Triage
Triage
Objectives
Define Triage Define Triage system Identify different systems Describe emergency severity index Function of triage system
History of Triage
Definition Origin
Informal triage
Goals of Triage
Primary
Secondary
Category of triage
In hospital triage
Multi casualty disaster triage
Function of triage
Identify life-threatening conditions and determine acuity level of each patient
Reassessment in triage
Level Level Level Level Level 1 2 3 4 5 =Continuous = every 15 min = every 60 min = every 60 to 90 min = every 2 hours
ES I
M E R G E N C Y
EN VD EE RX I T Y
Is patient dying ?
Yes Level I
Not resources
HX and physical exam. Point of care testing Saline or Hep lock PO. Medication Simple wound care (dressing check /recheck) crutches ,splints,slings.
Key concepts
Acuity level change Choose higher acuity when in doubt
Key concept
Discontinue assessment and transport the patient immediately to the treatment area if immediate care is needed. Do not delay treatment to finish the assessment
Triage process
Establish priorities
Scientific method Importance of time
Key Concept
Never assume the accident caused the presenting condition. The presenting condition may have caused the accident.
Interview methods
Open ended Close ended Communication style Use of five sense attitude
How do I triage?
Across the room General appearance Abcd Subjective and objective (AMPLE) Focused assessment Pains scale (Pqrst)
Triage decision
Step1- visual Step 2- chief complaints Step3- focused assessment Step 4- pose hypothesis Step 5- determine acuity Step 6- reassess the acuity
Remember That:
Effective triage gets the patient To the right place. At the right time. With the right care provider.
Questions