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Triage Review. TRIAGE. TRIAGE. TRIAGE. KEY PRINCIPLE. Doing the Greatest Good, For the Greatest Number. Triage. SCENE SAFETY: Size Up Size up the scene, Make sure the scene is safe for you to enter CREATE ORDER:
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TRIAGE KEY PRINCIPLE Doing the Greatest Good, For the Greatest Number
Triage SCENE SAFETY: Size Up Size up the scene, Make sure the scene is safe for you to enter CREATE ORDER: Next, ask those who are not injured or who have minor injuries to identify themselves
Walking Wounded… Triage When entering room or area, shout out, “if you can hear me, come to the sound of my voice.” Self rescue is best rescue Tag GREEN for minor, Send to a safe area Ask about other victims in area
Triage Color Codes Triage GREEN– minor RED – immediate YELLOW – delayed BLACK – deceased
S.T.A.R.T. With START one patient is assessed every 30 seconds First responder quickly assesses to categorize a patient’s condition • Airway and respiration • Pulse and / or capillary refill • Level of consciousness
S.T.A.R.T. The only treatment rendered by the triage team is to: • Open a patient’s airway (head tilt / neck lift) • Apply direct pressure to stop an obvious bleed • Elevating the extremities
Triage Rule – 30, 2, How are you? • 30 respirations/minutes • 2 second capillary refill rate [or strong pulse] • Able to obey simple commands
Triage SELF TEST How would you tag each of the victims described below? G = GREEN, Minor Y = YELLOW, Delay R = RED, Immediate B = BLACK, Dead • No bleeding. Dazed and confused. Doesn't squeeze hand when asked. R <30, P 2 seconds • RED, Immediate • Non-Ambulatory. Responds to voice triage. Minor bleeding. R <30, P Normal blanch 2 seconds, M Responds YELLOW, Delay
Triage SELF TEST How would you tag each of the victims described below? G = Green, Minor Y = Yellow, Delay R = Red, Immediate B = Black, Dead • Very bloody thigh. Unconscious. After two attempts to open airway, still not breathing. • Black, Dead • No signs of bleeding. Unconscious. R <30. Capillary refill > 5 seconds • Red, Immediate • Minor bleeding. R <30. Capillary refill < 2 seconds. Conscious - slightly disoriented, but obeys commands • Yellow, Delay