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Triage

Triage. CME Wed 25/04/2018 By ABDUL.K. NASSER. Why triage?. Why triage?. Some children will die waiting to be seen Of all the children dying in hospital >50% will die within 24 hours . Some children can only be saved if treatment starts immediately. Who is most likely to die rapidly?. A.

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Triage

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  1. Triage CME Wed 25/04/2018 By ABDUL.K. NASSER

  2. Why triage?

  3. Why triage? • Some children will die waiting to be seen • Of all the children dying in hospital >50% will die within 24 hours. • Some children can only be saved if treatment starts immediately.

  4. Who is most likely to die rapidly? A B

  5. Triage • Needs Emergency Care • Airway • Breathing (Oxygen) • Circulation • Consciousness reduced • Convulsions • Dehydration - severe

  6. Triage Emergency Care • TPR • 3 T’s • 3 P’s • 3 R’s • MOB

  7. Triage Emergency Care Priority Care Non-urgent - Queue

  8. Who can do triage?

  9. Who can do triage? • Anyone: • Doctor • Nurse • Cleaner • Askari • Records Clerk • Simple tool • Used in Malawi and deaths of children were reduced.

  10. Emergency Signs – A, B, C

  11. Emergency Signs – A, B, C • Immediate Action • Take to emergency area • Clinician / Nurse sees NOW

  12. Example • A – no noisy breathing • B – no cyanosis or severe respiratory distress • C – cold hand → capillary refill = 4 secs and pulse very fast

  13. Triage…

  14. Questions?

  15. Summary • Triage is sorting ONLY • Diagnosis or Treatment are not the responsibility of the person doing triage • In a busy department it is a continuous / frequent process • Departments need to be organised so that emergencies and priorities can be appropriately handled

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