EM midterm: Triage ppt

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Questions and Answers

What is the primary goal of triage in emergency situations?

  • To ensure all patients receive immediate treatment
  • To minimize the use of medical resources
  • To prioritize patients based on age
  • To deliver patients to definitive care quickly and safely (correct)

Which triage scale uses a color-coding system that includes black, red, yellow, and green?

  • Australian Triage Scale
  • START Triage (correct)
  • Manchester Triage Scale
  • Canadian Emergency Department Triage and Acuity Scale

What is the purpose of extraordinary triage?

  • To speed up the decision-making for individual patients
  • To ensure that all patients are seen within one hour
  • To treat all patients equally regardless of injury severity
  • To manage triage during mass casualty incidents (correct)

Which of the following is NOT a kind of triage mentioned?

<p>Rapid Response Scale (C)</p> Signup and view all the answers

Which triage scenario is characterized by extraordinary triage methods?

<p>A natural disaster causing multiple injuries (A)</p> Signup and view all the answers

What is a primary feature of ordinary triage when compared to extraordinary triage?

<p>Involves standardized assessment of all patients (D)</p> Signup and view all the answers

Which of the following scenarios would require extraordinary triage?

<p>A multiple vehicle crash with potential fatalities (C)</p> Signup and view all the answers

What characteristic defines a patient classified with a green triage level in the START system?

<p>Is able to walk and has minor injuries (B)</p> Signup and view all the answers

In the context of emergency medicine, what is the ultimate goal of triage?

<p>To allocate resources effectively for the greatest impact (B)</p> Signup and view all the answers

Which triage scale is most closely associated with incident types like natural disasters or terror attacks?

<p>Extraordinary Triage (B)</p> Signup and view all the answers

What assessment criteria must be met for a patient to be classified as yellow in START triage?

<p>Respiratory rate less than 30 and capillary refill less than 2 seconds (B)</p> Signup and view all the answers

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Study Notes

Triage Overview

  • Triage is a process used to prioritize patient care based on the severity of their condition and the resources available.
  • Two main types of triage: Ordinary Triage and Extraordinary Triage.

Ordinary Triage

  • Involves standard assessment methods for patients.
  • Common systems include:
    • Emergency Severity Index (ESI)
    • Australian Triage Scale
    • Canadian Emergency Department Triage and Acuity Scale
    • Manchester Triage Scale
    • Soterion Rapid Triage Scale
  • Aims to efficiently match patient acuity with the appropriate medical resources.
  • Fast track areas allow quicker processing of less critical patients while maintaining main treatment areas for severe cases.

Extraordinary Triage

  • Activated during significant emergencies, such as mass casualty incidents.
  • Critical events involve:
    • Natural disasters (e.g., hurricanes, earthquakes)
    • Terror attacks
    • Multiple vehicle crashes
    • HAZMAT (Hazardous Materials) releases
  • Prioritizes care in situations with overwhelming numbers of patients needing immediate attention.

Triage Goals

  • Key objective: "Do the most good for the most patients."
  • Ensure quick and safe delivery of patients to definitive care.
  • START (Simple Triage And Rapid Transport) method is used for emergency situations.

START Triage Levels

  • Black: Deceased or severely injured – no chance of survival.
  • Red: Immediate transport needed – life-threatening conditions requiring prompt care.
  • Yellow: Delayed transport – serious but not life-threatening.
  • Green: Minor injuries – walking wounded, can wait for care.

START Triage Simplified

  • Remember key indicators: 30 and 2, Can Do.
  • Patients can be classified as Green if they can walk and have reliable signs of stability.
  • Yellow classification applies if the following conditions are met:
    • Respiratory Rate (RR) < 30
    • Capillary refill time indicates reasonable circulation.

Triage Overview

  • Triage is a process used to prioritize patient care based on the severity of their condition and the resources available.
  • Two main types of triage: Ordinary Triage and Extraordinary Triage.

Ordinary Triage

  • Involves standard assessment methods for patients.
  • Common systems include:
    • Emergency Severity Index (ESI)
    • Australian Triage Scale
    • Canadian Emergency Department Triage and Acuity Scale
    • Manchester Triage Scale
    • Soterion Rapid Triage Scale
  • Aims to efficiently match patient acuity with the appropriate medical resources.
  • Fast track areas allow quicker processing of less critical patients while maintaining main treatment areas for severe cases.

Extraordinary Triage

  • Activated during significant emergencies, such as mass casualty incidents.
  • Critical events involve:
    • Natural disasters (e.g., hurricanes, earthquakes)
    • Terror attacks
    • Multiple vehicle crashes
    • HAZMAT (Hazardous Materials) releases
  • Prioritizes care in situations with overwhelming numbers of patients needing immediate attention.

Triage Goals

  • Key objective: "Do the most good for the most patients."
  • Ensure quick and safe delivery of patients to definitive care.
  • START (Simple Triage And Rapid Transport) method is used for emergency situations.

START Triage Levels

  • Black: Deceased or severely injured – no chance of survival.
  • Red: Immediate transport needed – life-threatening conditions requiring prompt care.
  • Yellow: Delayed transport – serious but not life-threatening.
  • Green: Minor injuries – walking wounded, can wait for care.

START Triage Simplified

  • Remember key indicators: 30 and 2, Can Do.
  • Patients can be classified as Green if they can walk and have reliable signs of stability.
  • Yellow classification applies if the following conditions are met:
    • Respiratory Rate (RR) < 30
    • Capillary refill time indicates reasonable circulation.

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