Professional Documents
Culture Documents
Definition
A mass casualty incident refers to any call
Introduction to Mass
Casualty Management
Points to Ponder:
1.
2.
3.
Rescue
Triage
First aid
Transport to hospital
Medical care
Triage
Triage
Definitive Care
First Aid
Disaster Area
Transportation
Hospitalization
Police
Defense Force
Fire Service
Emergency Ambulance Service
Hospital
N.G.O
Security -
At disaster site
At hospital
Traffic Control
Crowd Control
Incident Command
Crash Investigation
Emergency Room
Provide Personnel at the Disaster site
May assist staff at the Hospital Centers
Reception of the Victims at hospital
Hospitals
Reception and treatment of victims
triage
History of Triage
Probably developed in the Napoleonic Wars, by
Army Surgeons trier to sort
To do the most good for the most people
Get the soldier back fighting
Refined during the Vietnam war
Process of prioritizing care to ensure the
sickest is seen the quickest.
Mid 70s adopted into civilian emergency
dept practice.
Triage Assessment
How does triage work
Practice
Knowledge
Training
Pattern recognition
Triage Assessment
Appearance
Airway
Breathing
Circulation
Disability
Pain
Presenting
complaint
Type of incident
Location of incident
Best access route
Number of injured (approximate)
Type of injuries (burns, respiratory, trauma)
Additional resources (special rescue equipment,
additional fire/police, communication equipment,
hazmat response, lights, coroner, helicopters)
Triage
Goals
Efficient use of personnel, equipment
and facilities
Not to relocate the disaster to the
hospital
Triage
Philosophy
Greatest
Unconscious
Altered mental status
Sever head injury
Open chest wound
Crushing chest injury
Open abdominal
wounds
shock
Crushing abdominal
or pelvic injury
Possible cervical
spine fracture
Fracture with no distal
pulse
Fractured femur
Airway compramised
Sever burns
Spinal injury (except
cervical spine)
Moderate bleeding
(less than two pints)
Conscious patient
with head injury
Multiple fractures
Head injury
Minor bleeding
Minor fractures
Minor soft tissue
injury
Moderate or minor
burns
Walking wounded
Simple
T Triage
A And
R Rapid
T Treatment
START
1. Start where you stand
Respiratory effort
Pulses / Perfusion
Mental status
TRIAGE STEPS
Respirations
1
TRIAGE STEPS
2
Perfusion-Capillary refill
>2 seconds tag red
<2 seconds go to step 3
OR
2 Perfusion-Pulse (radial)
no palp tag red
palp go to Step 3
(control any gross bleeding)
TRIAGE STEPS
3.
Mental status
Unable to obey commands
tag red
Able to obey commands
tag yellow
Patient Tracking
Lesson Summary
Incident Commander
states he cant
move or feel his legs
Respirations are 26
Pulse is 110 (Radial)
He is awake and oriented
What Triage Category?
Delayed
Patient
field
Not
Breathing
Weak Carotid Pulse
She is unresponsive
What do you do first?
Open The Airway
Patient
Patient
THANK YOU