Disaster Triage Flashcards
What is triage?
The sorting of pts by the seriousness of their condition and likelihood for survival
What is the MASS triage model?
Move, Assess, Sort , Send
Proven means to handle large number of casualties in a mass casuistry incident (MCI)
What is the basis of the MASS triage?
Glasglow Coma Scale (GCS)
What does the Move step 1 mean in MASS?
Group ambulatory patients
Anyone who can response and move, do
Minimal initial groups for those people
What does Move step 2 mean in MASS?
The group that cannot walk but can follow commands, delayed initial group
What does the Assess in MASS mean?
Group - identify location of who is left and unable to respond
Proceed immediately to pts and deliver like-saving interventions
Immediate initial group
Who should be assessed first?
The immediate group
What should be done in Assess for immediate pts?
Open airways, stop bleeding, give antidote
What does Sort mean in MASS?
Sort pts based on individual assessment, continue treatment based on condition
Who do you start with in the Sort section?
Delayed groups
What are the ID-me groups?
Immediate, Delayed, Minimal, Expectant, Dead
What should be done with triage tags?
Tag pt directly, maybe improvise, write on pt if not other option
What should be done after all pts have been tagged?
Count immediates, tell incident commander
Take immediates to collection points for urgent transport
What does the send mean in MASS?
Traditional sequence of immediate, delayed, minimal, expectant
Transport and release of all living pts
Be resourceful
What should be done with dead pts?
Should not be moved or sent, ID remains, crime scene investigation, preserve evidence
Treatment on scene should continue until:
All pts are transported, resources unavailable, comfort is care
Document - tags, medical records
What should be done in treatment?
Decontaminate, ABC’s, supportive, consider pre-existing conditions, specific treatments
Risk to provider
What are some special considerations?
Aggravation of pre-existing conditions, dirt, debris and gross contamination , environment conditions, walking wounded and worried well
Which nerve agents require immediate treatment?
Vapor exposure - tabun, sarin, soman
Liquid exposure - VX
What is the number one cause of death in a nerve agent crisis?
Hypoxia
What generally happens in a cyanide incident?
Most will significant exposure will die
Are their specific therapies for choking, blister or lacrimator agents?
No
If there is a biological event, who is cared for first?
The sickest, outcome still poor
What should be done for treatment in a trauma care situation?
Airway with cervical spine immobilization, breathing, circulation with hemorrhage control
When and how would you observe a crush injury?
Common after structural collapse, sustained compression of large muscle beds
Presents with redness, blistering, tenderness, bruising, hypotension, shock, paralysis
What is crush syndrome?
Reperfusion injury
Occurs after extrication, restoration of circulation flushes toxins in to blood, profound shock and cardiac arrest
What should be done to treat a crush injury?
Early, aggressive resuscitation, IV fluids ASAP
Management of extremity, treatment of electrolyte abnormalities
