Triaging

Question 1

MCI

Answer 1

Mass Casualty Incident

Question 2

a lot of people victimized by good disaster

Answer 2

Mass Casualty Incident

Question 3

Triage (4 rights)

Answer 3

Process of which places the right patient in the right place at the right time to receive the right level of care

Question 4

Triage

Answer 4

the cornerstone of good disaster management in terms of judicious use of resources

Question 5

Triage

Answer 5

● Process of prioritizing which patients are to be treated first

Question 6

Conceptual Categories change depending the _____

Answer 6

venue

Question 7

○ every day prioritization of patients in the emergency department

Answer 7

● HOSPITAL DAILY TRIAGE

Question 8

○ when the ED is stressed by a large number of patients but is still able to provide care to all victims

Answer 8

● INCIDENT TRIAGE

Question 9

○ employed when local emergency services are overwhelmed to the point that immediate care cannot be provided to everyone who needs it

Answer 9

● DISASTER TRIAGE

Question 10

○ similar to disaster triage,

Answer 10

● TACTICAL MILITARY TRIAGE

Question 11

military mission objectives rather than traditional civilian guidelines drive the triage and transport decisions

Answer 11

● TACTICAL MILITARY TRIAGE

Question 12

doing the greatest good for the greatest number

Answer 12

Disaster Triage

Question 13

Who will you help first the person needing BLS or the person penetrated by a poll? (outside)

Answer 13

BLS

Question 14

Who will you help first the person needing BLS or the person penetrated by a poll? (inside)

Answer 14

BLS

Question 15

Who will you help first the person who can’t walk but has no fatal wound or the person needing BLS? (outside)

Answer 15

Cant walk

Question 16

Who will you help first the person who can’t walk but has no fatal wound or the person needing BLS? (inside)

Answer 16

BLS

Question 17

4 Types of Conceptual Categories

Answer 17

● HOSPITAL DAILY TRIAGE
● INCIDENT TRIAGE
● DISASTER TRIAGE
● TACTICAL MILITARY TRIAGE

Question 18

2 types of triage

Answer 18

● PRIMARY

● SECONDARY

Question 19

○ On scene prior to rescue and transfer

Answer 19

● PRIMARY

Question 20

○ Incident dependent either prior to, during or upon arrival to hospital

Answer 20

● SECONDARY

Question 21

Critical-life threatening

Answer 21

EMERGENT

RED

Question 22

Major illness/injury- tx within 20 mins-2 hours

Answer 22

URGENT

YELLOW

Question 23

Minor injuries; walking wounded- tx may be delayed 2 hours or more

Answer 23

NONURGENT/ walking wounded/ minor

GREEN

Question 24

Dead or expected to die

Answer 24

EXPECTANT

BLACK

Question 25

Compromised airway, shock, hemorrhage

Answer 25

EMERGENT | RED

Question 26

Open fracture, chest wound

Answer 26

URGENT | YELLOW

Question 27

Closed fracture, sprain, strain

Answer 27

NONURGENT/ walking wounded/ minor | GREEN

Question 28

Massive head injury, extensive full-thickness burns

Answer 28

EXPECTANT | BLACK

Question 29

If in the HOT ZONE, treat FIRST

Answer 29

EMERGENT | RED

Question 30

If in the HOT ZONE, treated after RED

Answer 30

URGENT | YELLOW

Question 31

First one to go out the HOT ZONE

Answer 31

NONURGENT/ walking wounded/ minor | GREEN

Question 32

If the patient didn't survive after BLS

Answer 32

transfer and mark as black

Question 33

immediate

Answer 33

EMERGENT | RED

Question 34

delayed

Answer 34

URGENT | YELLOW

Question 35

minor walking wounded

Answer 35

NONURGENT/ walking wounded/ minor | GREEN

Question 36

deceased

Answer 36

EXPECTANT | BLACK

Question 37

where can you find the tags?

Answer 37

chest and forehead

Question 38

3 Disaster Triage Protocols

Answer 38

1. MASS TRIAGE 2. START system 3. JumpSTART system

Question 39

pediatrics; commonly used

Answer 39

JumpSTART system

Question 40

adults; commonly used

Answer 40

START system

Question 41

general population

Answer 41

MASS TRIAGE

Question 42

MASS TRIAGE

Answer 42

M- MOVE A- ASSESS S - SORT S –SEND

Question 43

● Providers instruct victims to move to safety (Class III; walking wounded) ● Ask victims to move a limb

Answer 43

M- MOVE

Question 44

● ABC assessment

Answer 44

A- ASSESS

Question 45

● Sort into 4 categories

Answer 45

S - SORT

Question 46

● Sent to hospitals for treatment

Answer 46

S –SEND

Question 47

4 Mass Triage Categories

Answer 47

I - Immediate (RED) D - Delayed (YELLOW) M - Minimal (GREEN) E - Expectant (BLACK)

Question 48

● Not able to move limbs as requested but have open airways

Answer 48

I - Immediate (RED)

Question 49

● unable to move limbs, has breathing and pulse

Answer 49

I - Immediate (RED)

Question 50

● able to move limbs, has breathing and pulse

Answer 50

D - Delayed (YELLOW)

Question 51

● Able to move the scene as requested

Answer 51

M - Minimal (GREEN)

Question 52

● No airway, respiration or circulation

Answer 52

E - Expectant (BLACK)

Question 53

T or F: Do not spend 2 mins in one patient

Answer 53

True

Question 54

RPM

Answer 54

R-Respiration P-Pulse M-Movement

Question 55

R: >30 sec P: > 2 secs (capillary refill) M: does not obey commands

Answer 55

Critical

Question 56

R: 30 secs P: < 2 secs M: obey commands

Answer 56

Urgent

Question 57

R: not breathing

Answer 57

Expectant

Question 58

have critical assessment

Answer 58

Class 1, 2, 4

Question 58

have critical assessment

Answer 58

Class 1, 2, 4

Question 59

JumpSTART was created to meet the unique needs of assessing children

Answer 59

less than 8y/o

Question 60

should be used if the victim look like a child

Answer 60

JumpSTART

Question 61

should be used whenever the victim looks like a young adult or older

Answer 61

START

Question 62

3 purposes of JumpSTART

Answer 62

a. To optimize the primary triage of injured children in the MCI setting b. To enhance the effectiveness of resource allocation for all MCI victims c. To reduce the emotional burden on triage personnel who may have to make rapid life-or-death decisions about injured children in chaotic circumstances