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  • Triage of Adult Patients

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    japiedt
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    AVPU Trauma over 12 years / taller than 150cm Colour TEWS Target time to treat Mechanism of injury RED 7 or more Immediate ORANGE 5-6 less than 10 mins High energy transfer Shortness of breath - acute Coughing blood Chest pain Haemorrhage uncontrolled YELLOW 3-4 less than 60 mins GREEN 0-2 less than 240 mins BLUE DEAD Burn - face / inhalation Burn - electrical Burn circum

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    Triage of adult patients

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    AVPU Trauma over 12 years / taller than 150cm Colour TEWS Target time to treat Mechanism of injury RED 7 or more Immediate ORANGE 5-6 less than 10 mins High energy transfer Shortness of breath - acute Coughing blood Chest pain Haemorrhage uncontrolled YELLOW 3-4 less than 60 mins GREEN 0-2 less than 240 mins BLUE DEAD Burn - face / inhalation Burn - electrical Burn circum

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    83 views1 page

    Triage of Adult Patients

    Uploaded by

    japiedt
    AVPU Trauma over 12 years / taller than 150cm Colour TEWS Target time to treat Mechanism of injury RED 7 or more Immediate ORANGE 5-6 less than 10 mins High energy transfer Shortness of breath - acute Coughing blood Chest pain Haemorrhage uncontrolled YELLOW 3-4 less than 60 mins GREEN 0-2 less than 240 mins BLUE DEAD Burn - face / inhalation Burn - electrical Burn circum

    Copyright:

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    of 1

    ADULT TRIAGE SCORE © South African Triage Group 2008

    3 2 1 0 1 2 3
    Stretcher/
    Mobility Walking With Help
    Immobile Mobility
    less than
    RR 9
    9-14 15-20 21-29 more than 29 RR
    less than
    HR 41
    41-50 51-100 101-110 111-129 more than 129 HR
    less than more than
    SBP 71
    71–80 81-100 101-199
    199 SBP
    Cold Hot
    Temp OR 35-38.4 OR Temp
    Under 35 Over 38.4
    Reacts to Reacts to
    AVPU Confused Alert
    Voice Pain
    Unresponsive AVPU

    Trauma No Yes Trauma


    over 12 years / taller than 150cm

    Colour RED ORANGE YELLOW GREEN BLUE


    TEWS 7 or more 5-6 3-4 0-2 DEAD
    Target time to
    Immediate less than 10 mins less than 60 mins less than 240 mins
    treat
    Mechanism of High energy
    injury transfer
    Shortness of
    breath - acute
    Coughing blood
    Chest pain
    Haemorrhage - Haemorrhage -
    uncontrolled controlled

    Seizure - current Seizure - post ictal

    Focal neurology -
    acute
    Level of
    consciousness
    reduced
    Psychosis /
    Aggression
    Threatened limb
    Dislocation - Dislocation - ALL DEAD
    other joint finger or toe
    Presentation OTHER
    Fracture - Fracture -
    compound closed PATIENTS
    Burn over 20%
    Burn - electrical
    Burn –
    Burn - Burn - other
    face / inhalation
    circumferential
    Burn - chemical
    Poisoning /
    Abdominal pain
    Overdose
    Diabetic - Diabetic -
    Hypoglycaemia -
    glucose over 11 glucose over 17
    glucose less than 3
    & ketonuria (no ketonuria)
    Vomiting - Vomiting -
    fresh blood persistent
    Pregnancy &
    Pregnancy &
    trauma
    abdominal trauma
    or pain Pregnancy &
    PV bleed
    Pain Severe Moderate Mild

    Senior Healthcare Professional’s Discretion

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