logging in or signing up triage lalithcutelalith Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 2897 Category: Science & Tech.. License: All Rights Reserved Like it (6) Dislike it (0) Added: December 14, 2009 This Presentation is Public Favorites: 2 Presentation Description No description available. Comments Posting comment... By: chiefwms (8 month(s) ago) This is excellent, I'd like to download it if possible. Saving..... Post Reply Close Saving..... Edit Comment Close By: DocOx (10 month(s) ago) Excellent presentation. May I download it???? Steven Oxler, MD, FACEP Saving..... Post Reply Close Saving..... Edit Comment Close By: allaham (11 month(s) ago) Excelent presentation. good luck Saving..... Post Reply Close Saving..... Edit Comment Close By: daya2468 (12 month(s) ago) Good one, I would like to download the slides if possible Saving..... Post Reply Close Saving..... Edit Comment Close By: dtf1108 (12 month(s) ago) This is an excellent presentation. I would like to download the slides if possible. Thanks Saving..... Post Reply Close Saving..... Edit Comment Close loading.... See all Premium member Presentation Transcript TRIAGE : TRIAGE Topics : Topics What is Triage? : What is Triage? “Triage” means “to sort” Looks at medical needs and urgency of each individual patient Sorting based on limited data acquisition Also must consider resource availability “The needs of the many outweigh the needs of the few or the one." : “The needs of the many outweigh the needs of the few or the one." Star Trek Triage is a dynamic process and is usually done more than once. : Triage is a dynamic process and is usually done more than once. Slide 7: Primary Triage Secondary Triage Tertiary Triage “Continuous Integrated Triage” Primary Disaster Triage : Primary Disaster Triage Goal: to sort patients based on probable needs for immediate care. Also to recognize futility. Triage based on physiology Secondary Disaster Triage : Secondary Disaster Triage Incorporates: A reassessment of physiology An assessment of physical injuries Initial treatment and assessment of patient response Further knowledge of resource availability Secondary Triage Tools : Secondary Triage Tools Goal is to distinguish between: Victims needing life-saving treatment that can only be provided in a hospital setting. Victims needing life-saving treatment initially available on scene. Victims with moderate non-life-threatening injuries, at risk for delayed complications. Victims with minor injuries. Tertiary Disaster Triage : Tertiary Disaster Triage Goal: to optimize individual outcome Incorporates: Sophisticated assessment and treatment Further assessment of available medical resources Determination of best venue for definitive care MCI Triage: Key Points : MCI Triage: Key Points Resources and patient numbers and acuity are limiting factors. Must be dynamic, responsive to changes in both resources and patient needs. Triage Categories : Triage Categories Triage Categories : Triage Categories Red: Life-threatening but treatable injuries requiring rapid medical attention Yellow: Potentially serious injuries, but are stable enough to wait a short while for medical treatment Triage Categories : Triage Categories Green: Minor injuries that can wait for longer periods of time for treatment Dead or still with life signs but injuries are incompatible with survival in austere conditions Black: Triage Tools : Triage Tools Basic Disaster Life Support : Basic Disaster Life Support MASS Triage Move Assess Sort Send SALT Triage : SALT Triage Sort Assess Life-saving Interventions Treatment/Transport START : START Simple Triage And Rapid Treatment START : START Used for Primary Triage Used on-scene and at hospitals Recommended for patients > 100 lbs START : START First - clear the walking wounded using verbal instructions. Direct them to the treatment areas for detailed assessment and treatment and Tag These as MINOR Now check your RPMs START : START RPM Respiration’s None - Open the Airway Still None? - DECEASED Restored?- IMMEDIATE Present? Above 30 - IMMEDIATE Below 30 – CHECK PERFUSION RPM : RPM PERFUSION Radial Pulse Absent or Capillary Refill > 2 secs IMMEDIATE Radial Pulse Present or Capillary Refill < 2 secs CHECK MENTAL STATUS RPM : RPM Mental Status Can Not Follow Simple Commands (Unconscious or Altered LOC) IMMEDIATE Can Follow Simple Commands DELAYED START Triage : START Triage RESPIRATIONS NO YES Dead or Expectant Immediate Position Airway NO YES Over 30/min Immediate Under 30/min PERFUSION Cap refill > 2 sec Control Bleeding Immediate Cap refill < 2 sec. MENTAL STATUS Failure to follow simple commands Can follow simple commands Immediate Delayed START: Step 1 : START: Step 1 Triage officer announces that all patients that can walk should get up and walk to a designated area for eventual secondary triage. All ambulatory patients are initially tagged as Green. START: Step 2 : START: Step 2 Triage officer assesses patients in the order in which they are encountered Assess for presence or absence of spontaneous respirations If breathing, move to Step 3 If apneic, open airway If patient remains apneic, tag as Black If patient starts breathing, tag as Red START: Step 3 : START: Step 3 Assess respiratory rate If ≤30, proceed to Step 4 If 30, tag patient as Red START: Step 4 : START: Step 4 Assess capillary refill If ≤ 2 seconds, move to Step 5 If 2 seconds, tag as Red START: Step 5 : START: Step 5 Assess mental status If able to obey commands, tag as Yellow If unable to obey commands, tag as Red Mnemonic : Mnemonic R P M 30 2 Can do What age? : What age? Secondary Triage : Secondary Triage All green patients must be individually assessed in secondary triage. Assess physiology Assess injuries Assess probability of deterioration Assess needs vs. resource availability Secondary Triage : Secondary Triage Some children may be carried to the green area by others. They have not proven their physiologic stability by performing the complex act of walking. These children should be assessed first among all those in the green area. Slide 35: Position the upper airway of the apneic child. If they start to breathe, tag them as Slide 36: If the child doesn’t start breathing with upper airway opening, feel for a pulse. If no pulse is palpable, tag the patient as Slide 37: If the patient has a palpable pulse, give 5 mouth-to-barrier breaths to open the lower airways. Tag as below, depending on response to ventilations. DO NOT CONTINUE TO VENTILATE THE PATIENT. RESUME TRIAGE DUTIES. Multiple Casualty Exercise : Multiple Casualty Exercise Patient states he can’t move or feel his legs Respirations are 26 Pulse is 110 (Radial) He is awake and oriented What Triage Category? Multiple Casualty Exercise : Multiple Casualty Exercise Patient states he can’t move or feel his legs Respirations are 26 Pulse is 110 (Radial) He is awake and oriented What Triage Category? Slide 40: Patient is soaked with blood no obvious killer bleed Respirations are 38 Pulse is weak, no radial He is awake What Triage Category? Slide 41: Patient is soaked with blood no obvious killer bleed Respirations are 38 Pulse is weak, no radial He is awake What Triage Category? Slide 42: Patient walks over to you and has an obvious broken arm Respirations are 22 Pulse is 124 (Radial) He is awake, alert, and crying What Triage Category? Slide 43: Patient walks over to you and has an obvious broken arm Respirations are 22 Pulse is 124 (Radial) He is awake, alert, and crying What Triage Category? Slide 44: Patient is face down in the field Not Breathing Weak Carotid Pulse She is unresponsive What do you do first? Slide 45: Patient is face down in the field Not Breathing Weak Carotid Pulse She is unresponsive What do you do first? OPEN THE AIRWAY Slide 46: Patient gurgles but can’t maintain an open airway and Is not breathing Weak Carotid Pulse She is unresponsive What Triage Category? Slide 47: Patient gurgles but can’t maintain an open airway and Is not breathing Weak Carotid Pulse She is unresponsive What Triage Category? Slide 48: Triage should be done with the head, not the heart. You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
triage lalithcutelalith Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINT lite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 2897 Category: Science & Tech.. License: All Rights Reserved Like it (6) Dislike it (0) Added: December 14, 2009 This Presentation is Public Favorites: 2 Presentation Description No description available. Comments Posting comment... By: chiefwms (8 month(s) ago) This is excellent, I'd like to download it if possible. Saving..... Post Reply Close Saving..... Edit Comment Close By: DocOx (10 month(s) ago) Excellent presentation. May I download it???? Steven Oxler, MD, FACEP Saving..... Post Reply Close Saving..... Edit Comment Close By: allaham (11 month(s) ago) Excelent presentation. good luck Saving..... Post Reply Close Saving..... Edit Comment Close By: daya2468 (12 month(s) ago) Good one, I would like to download the slides if possible Saving..... Post Reply Close Saving..... Edit Comment Close By: dtf1108 (12 month(s) ago) This is an excellent presentation. I would like to download the slides if possible. Thanks Saving..... Post Reply Close Saving..... Edit Comment Close loading.... See all Premium member Presentation Transcript TRIAGE : TRIAGE Topics : Topics What is Triage? : What is Triage? “Triage” means “to sort” Looks at medical needs and urgency of each individual patient Sorting based on limited data acquisition Also must consider resource availability “The needs of the many outweigh the needs of the few or the one." : “The needs of the many outweigh the needs of the few or the one." Star Trek Triage is a dynamic process and is usually done more than once. : Triage is a dynamic process and is usually done more than once. Slide 7: Primary Triage Secondary Triage Tertiary Triage “Continuous Integrated Triage” Primary Disaster Triage : Primary Disaster Triage Goal: to sort patients based on probable needs for immediate care. Also to recognize futility. Triage based on physiology Secondary Disaster Triage : Secondary Disaster Triage Incorporates: A reassessment of physiology An assessment of physical injuries Initial treatment and assessment of patient response Further knowledge of resource availability Secondary Triage Tools : Secondary Triage Tools Goal is to distinguish between: Victims needing life-saving treatment that can only be provided in a hospital setting. Victims needing life-saving treatment initially available on scene. Victims with moderate non-life-threatening injuries, at risk for delayed complications. Victims with minor injuries. Tertiary Disaster Triage : Tertiary Disaster Triage Goal: to optimize individual outcome Incorporates: Sophisticated assessment and treatment Further assessment of available medical resources Determination of best venue for definitive care MCI Triage: Key Points : MCI Triage: Key Points Resources and patient numbers and acuity are limiting factors. Must be dynamic, responsive to changes in both resources and patient needs. Triage Categories : Triage Categories Triage Categories : Triage Categories Red: Life-threatening but treatable injuries requiring rapid medical attention Yellow: Potentially serious injuries, but are stable enough to wait a short while for medical treatment Triage Categories : Triage Categories Green: Minor injuries that can wait for longer periods of time for treatment Dead or still with life signs but injuries are incompatible with survival in austere conditions Black: Triage Tools : Triage Tools Basic Disaster Life Support : Basic Disaster Life Support MASS Triage Move Assess Sort Send SALT Triage : SALT Triage Sort Assess Life-saving Interventions Treatment/Transport START : START Simple Triage And Rapid Treatment START : START Used for Primary Triage Used on-scene and at hospitals Recommended for patients > 100 lbs START : START First - clear the walking wounded using verbal instructions. Direct them to the treatment areas for detailed assessment and treatment and Tag These as MINOR Now check your RPMs START : START RPM Respiration’s None - Open the Airway Still None? - DECEASED Restored?- IMMEDIATE Present? Above 30 - IMMEDIATE Below 30 – CHECK PERFUSION RPM : RPM PERFUSION Radial Pulse Absent or Capillary Refill > 2 secs IMMEDIATE Radial Pulse Present or Capillary Refill < 2 secs CHECK MENTAL STATUS RPM : RPM Mental Status Can Not Follow Simple Commands (Unconscious or Altered LOC) IMMEDIATE Can Follow Simple Commands DELAYED START Triage : START Triage RESPIRATIONS NO YES Dead or Expectant Immediate Position Airway NO YES Over 30/min Immediate Under 30/min PERFUSION Cap refill > 2 sec Control Bleeding Immediate Cap refill < 2 sec. MENTAL STATUS Failure to follow simple commands Can follow simple commands Immediate Delayed START: Step 1 : START: Step 1 Triage officer announces that all patients that can walk should get up and walk to a designated area for eventual secondary triage. All ambulatory patients are initially tagged as Green. START: Step 2 : START: Step 2 Triage officer assesses patients in the order in which they are encountered Assess for presence or absence of spontaneous respirations If breathing, move to Step 3 If apneic, open airway If patient remains apneic, tag as Black If patient starts breathing, tag as Red START: Step 3 : START: Step 3 Assess respiratory rate If ≤30, proceed to Step 4 If 30, tag patient as Red START: Step 4 : START: Step 4 Assess capillary refill If ≤ 2 seconds, move to Step 5 If 2 seconds, tag as Red START: Step 5 : START: Step 5 Assess mental status If able to obey commands, tag as Yellow If unable to obey commands, tag as Red Mnemonic : Mnemonic R P M 30 2 Can do What age? : What age? Secondary Triage : Secondary Triage All green patients must be individually assessed in secondary triage. Assess physiology Assess injuries Assess probability of deterioration Assess needs vs. resource availability Secondary Triage : Secondary Triage Some children may be carried to the green area by others. They have not proven their physiologic stability by performing the complex act of walking. These children should be assessed first among all those in the green area. Slide 35: Position the upper airway of the apneic child. If they start to breathe, tag them as Slide 36: If the child doesn’t start breathing with upper airway opening, feel for a pulse. If no pulse is palpable, tag the patient as Slide 37: If the patient has a palpable pulse, give 5 mouth-to-barrier breaths to open the lower airways. Tag as below, depending on response to ventilations. DO NOT CONTINUE TO VENTILATE THE PATIENT. RESUME TRIAGE DUTIES. Multiple Casualty Exercise : Multiple Casualty Exercise Patient states he can’t move or feel his legs Respirations are 26 Pulse is 110 (Radial) He is awake and oriented What Triage Category? Multiple Casualty Exercise : Multiple Casualty Exercise Patient states he can’t move or feel his legs Respirations are 26 Pulse is 110 (Radial) He is awake and oriented What Triage Category? Slide 40: Patient is soaked with blood no obvious killer bleed Respirations are 38 Pulse is weak, no radial He is awake What Triage Category? Slide 41: Patient is soaked with blood no obvious killer bleed Respirations are 38 Pulse is weak, no radial He is awake What Triage Category? Slide 42: Patient walks over to you and has an obvious broken arm Respirations are 22 Pulse is 124 (Radial) He is awake, alert, and crying What Triage Category? Slide 43: Patient walks over to you and has an obvious broken arm Respirations are 22 Pulse is 124 (Radial) He is awake, alert, and crying What Triage Category? Slide 44: Patient is face down in the field Not Breathing Weak Carotid Pulse She is unresponsive What do you do first? Slide 45: Patient is face down in the field Not Breathing Weak Carotid Pulse She is unresponsive What do you do first? OPEN THE AIRWAY Slide 46: Patient gurgles but can’t maintain an open airway and Is not breathing Weak Carotid Pulse She is unresponsive What Triage Category? Slide 47: Patient gurgles but can’t maintain an open airway and Is not breathing Weak Carotid Pulse She is unresponsive What Triage Category? Slide 48: Triage should be done with the head, not the heart.