Biomedical Waste Management, Disaster Management, Occupational Health, Genetics and Health, Mental Health
During a disaster, rapidly classifying the injured on the basis of likelihood of their survival with prompt medical intervention, is a part of: [AIPGME 2000]
|A||Search, rescue and first aid|
1. Triage: Consists of rapidly classifying the injured' on the basis of severity of their injuries and likelihood of their survival with prompt medical intervention
2. First come first serve is NOT followed in emergencies
3. Triage sieve: Quick survey to separate the dead and the walking from the injured
Triage sort: Remaining casualties are assessed and allocated to categories
4. Triage system: Most commonly uses FOUR color code system
i. Red (Highest Priority): Immediate resuscitation or limb/life saving surgery in next 6 hours
ii. Yellow (High Priority): Possible resuscitation or limb/life saving surgery in next 24 hours
iii. Green (Low Priority): Minor illness/ ambulatory patients
iv. Black (Least Priority): Dead and moribund patients
5. Tagging: Is the procedure where identification, age, place of origin, triage category, diagnosis and initial treatment are tagged on to every victim of disaster through a colour coding
6. Mitigation: Measures designed to either prevent hazards from causing emergency or to lessen the effects of emergency.
1. Triage yields best results when carried out at the site of disaster
2. Triage is of two types:
i. Simple triage: Simple triage is used in a scene of mass casualty, in order to sort patients into those who need critical attention and immediate transport to the hospital and those with less serious injuries.
a. This step is required before transportation becomes available
b. The categorization of patients based on the severity of their injuries can be aided with the use of printed triage tags or colored flagging
ii. Rapid triage: S.T.A.R.T. (Simple Triage and Rapid Treatment) is a simple triage system that can be performed by lightly-trained lay and emergency personnel in emergencies.
a. It is not intended to supersede or instruct medical personnel or techniques
b. It may serve as an instructive example
c. It has been field-proven in mass casualty incidents such as train wrecks and bus accidents
3. Reverse Triage: In addition to the standard practices of triage as mentioned above, there are conditions where sometimes the less wounded are treated in preference to the more severely wounded. This may arise in,
i. A situation such as war where the military setting may require soldiers be returned to combat as quickly as possible
- Disaster situations where medical resources are limited in order to conserve resources for those likely to survive but requiring advanced medical care.