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TRIGE

TRIGE. H.HATAMABADI M.D Assistant Professor of Emergency Medicine. BY ALIREZA MAJIDY EM DOCTOR UPLOAD AND PRESENTED IN PEZESHKMAJIDY.BLOGFA.CO. Convergence. Hospital close to disaster scene SAVE = S econdary A ssessment of V ictim E ndpoint Combine with START

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TRIGE

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  1. TRIGE H.HATAMABADI M.D Assistant Professor of Emergency Medicine BY ALIREZA MAJIDY EM DOCTOR UPLOAD AND PRESENTED IN PEZESHKMAJIDY.BLOGFA.CO

  2. Convergence • Hospital close to disaster scene • SAVE = Secondary Assessment of Victim Endpoint • Combine with START • Useful for any scenario in which multiple patients with prolong delay in care (days) • Health Care Provider in disaster zone • Immediate and dynamic

  3. SAVE • Mangled Extremity Severity Score (MESS) (64) to assess crush injury to extremities • Glasgow Coma Score less than eight in adults with significant head injury • Abdominal trauma with refractory hypotension • Chest trauma with abnormal vital signs • Spinal trauma • Burns with < 50% probability of survival or adults over 60 years of age with an inhalational injury • Adults with pre-existing diseases • Non-traumatic emergencies • Special triage categories such as health-care workers with minor injuries who with simple treatment may be able to assist in the medical response

  4. Categories • 1) Those who will die regardless of cares • 2) Those who will survive whether or not they receive care • 3) Those who will benefit significantly from austere field intervention • Chest Tubes

  5. First Out = treatable in hospital and fatal in field • Intraabdominal problems need to surgery

  6. PAEDIATRIC TRIAGE • The basic principles of triage remain the same for children asthey are for adults. • overtriage

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