Conjunctivitis otitis media etc viral syndromes low

• Conjunctivitis, Otitis media etc.
• Viral syndromes.
• Low grate fever.
• Toothache
• Nausea, vomiting, without signs of dehydration.
• Minor abrasions, sprains, cuts.

47
Patient's Assessment
• Within 2-5 mins of arrival.
• Gather Subjective and Objective data.
• “PQRST” (for pain) systemic
approach to patient assessment.
• Data collection regarding medication
usage.
• Immunization history (esp., for children).

48
Assessment of Triage Patient
PRIMARY SURVEY:
• Rapid identification of patients with urgent
life threatening conditions.
• A=Airway
• B=Breathing
• C=Circulation.
• D=Disablility
• E=Expose

49
PQRST for Pain Assessment

OLD CART Assessment For Chief Complain
50

Three Possible Outcomes
1. • „Under - triage‟
2. • „Correct (or expected) triage
3. • „Over - triage‟

Principles of Disaster Triage
• Do the greatest good for the greatest number of people
• Employ the most efficient use of available resources
• Treat as many as possible who have a chance of
survival.
• Base treatment on exclusion criteria
• Agreed upon criteria = Triage Process
• Return key personnel to duty as quickly as possible

Is patient dying ?
Level II, III, IV, V
Can patient wait ?
How many resources ?
Yes No
Level I
Yes No
Level II
E
M
E
R
G
E
N
C
Y
S
E
V
E
R
I
T
Y
I
N
D
E
X
Level III, IV, V
ONE
Level IV
 TWO
Level III
NON
Level V

54
What do you think?
1. 40 y/o old female c/o epigastric pain, vomiting
2. 50 y/o male with a ripping sensation in his chest?
3. 23 y/o with RLQ pain and fever?
4. 19 y/o post partum, hypotensive & fever?
5. 2 y/o, vaccines, drooling & fever?
6. 4 week old male, vomiting after every meal?
7. 80 y/o with abdominal pain, vomiting bilious?
8. 4 m old diff breathing, congestion-winter months?
9. Healthy 52 y/o who ran out of his blood pressure medicine
yesterday
10.22 y/o involved in a car accident 2 days ago, wants to be
checked. Nothing hurts.
11.46 y/o with a cold

References
• Garcia, M. L. (1985). Disaster nursing: Planning,
assessment and intervention. Maryland: an Aspen
Publications
• Lewis, S. M., Collier, I. C., & Heitkemper, M. M.
(2004). Medical-Surgical Nursing (5
th
. ed.). St. Louis:
Mosby
• Newberry, L. (2003). Sheehy‟s emergency nursing:
Principles and practice (5th ed.). Emergency nurses
association. St. Louis: Mosby.

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