Podcast
Questions and Answers
What is the primary goal of the TRIAGE process in an emergency department?
What is the primary goal of the TRIAGE process in an emergency department?
- To minimize the time patients spend in the emergency department
- To prioritize patients based on the severity of their condition (correct)
- To provide immediate treatment to all patients
- To ensure all patients receive equal attention
Which of the following is a characteristic of Triage Level III: Urgent conditions?
Which of the following is a characteristic of Triage Level III: Urgent conditions?
- Require medical and nursing assessment/treatment within 2 hours of arrival
- Examples include alert head injury without vomiting and minor allergic reactions
- Require medical and nursing assessment/treatment within 30 minutes of arrival (correct)
- Examples include minor trauma, sore throat, and chronic abdominal pain
What is the primary purpose of emergency rescue?
What is the primary purpose of emergency rescue?
- To rapidly move a patient from an unsafe place to a place of safety (correct)
- To ensure the emergency department is properly equipped to handle mass casualty incidents
- To move a patient from a safe place to a safer place after providing first aid
- To provide advanced life support to critically ill patients
Which of the following is a key principle of emergency rescue and emergency transfer?
Which of the following is a key principle of emergency rescue and emergency transfer?
What is the primary difference between Triage Level III: Urgent and Triage Level IV: Less Urgent conditions?
What is the primary difference between Triage Level III: Urgent and Triage Level IV: Less Urgent conditions?
Which of the following conditions would be categorized as Triage Level I: Resuscitation in an emergency department set-up?
Which of the following conditions would be categorized as Triage Level I: Resuscitation in an emergency department set-up?
Which of the following is a key consideration when selecting the appropriate method for emergency transfer of a patient?
Which of the following is a key consideration when selecting the appropriate method for emergency transfer of a patient?
According to the S.A.V.E. categories, which one represents patients who will not benefit from any medical intervention?
According to the S.A.V.E. categories, which one represents patients who will not benefit from any medical intervention?
Which of the following conditions would be classified as Triage Level II: Emergent in an emergency department set-up?
Which of the following conditions would be classified as Triage Level II: Emergent in an emergency department set-up?
What is the maximum time frame within which patients classified as Triage Level II: Emergent should receive medical and nursing assessment/treatment?
What is the maximum time frame within which patients classified as Triage Level II: Emergent should receive medical and nursing assessment/treatment?
Which of the following conditions would NOT be categorized as Triage Level II: Emergent in an emergency department set-up?
Which of the following conditions would NOT be categorized as Triage Level II: Emergent in an emergency department set-up?
According to the S.A.V.E. categories, which group of patients will receive more than basic care and comfort measures?
According to the S.A.V.E. categories, which group of patients will receive more than basic care and comfort measures?
Which of the following represents the correct order of priorities in the S.A.V.E. triage system?
Which of the following represents the correct order of priorities in the S.A.V.E. triage system?
Which triage level is assigned to a patient with an obvious head injury and exposed brain tissue?
Which triage level is assigned to a patient with an obvious head injury and exposed brain tissue?
Which of the following patients would be classified as Triage Level III: Urgent?
Which of the following patients would be classified as Triage Level III: Urgent?
What is the primary goal of the S.A.V.E. triage system?
What is the primary goal of the S.A.V.E. triage system?
Which patient would be classified as Triage Level II: Emergent?
Which patient would be classified as Triage Level II: Emergent?
Which of the following statements accurately describes the S.A.V.E. triage system?
Which of the following statements accurately describes the S.A.V.E. triage system?
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Study Notes
Vital Signs
- Normal heart rate: 60-100 beats per minute, measured by palpating radial or carotid pulse
- Normal respiratory rate: 10-20 breaths per minute, observed by rise and fall of the chest
- Normal blood pressure: 90/60-120/80 mmHg, measured using a blood pressure apparatus
- Normal body temperature: 36.5-37.7°C, measured using a thermometer
- Normal oxygen saturation: 95-100%, measured using a pulse oximeter
- Normal capillary refill time: <2 seconds
Triage and Emergency Response
- S.A.V.E. triage categories:
- Those who will die regardless of care
- Those who will survive with or without care
- Those who will benefit from limited immediate field intervention
- Levels of acuity in emergency department triage:
- Level I: Resuscitation - conditions requiring immediate medical attention (e.g. airway compromise, cardiac arrest)
- Level II: Emergent - conditions requiring medical attention within 15 minutes (e.g. head injuries, severe trauma)
- Level III: Urgent - conditions requiring medical attention within 30 minutes (e.g. mild to moderate asthma, moderate trauma)
- Level IV: Less Urgent - conditions requiring medical attention within 1 hour (e.g. minor trauma, vomiting and diarrhea)
- Level V: Nonurgent - conditions requiring medical attention within 2 hours (e.g. minor trauma, sore throat)
Emergency Rescue and Transfer
- Emergency rescue: rapid movement of patient from unsafe to safe place
- Emergency transfer: moving patient from safe to safer place after giving first aid
- Indications for emergency rescue:
- Danger of fire and explosion
- Danger of toxic gases or asphyxia
- Serious traffic hazard
- Danger of electrocution
- Danger of collapsing walls
- Exposure to intense cold or heat
- Risk for drowning
- Basic principles of emergency rescue and transfer:
- Control of severe bleeding
- Moving victim as one unit and in proper body position
- Immobilization of injured body parts before extrication and transfer
- Checking victim's condition regularly
- Criteria for selection of transfer methods:
- Nature and severity of injury
- Availability of equipment
- Size of the victim
- Physical capabilities of rescuer
- Evacuation route
- Distance of transfer location
- Equipment for transfer:
- Stretcher
- Scooper
- Spine Board
- Head Stabilizer or Cervical Collar
- Patient Transfer sheet
- Body Straps
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