Mass casualty Flashcards
What is endemic
a disease that exists permanently in a particular
region or population (i.e. Malaria (Africa))
what is Epidemic
an illness, specific health related behavior, or other
health related events clearly in excess of normal
expectancy in a region and actively spreading
what is a pandemic
An epidemic of disease, or other health condition, that
occurs over a widespread area (multiple countries or
continents) and
What is a Mass Casualty Incident (MCI)
event which generates more patients at one
time than locally available resources can
manage with routine procedures
how to categorize MCI/
Potential injury creating Event (PICE)
- Potential for additional casualties
- Effect on local resources
- Geographic involvement
Projected Need / PICE Stage
possibles of Potential for additional casualties
– Static : no more casualties
– Dynamic : evolving , potentially more casualties
whhat are the possibles Effect on local resources
– Controlled : sufficient resources
– Disruptive: affecting quality of care for all
– Paralytic : total system breakdown
Wat are the . Geographic involvement?
- Local / Regional
* National / International
wt are the PICE stage?
• Stage 0: no need for outside aid
• Stage 1: small need for outside aid or on alert
• Stage 2: moderate need for outside aid, outside
aid is on standby
• Stage 3: large need for outside aid, outside aid is
dispatched
What are the types of injures as a result of Types of MCI/Disaster
- blast /explosion injuries
- Motor Vehicle
- Gun violence
Wat is a triage?
to quickly identify immediate life threatening injuries and those who has best chance of surviving
what are some triage strategy
START / JumpSTART / SALT
CTAS
What is the strateggy used for field triage (primary triage)
Simple Triage And Rapid Treatment (START) Based on (RPM) –Respiration (>30Bpm, <6Bpm) –Perfusion (>2 sec) –Mental status can’t follow commands
what are the severity resulting from classification usingg START?
• Green uninjured/minimal
• Yellow moderate
• Red severe/emergent
- Black deceased/expected
What is (CTAS)
canadian triage acuity score
- used Pre hospital and ED
- give 2 score
1) on arrival
2) departure
what are the level of CTAS
lvl 1 - 5
Black: No treatment or palliative
resources
What is level 1
REd: emergent or immediate interventions
(Life or limb)
RESUSCITATION
•threat to life or limb
•unstable vitals
•imminent risk if no intervention
What is level 2
-->level 2: EMERGENT a potential threat to life, limb or function –Chest pain –Headache –Mod. respiratory distress
What is level 3
yellow: urgent but treatments can
be delayed
Level 3: URGENT –Active injury that may progress and vitals at upper/lower ends of normal •mild resp distress, •Asympomatic HTN •Moderate abdo pain •Bloody/frequent bm •N +/ V
what is level 4
Level 4: LESS URGENT
Withhold Tx for 1-2 hours (injury/age)
wat is level 5
Green non urgent intervention, pt can
safely await Tx
Level 5: NON URGENT Conditions that may be acute or a part of a chronic problem –mild diarrhea –uncomplicated dressing change
What are 3 components to pediatric triage?
• Work of breathing
- Appearance
- Circulation
What are the reverse triage category
Red: Require ongoing treatment and/or unstable
and not appropriate for transfer
Yellow: Potential transfer (next 24hours) and/or appropriate to move into non traditional care areas (i.e. stepdown ICUs)
green: Patients that can be transferred
