17941 - Disaster and Multi-Casualty Triage Amado Alejandro...

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Disaster and Multi-Casualty Triage Amado Alejandro Báez MD MSc Matthew Sztajnkrycer MD PhD
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Learning Objectives Describe the key elements of disaster triage Understand the basic principles of Mass Casualty Triage (START)
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Performance Objectives At the end of the course the student should be able to: Apply the principles of disaster triage Understand the concept of reverse triage
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Triage [French, from trier, to sort , from Old French.] A method of quickly identifying victims who have immediately life-threatening injuries AND who have the best chance of surviving.
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Tagging Complements Triage Rapid Identification of patient Color Coded / Bar Coded system Plastic “bands” can substitute tags
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Noji et al, NEJM
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START SYSTEM Created in the 1980’s by Hoag Hospital and the Newport Beach CA Fire Dept Allows rapid assessment of victims It should not take more than 15 sec/ Pt Once victim is in treatment area more detailed assessment should be made
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START SYSTEM Clasification is based on three items Respiratory Perfusion Mental status evaluation
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Can the Patient Walk? YES
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17941 - Disaster and Multi-Casualty Triage Amado Alejandro...

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