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What are your priorities when triaging a patient?

In a mass trauma scenario with a possible Haz-Mat Hot Zone where do you draw the line for salvageable patients versus rescuer safety?

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Question ajoutée par Joshua Wimberley , HSE Supervisor , XPress Safety
Date de publication: 2013/07/28
Waqar Ghani
par Waqar Ghani , Fire Fighter , Emergency Rescue Service (Rescue-1122)

Bring patient to a safe place and laid on comfort position and do proper physical exam

Utilisateur supprimé
par Utilisateur supprimé

1. ilk yardım

2.doctor çağırışı

3.Breathing

4.Assessing the hazards around

5.If there is no reaction Make a sigh of breath and heart massage 30/2

Syed Kaifi Azam Azam
par Syed Kaifi Azam Azam , Paramedic , Ministry Of Defence

Quick Patient survey as per START Triage.

Sameh Ayad Bushra khaleel
par Sameh Ayad Bushra khaleel , Plasma donation center physician , Grifols Egypt for plasma derivatives, GEPD

PT STABILITY THROUGH VITAL SIGNS MONITORING  

Luvuyo Mbambeli
par Luvuyo Mbambeli , EMS Manager , Exxaro Coal Mine

Scene safety

Correct PPE to enable you to proceed with the rescue

Conduct a quick patient survey

Determine the severity of injuries

Support services available

Manage according to protocol

 

Ashraf Al ashmawe
par Ashraf Al ashmawe , General Manager of Marine Ambulance Services , Egyptian Ambulance Organisation

Safety-Airway-Breathing-Circulation-Disability-Exposure  

 

JUNREL MALAZA
par JUNREL MALAZA , firefighter , DNL industries Inc,

think first the responder don't be a victim observed the scene full out the victim in a safe area if necessary, check pulse. breathing, and air. 

Gereige Georges
par Gereige Georges , Emergency physician , Clinique des Cedres CHU GRENOBLE UNIVERSITY HOSPITAl

Triagîg a patient is to select how much the defree of emergency and the grade of medical help to give fast to the patient, there is 5 levels of emergency, level one the most critical and stable to levele five is most stable patient that can wait until medical staff manage priority patients

tadeo nogrado
par tadeo nogrado , Fire Training Officer , King Fahd International Airport Fire and Rescue Service

Prioritizing a patient for treatment or transport will depend on the severity of their injury. Perform a primary survey to identify and life threatening injuries by using ABCDE resuscitation system. Priority is then given to patients most likely deteriorate clinically and triage takes account of vital signs, pre-hospital clinical course, mechanism of injury and other medical conditions.

  • Airway assessment is always the first as it is imperative that the airway is not obstructed.   For detailed advice on management of the airway see the WHO ETAT course (1).
  • Breathing should be adequate; if breathing assistance is required use a bag valve mask device or give oxygen if available. Only when problems with airway and breathing are addressed should the clinician move onto circulation.
  • Circulation.  The chart gives guidance on the use of fluids.  It is important to recognise malnutrition at this stage, as rapid infusion of intravenous fluids to a malnourished child can be very dangerous.  Depending upon measurement of capillary refill, heart rate and blood pressure, give fluids: rapidly IV, slowly IV, or orally.
  • Disability.  If the patient shows signs of disability (either coma or convulsion) airway and breathing management are top priority. It is then appropriate to insert an IV cannual and measure the blood sugar if possible.  These patients are at risk of low blood sugar and often it is safer to give glucose as soon as possible.
  • Dehydration - is so common in tropical countries that checking for signs of dehydration should be routine.  The signs of shock have already been looked for while assessing circulation but specific examination for loose skin, lethargy and sunken eyes should occur. 
  • Exposure.  Finally it is important to look at the whole patient, to look for signs of a rash, trauma or swollen abdomen.

bilal sayyed
par bilal sayyed , RESIDENT ER(SHIFT INCHARGE) , RIYADH CARE HOSPITAL

AIRWAY

BREATHING

CIRCULATION

DISABILITIES

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