Derived from the French word “trier,” triage means to separate or sort out. This is how triage status works: in a multi-casualty situation, each individual patient undergoes a brief examination by a specially trained EMS provider, who will determine the apparent severity of the injury or illness. A patient who has a potentially life-threatening condition would obviously receive a higher treatment priority than someone with a sprained ankle or broken finger. Show
Emergency Triage Color CodingAfter a triage assessment is completed, a label called a triage tag is placed on the patient. The triage tag identifies the patient and includes information about his or her condition and need for treatment. The triage tag is sometimes color-coded so that a quick glance can give care providers an immediate indication of the triage prioritization. The triage tag is also used to track the patient’s progress through the triage process. There are four color-coded triage tags that identify the condition and current treatment requirements of the victim:
How Are Triage Assessments Performed?When a mass casualty incident occurs, the responsibility to perform a triage assessment typically rests on the shoulders of the emergency responders. The mass casualty triage assessment process can be extremely challenging for multiple reasons. There could be dozens, or even hundreds, of people who need medical attention — many of the injuries are also likely to be of a complex nature. The high degree of chaos and confusion that is normally present at MCI scenes can further complicate the triage process. Because of the high volume of injuries or illnesses during an MCI, it is imperative that triage is administered as quickly as possible. A basic triage process for patient assessment is S.T.A.R.T., which stands for “simple triage and rapid treatment.” S.T.A.R.T. assessments encompass four areas:
During MCI triage, the victims are generally classified in one of three categories based on their apparent need for medical treatment: immediate, delayed or minor. How long should a triage assessment take? Because of the need to attend to as many individuals as possible in a short amount of time, the entire S.T.A.R.T. assessment should be completed in no more than 30 seconds. Triage Support SoftwareSharing information quickly is vital during a mass casualty incident. StatusNet911 software enables emergency medical personnel to promptly alert destination hospitals about the triage status of every incoming patient. This will allow physicians and nurses to prioritize the treatment needs of each patient and deliver the best possible care upon arrival. The health care facility can also provide timely information about the capacity they can handle for each of the different triage levels. StatusNet911 Software Can Be a Lifesaver During an MCIStatusNet911 EMS System Management software from DataTech911 can be an extremely valuable status management tool during an MCI. This user-friendly software solution can provide real-time information to emergency medical personnel regarding triage status. When patients arrive at the hospital or treatment facility, physicians and nurses will be able to provide the best possible care to each individual. StatusNet911 can also be essential for providing timely information to friends and family members regarding the condition of their loved ones. Learn more about how StatusNet911 can be an invaluable asset during the MCI triage process. Topics
What is a red tag patient?Red tag: A red tag indicates the most urgent treatment need. The individual has suffered life-threatening injuries but has a chance for survival if he or she receives immediate medical attention.
In which order should clients receive care based on triage tag color?Red-tagged clients have major injuries, black-tagged clients are expected and allowed to die, and yellow-tagged clients have major injuries.
Which patient should receive a black triage tag?Black tags are assigned to victims who are not breathing even after attempts to open the airway. Red tags are assigned to any victim with the following: Respiratory rate greater than 30.
How important tagging and triage in mass casualty handling?The obvious answer is: They allow us to indicate the priority of our patients, which provides a snapshot of the patient's medical condition at the time triage is performed. Tags also allow the providers who are moving patients to the treatment area to locate and move the most critical patients (e.g., the “reds”) first.
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