Professional Documents
Culture Documents
Triage 4
Triage 4
Triage 4
Goals of Triage
Rapidly identify patients with urgent,
life-threatening conditions
Assess/determine severity and acuity of
the presenting problem
Direct patients to appropriate treatment
areas
Re-evaluate patients awaiting treatment
Advantages of Triage
Streamlines patient flow.
Reduces risk of further
injury/deterioration.
Improves communication and public
relations.
Enhances teamwork.
Identifies resource requirements.
Establishes national benchmarks.
Triage Acuity Determinants
Chief complaint.
Brief triage history.
Vital signs.
Vital signs.
Continuous reassessment
Level I
Usual presentations
Code / arrest.
Major trauma.
Severe burns--airway compromise .
Shock states.
Severe respiratory distress.
Near death asthma (Status asthmatics).
Tension pneumothorax.
Altered mental state.
Seizure (Status epileptics).
Traumatic shock.
Overdose.
AAA.
AMI with complications.
Congestive heart failure with low BP.
Major head injury-unconscious.
Level II Emergent
Conditions that are a potential threat of life,
limb or function, requiring rapid medical
intervention or delegated acts.
Reassessment 15 mins
Level III Urgent
Conditions that could potentially progress to a
serious problem requiring emergency intervention.
Reassessment 30 minutes
Level IV: Less Urgent
Conditions that related to patient age, distress,
or potential for deterioration or complications
would benefit from intervention or reassurance
within (1 –2 hours)
Reassessment, Reassessment,
Reassessment
Triage Practical
Injury Prevention
Injury prevention practical
General Approach to
POISONED Patient
ABCs…IV, O2, monitor
Decontaminate if organophosphates prior touching by health
care professionals
Lily kit for cyanide poisoning.
History
Obtain all prescription and bottles in the household (call
pharmacy).
Pill count.
PM Hx.
Search clothes for clues, medication alerts, pills etc.
Contact family members.
Track marks, consider body packing or stuffing.
Mental status.
General approach to poisoned pt
Tests
GI Decontamination
Activated Charcoal
Antidotes
Practical