TRIAGING Flashcards
french verb of triage
trier
meaning of triage
to sort or to choose
the sorting of two or more patients based on the severity of their conditions to establish priorities for care based on available resources
triaging
principles of disaster triage
move
hold
salvage
dont stop
principles of disaster triage: move
do not move patient’s recovery backward
principles of disaster triage: hold
transfer the patient immediately
principles of disaster triage: salvage
save life over limb
meaning of salva
save
principles of disaster triage: do not stop
continue treating patients
triage categories
red
yellow
green
black
triage categories: red
immediate/emergency
triage categories: yellow
urgent
triage categories: green
non-urgent/walking wounded
triage categories: black
dead/little to no hope of survival
START system meaning
simple triage and rapid treatment
age bracket to use the START system
9 yo and above
age bracket to use the JumpSTART system
8 yo and below
what is START system?
pre-hospital triage
what are the three things to assess in triaging?
respirations
perfusion
mental status
assessment in triaging can only be done in how many seconds?
15-30 secs
triage assessment can last up to how many seconds?
60 secs
two interventions that can be done in triaging
opening the airway
stop excessive bleeding
technique to use in opening the airway of a pt with positive spinal cord injury
jaw thrust maneuver
technique to use in opening the airway of a pt with negative spinal cord injury
head tilt lift chin maneuver
roles in triaging
assess and tag
pt who were tag yellow can be delayed treatment up to how many minutes?
45 mins
START system: normal respirations
less than 30 secs
more than 30 secs of respirations in START system indicates what?
respiratory distress
START system: normal perfusion
less than 2 secs
first step in triaging to identify non-urgent patients
voice triage
triaging is a matter of…
prioritization
how to assess respirations in triaging?
10 secs x 6
15 secs x 4
how will you decide who to assess first in triaging?
check the first victim that you see
in START system, what are the parameters to tag the patient yellow?
if the RPM is normal
START system: normal mental status
can obey commands
START system: patient has no breathing
open airway
START system: patient has no breathing after opening airway
tag black
START system: patient has breathing after opening airway
tag red
START system: patient has breathing more than 30 secs
tag red
START system: patient has breathing less than 30 secs
check radial pulse
START system: patient has breathing less than 30 secs with no palpable pulse
stop bleeding if there is and tag red
START system: patient has breathing less than 30 secs with present radial pulse
check mental status
START system: patient has breathing less than 30 secs with present radial pulse and cannot obey commands
tag red
START system: patient has breathing less than 30 secs with present radial pulse and can obey commands
tag yellow
JumpSTART system: normal respirations
15-45 secs
JumpSTART system: critical respirations
less than 15 secs
greater than 45 secs
JumpSTART system: normal perfusion
pulse is palpable
JumpSTART system: normal mental status
AVPU
AVPU meaning
alert
voice
pain
unresponsive
START system: patient is able to walk
tag green
JumpSTART system: patient is able to walk
tag green
JumpSTART system: patient has no breathing
open airway
JumpSTART system: patient has breathing after opening airway
tag red
JumpSTART system: patient has no breathing after opening airway
palpate pulse
JumpSTART system: patient has no breathing after opening airway and no pulse
tag black
JumpSTART system: patient has no breathing after opening airway and has pulse
give 5 rescue breaths
JumpSTART system: patient has pulse and is breathing after 5 rescue breaths
tag red
JumpSTART system: patient has pulse and has no breathing after 5 rescue breaths
tag black
JumpSTART system: patient is breathing less than 15 secs
tag red
JumpSTART system: patient is breathing more than 45 secs
tag red
JumpSTART system: patient is breathing between 15-45 secs
palpate pulse
JumpSTART system: patient is breathing between 15-45 secs and has no pulse
tag red
JumpSTART system: patient is breathing between 15-45 secs and has pulse
assess AVPU
JumpSTART system: patient is breathing between 15-45 secs, has pulse, and is alert and verbal and posturing
tag yellow
JumpSTART system: patient is breathing between 15-45 secs, has pulse, and is posturing and unresponsive
tag red