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The interventions developed by the pmh aprn in

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The interventions developed by the PMH-APRN incollaboration with the victim should address individualoutcomes specific to that victim. Victims experiencing headinjuries or psychic trauma after a disaster may have to behospitalized. During a disaster, a victim with a mental illness
may experience regression to his or her pretreatmentcondition and may require short-term inpatienthospitalization.Biologic Domain/Assessment – The PMH-APRN shouldassess physical reactions that may involve many changes inbody functions, such as tachycardia, tachypnea, profuseperspiration, nausea, vomiting, dilated pupils, and extremeshakiness. Virtually any organ may be involved. Somevictims may exhibit panic reactions and loss of control andhave a total disregard for their personal safety. The victimsmay be suicidal or homicidal and are at high risk for injuriesthat may include infection, trauma, and head injuries (France,2002).Any physiological problems or injuries should be treatedquickly. During the emergency response, individuals will betriaged to the appropriate level of care (see Table – TriageCategories During a Mass Casualty Incident (MCI) below).Victims who are primarily distressed and may have somaticsymptoms will be treated after those suffering from exposurewith critical injuries. All patients need to be reassured of thecaring and commitment of the PMH-APRN to their safety,comfort, and well-being throughout the triage process. ThePMH-APRN is an integral member of the triage team. Manyof the same interventions used for persons experiencingstress or crisis will be used for these victims.TriageCategories During a Mass Casualty Incident (MCI)Triage CategoryPriority
ColorTypical ConditionsImmediate: Injuries are life-threatening but survivable withminimal intervention. Individuals in this group can progressrapidly to expectant if treatment is delayed.1RedSucking chest wound, airway obstruction secondary tomechanical cause, shock, hemothorax, tension pneumothorax,asphyxia, unstable chest and abdominal wounds, incompleteamputations, open fractures of long bones, and 2nd/3rddegree burns of 15%–40% total body surface area.Delayed: Injuries are significant and require medical care,but can wait hours without threat to life or limb. Individualsin this group receive treatment only after immediatecasualties are treated.2YellowStable abdominal wounds without evidence of significanthemorrhage; soft tissue injuries; maxillofacial woundswithout airway compromise; vascular injuries with adequatecollateral circulation; genitourinary tract disruption; fracturesrequiring open reduction, débridement, and external fixation;most eye and CNS injuries.Minimal: Injuries are minor and treatment can be delayedhours to days. Individuals in this group should be movedaway from the main triage area.

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Term
Fall
Professor
MARYJANESMITH
Tags
Test, Posttraumatic stress disorder

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