triage education

Question 1

Recommended Triage Method

Answer 1

1.) patient presents for triage ~ Safety hazards are considered above all
2.) Assess the following:
3.)Differentiate predictors of poor outcome from other
data collected during the triage assessment
4.) Identify patients who have evidence of or are at
high risk of physiological instability
5.)Assign an appropriate ATS category in response to clinical assessment data
6.) Allocate staff to patient, including brief
handover to allocated staff member/s
7.) ED model of care proceeds

Question 2

Assess the following: Recommended Triage Method

Answer 2

• Chief complaint
• General Appearance
• Airway
• Breathing
• Circulation
• Disability
• Environment
• Limited History
• Co-morbidities

Question 3

Validated Methods for quantitative assessment of pain

Answer 3

Visual analogue scale: 100 mm line
Abbey Pain Scale
FLACC Behavioural Pain Scale
Wong-Baker FACES Pain rating scale

Question 4

Visual analogue scale: 100 mm line

Answer 4

Ask the patient to mark their level of pain on the line.(1-10)

Question 5

Abbey Pain Scale

Answer 5

For measurement of pain in people who cannot verbalise
How to use scale: While observing the patients, score questions 1 to 6

Question 6

Wong-Baker FACES Pain rating scale

Answer 6

Developed for young patients to communicate how much pain they are feeling.

Question 7

The ABCs of obstetrics

Answer 7

airway
breathing
circulation

Question 8

airway urgency indicator

Answer 8

• Any potential compromise
• Increased nasal congestion

Question 9

breathing urgency indicator

Answer 9

• Asthma

Question 10

circulation urgency indicator

Answer 10

• Palpitations
• Headache
• Sudden drop in BP
• Symptoms of pulmonary embolus

Question 11

airway Reason for caution

Answer 11

• Often dif”cult intubations due to:
– increased patient size
– dif”culty with patient positioning
– different induction agents required
• Increased vascularity of nose and airways causes dif”culty in breathing

Question 12

breathing Reason for caution

Answer 12

• Progesterone may be responsible for increased drive to breathe
• One third of pregnant asthmatic women experience a deterioration in their condition

Question 13

circulation Reason for caution

Answer 13

• Progesterone causes widespread vasodilatation
• Oestrogen may contribute to increases in blood volume
• Diastolic BP – 6–17mmHg
• BP lowest during second trimester
• Cardiac output (CO) – by 30–50%
• Hyperdynamic $ow
• High volume and dynamic $ow may cause cerebral heamorrhage, especially
subarachnoid haemorrhage (SAH) during pregnancy
• Sudden and serious deterioration of their condition
• Changes in coagulation system associated with pregnancy