triage involves sorting patients into categories of emergent, urgent, and non-urgent based on the seriousness of their conditions. The document then describes the triage process in more detail, outlining the different color codes used to categorize patients and the types of injuries that fall under each code. It also discusses the purposes of triage, how it is performed, and the roles of triage team members in an emergency situation.
Triage in Emergency Department
Triage is the process of sorting patients based on the urgency of their condition to provide the right care to the patients who need it most. It involves an initial assessment of patients upon arrival to identify life-threatening issues and prioritize patients into categories based on need. The document outlines the goals and categories of triage in both emergency and disaster situations, with categories ranked from resuscitation to non-urgent based on the threat to life, limb, or function. It also describes the key components of triage including an initial across-the-room assessment and ongoing re-assessments to adjust patient priority as needs change.
DOC-20230325-WA0053..pptx
This document discusses principles of prehospital care and casualty management for trauma victims. It covers the following key points in 3 sentences:
The document outlines the primary survey process of assessing airway, breathing, circulation, disability (using GCS score), and exposure for trauma patients. It emphasizes the importance of scene safety, controlling hemorrhaging, immobilizing patients, and rapid transport to the closest healthcare facility in the prehospital phase of treatment. Upon arrival at the hospital, the document stresses having a resuscitation area and necessary equipment available, as well as a protocol for summoning additional medical assistance for trauma patients.
Triage ppt
Triage is the process of sorting patients based on the urgency of their condition to determine priority of treatment. The goal is to provide the right care to the right patient at the right time. There are different categories for triage, such as immediate, urgent, less urgent and non-urgent. The triage nurse conducts an initial assessment of the patient's airway, breathing, circulation and disability level to identify life-threatening issues and assign an acuity level for treatment. Re-triage is important as a patient's condition may deteriorate while waiting. The triage nurse plays a key role in efficiently sorting and treating patients based on need.
6.3.1_Triage_related_to_CBRN v2.0_211112.pptx
1. Two common triage systems used in disasters are START and MASS. START assesses individuals' physiological indicators while MASS uses verbal commands to rapidly separate victims into groups.
2. Both systems categorize victims as immediate, delayed, minimal, or expectant/dead based on their medical needs and chances of survival. Immediate cases require emergency treatment first.
3. Decontamination triage should be done after medical triage to prioritize who needs decontamination. Re-triage is also important before hospital admission to confirm triage categories.
32overviewofhazmatandmci 090910172527-phpapp02 (1)
This document provides an overview of hazardous materials (HazMat) incidents and mass casualty incidents (MCI). It describes the types of HazMat, general safety procedures for approaching a HazMat scene, and establishing hazard zones. It also outlines the START triage system used to categorize patients in an MCI as minor, delayed, immediate, or deceased based on their airway, breathing, circulation, and mental status. The document concludes with examples of applying START triage to hypothetical patients and introduces incident management systems used to coordinate emergency response to major incidents.
32overviewofhazmatandmci 090910172527-phpapp02
This document provides an overview of hazardous materials (HazMat) incidents and mass casualty incidents (MCI). It describes the types of HazMat, general safety procedures for approaching a HazMat scene, and establishing hazard zones. It also outlines the START triage method and categories for prioritizing patients (green, yellow, red, black). For MCIs, it discusses incident classification and management systems used to coordinate response. The document concludes with descriptions of initial responder roles and procedures for documenting and transporting patients from an MCI.
Handling the emergencies in radiology and first aid in the x ray department
1) Emergency departments are designed to treat acute medical issues without appointments and are staffed by trauma physicians. They classify patients into non-urgent, urgent, and acute categories to prioritize care.
2) For trauma patients, MDCT is often the preferred imaging method and should be located near the emergency room along with radiography. Interventional radiology may perform procedures like embolization to stop hemorrhaging.
3) In reaction emergencies, treatments vary based on symptoms but may include oxygen, antihistamines, epinephrine, saline, and moving the patient to stabilize their condition. Staff are trained to recognize and respond to different types and severities of reactions.
EMERGENCY RESPONSE TEAM MONTHLY TRAINING
The monthly training covers important safety procedures and life saving techniques for emergency responders. Participants will learn about scene arrival and safety, patient assessment, rescue breathing, transferring casualties to the hospital, and coping with trauma. Responding to major incidents requires staying alert to hazards, dividing the scene into sections, beginning triage, and avoiding tunnel vision. Proper protective equipment and coordinating with the incident commander are essential to control risks and ensure an organized response. The first responder should stabilize victims, request help, and coordinate further actions until more advanced care arrives.
Module 4 patient and casualty handling
This document outlines an emergency rescue and transfer training module. The module will teach participants to: 1) define and differentiate between emergency rescue and transfer, 2) explain different transfer methods and factors to consider, and 3) demonstrate transfer techniques. It will also cover triage and the S.T.A.R.T. system for prioritizing patients. The document provides information on various rescue and transfer methods, factors to consider when selecting a method, and pointers to observe during transfer to ensure safety.
ATLS , polytrauma and Triage.pptx
The document discusses polytrauma, Advanced Trauma Life Support (ATLS), and damage control surgery. It defines polytrauma as injuries to at least two body regions with an Abbreviated Injury Scale score of 3 or higher in conjunction with physiological abnormalities. ATLS involves assessing the airway, breathing, circulation, disability, and exposure during the primary survey to address life threats, followed by a secondary survey. Damage control surgery focuses on rapidly controlling hemorrhage, limiting contamination, and temporarily stabilizing fractures to prevent the triad of death from trauma before definitive care.
Topic 8_1.pptx
The document discusses medical triage in disaster situations, outlining the history and principles of triage including sorting patients into categories based on urgency of treatment - Immediate, Delayed, Minimal, and Expectant. Medical triage aims to provide timely treatment and evacuation to maximize the number of survivors and involves an ongoing process of sorting and re-sorting patients based on changes in their conditions. The document details the triage categories and principles to guide prioritizing care during mass casualty events.
Ems rtf ccp training
1) TECC (Tactical Emergency Casualty Care) provides guidelines for providing medical care to persons injured in dangerous environments where threats still exist. It outlines how law enforcement, fire, and EMS can work together under a unified command to both eliminate threats and treat injured persons.
2) The key priorities addressed by TECC are hemorrhage control with tourniquets, treating tension pneumothorax, and clearing airway obstructions - as these are the most common preventable causes of death.
3) TECC defines operational zones (hot, warm, cold) and prescribes levels of medical care that can be provided in each depending on the level of threat. In the warm zone,
triage.ppt
The document provides information on triage procedures for mass casualty incidents. It discusses sorting injured personnel into categories based on need for treatment. The categories include Immediate for life-threatening injuries, Urgent for injuries at risk if treatment is delayed, Delayed for non-life-threatening injuries, and Expectant for those unlikely to survive given available resources. It emphasizes that triage is a dynamic process that can change based on evolving conditions like available resources, patient status, or environmental factors. The document also discusses differences between military and civilian triage as well as considerations for treatment facilities in a mass casualty response.
triage Department-Medicine
This document discusses triage, which is the process of sorting patients based on the urgency of their condition to prioritize care. It defines triage and outlines its objectives to identify patients, prioritize their needs, track progress, and identify hazards. It describes different types of triage including simple, advanced, continuous integrated, and reverse triage. It discusses levels of triage from red to green based on factors like vital signs and Glasgow Coma Scale. Finally, it outlines the role and characteristics of EMTs in effectively conducting triage.
Similar to documents.pub_triage-ppt.ppt (20)
32overviewofhazmatandmci 090910172527-phpapp02 (1)
32overviewofhazmatandmci 090910172527-phpapp02 (1)
Handling the emergencies in radiology and first aid in the x ray department
Handling the emergencies in radiology and first aid in the x ray department
Recently uploaded
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
It includes regulation of combination products and medical devices. FDA and industry liaisons.
The Electrocardiogram - Physiologic Principles
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Adhd Medication Shortage Uk - trinexpharmacy.com
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Top 10 Best Ayurvedic Kidney Stone Syrups in India
we have mentioned the best 10 ayurvedic Kidney Stone Syrups. You can check all these products and choose the best one for yourself.
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Learn about body grief and ways to cope with it. We will also explore methods to heal from this challenging experience.
Journal Article Review on Rasamanikya
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Cell Therapy Expansion and Challenges in Autoimmune Disease
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptxMGM SCHOOL/COLLEGE OF NURSING
Identification and nursing management of congenital malformations Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...chandankumarsmartiso
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun Women Seeking Service
The Best Ayurvedic Antacid Tablets in India
Treat the symptoms of indigestion, heartburn and stomach reflux with the 10 Best Ayurvedic Antacid Tablets in India.
Efficacy of Avartana Sneha in Ayurveda
Avartana Sneha is a unique method of Preparation of Sneha Kalpana in Ayurveda, mainly it is indicated for the Vataja rogas.
Best Ayurvedic medicine for Gas and Indigestion
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
Recently uploaded (20)
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
REGULATION FOR COMBINATION PRODUCTS AND MEDICAL DEVICES.pptx
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Hemodialysis: Chapter 4, Dialysate Circuit - Dr.Gawad
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Dehradun #ℂall #gIRLS Oyo Hotel 8107221448 #ℂall #gIRL in Dehradun
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Top 10 Best Ayurvedic Kidney Stone Syrups in India
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Part II - Body Grief: Losing parts of ourselves and our identity before, duri...
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Cell Therapy Expansion and Challenges in Autoimmune Disease
Cell Therapy Expansion and Challenges in Autoimmune Disease
Identification and nursing management of congenital malformations .pptx
Identification and nursing management of congenital malformations .pptx
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
#cALL# #gIRLS# In Dehradun ꧁❤8107221448❤꧂#cALL# #gIRLS# Service In Dehradun W...
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Thyroid Gland- Gross Anatomy by Dr. Rabia Inam Gandapore.pptx
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
documents.pub_triage-ppt.ppt
- 1. TRIAGE • mass- casualty or multi- casualty incident • Involves >1 patient or situation that places great demand on resources (stretched to limit) • Triage is the sorting of two or more patients based on the severity of their conditions to establish priorities for care based on available resources • Scene Safety 1. Size of hazard area 2. Safe and sheltered location to move patients 3. Self- protective measures
- 2. THE TRIAGE PROCESS A. Sort patients to provide the best outcome for the GREATEST number of patients 1. Rank in order of severity 2. Mark patients for visual identification B. May need to modify triage process because of environment 1. Weather 2. Equipment 3. Manpower 4. Communication 5. Distance from definitive care
- 3. C. The 5 S’s 1. Safety Assessment • Assess scene for safety 2. Simultaneous scene size up • Size and severity • Type of incident • Approximate number of patients • Severity of injuries • Area involved, access 3. Send information • Contact dispatch with your scene size-up • Request assistance and additional resources 4. Setting up scene • Obtain triage ribbon • Identify triage areas • Consider scene access and egress 5. START triage process • Begin where you are • Relocate green-tagged patients • Move in an orderly pattern • Maintain a patient count of casualties • Provide minimal treatment
- 4. D. Triage Priorities 1. Red- highest priority patients need immediate care (usually circulatory or respiratory) 2. Yellow- second highest priority able to wait longer before transport (45 minutes) 3. Green- walking able to wait several hours for transport 4. Black- dead will die during emergency care (have lethal injuries) *** mark triage priorities (tape, tag)
- 5. Triage Category: Red • Red (Highest) Priority: Patients who need immediate care and transport as soon as possible • Airway and breathing difficulties • Uncontrolled or severe bleeding • Decreased level of consciousness • Severe medical problems • Shock (hypoperfusion) • Severe burns
- 6. Triage Category: Yellow • Yellow (Second) Priority: Patients whose treatment and transportation can be temporarily delayed • Burns without airway problems • Major or multiple bone or joint injuries • Back injuries with or without spinal cord damage
- 7. Triage Category: Green • Green (Low) Priority: Patients whose treatment and transportation can be delayed until last • Minor fractures • Minor soft-tissue injuries
- 8. Triage Category: Black • Black (Lowest) Priority: Patients who are already dead or have little chance for survival. If resources are limited, treat salvageable patients before these patients • Obvious death • Obviously nonsurvivable injury, such as major open brain trauma • Full cardiac arrest
- 9. TRIAGE TECHNIQUES START Simple Triage And Rapid Treatment * In initial START Assessment mark with triage ribbons, but only provide minimal treatment. Only two interventions: (1) open the airway and (2) stop excessive bleeding. START assessments should only last 15-30 seconds per patient
- 10. 1. Get up and walk -Have patients move to safe location outside triage area that can -Self defined green patients 2. Respiration: check for respiratory compromise -not breathing after reposition airway = BLACK < 30 breaths/minute = RED > 30 breaths/minute = CONTINUE 3. Perfusion (pulse, circulation): radial pulse check -weak, irregular or no radial pulse = RED -strong radial pulse = CONTINUE 4. Mental Status -fails to follow simple commands (mental status altered) = RED - follows simple commands = YELLOW
- 12. Secondary Triage 1. Once resources are available and patients are transported to treatment area, secondary triage begins. 2. In- depth reassessment • Triage tags used. Called METTAGS. Used to indicate triage category and specific injuries or vital signs. 3. Ongoing in treatment area 4. May change categories
- 13. Special Triage Situations 1. Injured rescuer - Automatic Red 2. Hysterical patient or bystander - Receives higher then usual priority 3. Child - Receive higher category. If possible they should be transported with parent. Check cap-refill in children. 4. Lowered body temp in outdoor environment (hypothermia) - Hypothermic patients change to high priority
- 14. Triage of the Patient with multiple injuries 1. - Golden hour: average amount of time that elapses before a patient with serious or multiple injuries starts to deteriorate rapidly. For every 30 minute period after the Golden Hour, the patient’s chances of survival are cut in half. - be knowledgeable - work quickly and efficiently - establish priorities and improvise when necessary 2. Remember ABCs, then tackle blood loss 3. Long backboard to splint extremity fracture of speed transport 4. EXCEPTION Femur fracture: site should be treated seperately with a traction splint.
- 16. Purpose: to control, coordinate and direct emergency responders and resources 1. Call incident command system 2. Design to be used in daily operations 3. Effective at mass casualty incidents 4. Use with >1 patient and events that stretch resources and equipment to limits 5. Types of out door incidents that might require it - chair lifts, ice, rock, mountain climbing, river rafting and avalanche
- 17. Emergency Operations Plan 1. Well designed 2. Well practices 3. Coordinated with local EMS and others Typical Plan Command Center Run by area manager Extrication Triage Area Treatment Area Supply Area Transportation Area Rehabilitation Area