TRIGE

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

27. 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

28. 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

29. 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

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

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