EMERGENCY NURSING EMERGENCY MANAGEMENT -traditionally refers to care given to patients wit !

rgent and critical needs p ilosop y" #roadened to incl!de t e concept t at an e$ergency is w atever t e patient%fa$ily $e$#ers consider it to #e& SC'(E AN) (RACTICE '* EMERGENCY NURSING +& ER n!rse as ad an speciali,ed ed!cation- training and e.perience to gain e.pertise in assessing and identifying patients ealt care pro#le$s in crisis sit!ation /& ER n!rse esta#lis es priorities- $onitors and contin!o!sly assesses ac!tely ill and in0!red patients 1& S!pports and attends to fa$ilies- s!pervised allied personnel and teac es fa$ilies wit in ti$e li$ited- ig press!re care environ$ent 2& N!rsing interventions are acco$plis ed interdependently 3& T e ealt care staff $e$#ers wor4 as a tea$ in perfor$ing t e ig ly tec nicalands-on s4ills re5!ired to care for patients in an e$ergency sit!ation 6& T e n!rsing process provides a logical fra$ewor4 for pro#le$ solving in t e environ$ent& 7& N!rsing assess$ent $!st #e contin!o!s and n!rsing diagnoses c ange wit t e patient8s condition& T e foc!s $!st #e t e t reatening ones" #ot t e independent and interdependent are re5!ired&

(R'9I)ING :';ISTIC CARE -ER NURSE deals wit t e p ysiologic- e$otional- psyc ological and fa$ily disfig!re$ent or i$#alance of o$eostasis d!e to crisis sit!ation li4e illness%tra!$a S!dden in0!ry%illness No ti$e to adapt to t e crisis An.iety E.perienced real and terrifying fear of deat - $!tilation- i$$o#ili,ation and ot er assa!lts on t eir personal identity and #ody integrity An.iety progress t ro!g denial- re$orse and g!ilt- anger- grief and reconciliation +&T e initial goal for t e patient and fa$ily is an.iety red!ction- a prere5!isite to recovering t e a#ility to cope& /& Assess$ent of t e patient and fa$ily8s psyc ological f!nction incl!des" eval!ating e$otional e.pression- degree of an.iety and cognitive f!nctioning 1& (ossi#le n!rsing diagnoses" 2& An.iety related to !ncertain potential o!tco$es of t e illness%tra!$a 3& Ineffective individ!al coping related to ac!te sit!ational crises 6& Anticipatory grieving 7& Alterations in fa$ily processes related to ac!te sit!ational crises (ATIENT-*'CUSE) INTER9ENTI'NS +& NURSE caring s o!ld act confidently and co$petently to relieve an.iety /& Reacting and responding to t e patient in a war$ $anner pro$otes a sense of sec!rity 1& E.planation s o!ld #e given to t e patient according to is% er level 2& :!$an contact and reass!ring words red!ce panic and fear of !n4nown 3& T e !nconscio!s patient s o!ld #e treated as if conscio!s patient s o!ld #e to!c edcalled #y na$e- given an e.planation every proced!res *AMI;Y *'CUSE) INTER9ENTI'N +& *a$ily is 4ept infor$ed a#o!t w ere t e patient is%sit!ation of t e patient /& Allowing t e fa$ily to stay wit t e patient as possi#le

AN<IETY AN) )ENIA; +& *a$ily $e$#ers are enco!raged and tal4 a#o!t t eir feelings /& As4ing 5!estions is enco!raged& (rolonged denial is disco!raged& REM'RES AN) GUI;T +& 9er#ali,ation of feelings is i$portant ANGER +& Anger is e.pressed to t e patient so$eti$es toward t e p ysician /& Allow anger to #e ventilated- t en assist t e fa$ily $e$#er to identify t eir feelings of fr!stration GRIE* +& :elp t e fa$ily $e$#ers wor4 t ro!g t eir grief and to s!pport t eir coping $ec anis$- letting t e$ 4now t at it is nor$al and accepta#le& :E;(ING *AMI;Y MEM=ERS C'(E >IT: SU))EN )EAT: +& Ta4e t e fa$ily to appropriate place /& Tal4 to t e fa$ily toget er- so t at t ey can $o!rn toget er 1& Reass!re t e fa$ily t at everyt ing is rendered 2& Avoid !sing e!p e$is$s s!c as ?passed on@& S ow t e fa$ily t at yo! care #y to!g ing- offering coffee and offering services of c aplain 3& Enco!rage fa$ily $e$#ers to s!pport eac ot er and to e.press e$otions freely 6& Avoid giving sedation to fa$ily $e$#ers- $ay delay grieving process 7& Enco!rage t e fa$ily to view t e #ody if t ey wis A& Spend ti$e wit t e fa$ily- listening to t e$ and identifying any needs t at t ey ave B& Allow fa$ily $e$#ers to tal4 a#o!t t e deceased and w at e%s e $eant to t e$C t is per$its ventilation of feelings +D&Avid vol!nteering !nnecessary infor$ation (RINCI(;ES '* EMERGENCY CARE -E$ergency care- care t at $!st #e rendered wit o!t delay TRIAGE" +& T e ter$ co$es fro$ t e *renc ver# trier- $eaning to sort or select /& Used to sort patients into gro!ps #ased on severity of t eir pro#le$s and t e i$$ediacy wit w ic t ese pro#le$s $!st #e treated 1& Is an advanced s4illC ER n!rses spend o!rs learning to classify different illness and in0!ries 2& N!rse8s collect cr!cial dataC v%s- istory- ne!rologic assess$ent findings and diagnostic data if necessary =ASIC C;ASSI*ICATI'N =Y TRIAGE IMME)IATE ERE)F G patients to #e on t e ig est priority-t eir conditions are life t reatening and t ey $!st #e seen i$$ediately Airway o#str!ction open c est wo!nds Cardiac arrest s!dden vision loss S oc4 c est pain wit dyspnea%cyanosis Co$a psyc ologically devastating conditions URGENT EYE;;'>F G patients ave serio!s ealt pro#le$s #!t not i$$ediately life t reatening onesC t ey $!st #e seen + o!r wit in Intraperitoneal #leeding C9A Severe pain persistent na!sea S!dden paralysis vo$iting% diarr ea N'N-URGENT EGREENF G patients ave episodic illnesses t at can #e addressed wit in /2 o!rs wit o!t increased $or#idity Soft tiss!e in0!ries e.tre$ity fract!res wit o!t circ!latory co$pro$ise S!rface tra!$a *AST TRACHG re5!ire si$ple first aid or #asic pri$ary careC $ay #e treated in t e E) or safely referred to clinic%p ysician8s office

R';ES AN) RES('NSI=I;ITES '* ER NURSE RES('nSE T' CA;;S +& After receiving t e call fro$ t e dispatc er- instr!ct t e a$#!lance driver to t e address or location /& Call records s o!ld incl!de t e location- ti$e of dispatc - arrival at and depart!re fro$ t e scene- delivery of t e patient to t e e$ergency depart$ent and ot er ite$s are re5!ired& ASSESS T:E ME)ICA; SITUATI'N +& Recogni,e and eval!ate t e pro#le$ /& Attend to life t reatening sit!ations first 1& Avoid%!nd!e% aste- careless and $is andling w ile wor4ing as 5!ic4ly AS possi#le 2& Stay cal$& )eal co!rteo!sly and professionally E<TRICATE T:E (ATIENT AN) (RE(ARE :IM *'R TRANS('RT +& )o not engage in e.trication w en 5!alified resc!e personnel are present /& Sta#ili,e life t reatening pro#le$s and i$$o#ili,e in0!red parts #efore e.trication 1& Mini$i,e da$age to t e in0!red parts 2& Eval!ate t e patient after e.trication (R'9I)E (R'(ER CARE AN) A((R'(RIATE C'MMUNICATI'N +& C'NTACT :'S(ITA; E) and report t e n!$#er of patients and nat!re of in0!ries /& Contin!ally o#serve and protect t e patient and ad$inistering care as needed 1& Report c anges in t e patient8s condition (R'9I)E SA*E AN) E**ICIENT TRANS('RT +& )rive a way t at will $ini$i,e f!rt er in0!ryC $a.i$i,e co$fort and prevent s oc4 TRANS*ER T:E (ATIENT AN) (ATIENT IN*'RMATI'N T' ER IN AN 'R)ER;Y >AY +& :elp re$ove t e stretc er and carry it into t e e$ergency depart$ent /& )eliver t e patient val!a#les and o#tain a receipt 1& Report ver#ally and in writing w at in0!ries are identified 2& *ollow prescri#ed proced!res for ret!rning%e.c anging e5!ip$ent or s!pplies MAINTAIN (R'(ER RE('RTS AN) REC'R)S +& Enter infor$ation into a per$anent record- patient8s na$e- type of accident or nat!re of illness- resc!e $eas!res #efore e$ergency care CARE +& /& 1& 2& '* 9E:IC;E AN) EIUI(MENT Maintain ve icle and all $edical- safety and co$$!nication e,!ip$ents Replenis s!pplies- linens and #lan4ets C ec4 all e5!ip$ents Maintain fa$iliarity wit special e5!ip$ent

(R'CE)URES AN) (R'T'C';S +& Use t e correct for$ and write in in4 /& Record t e patient8s na$e and identify t e case on every page !sed 1& Record and co$plete t e date and ti$e of eac entry 2& =e specific and avoid general ter$s and vag!e ter$s li4e p!lse nor$al 3& Use standard a##reviation only 6& Use t e $edical ter$ only if yo! are s!re of its $eaning 7& )oc!$ent sy$pto$s #y !sing t e patient8s words- if possi#le A& )oc!$ent actions co$pletely B& )oc!$ent t e patient8s respond to e$ergency care +D&)oc!$ent safeg!ards t at yo! !se to protect t e patient ++&)oc!$ent any o#servation d!ring sta#ili,ation%transport +/&)oc!$ent proced!res only after yo! perfor$ t e$ C never in advance +1&>rite on every line +2&Sign every entry +3&*ill in o$itted ite$ as new entries wit correct ti$e +6&)raw an error line t ro!g an error

+7&)oc!$ent yo!r own case only / SYSTEMATIC A((R'AC:ES T' E**ECTI9E;Y ESTA=;IS: :EA;T: (RI'RITIES +& (RIMARY SUR9EY G effectively esta#lis ing sta#ili,ing life t reatening condition a& AIR>AY G esta#lis a patent airway #& =REAT:ING G provide ade5!ate ventilation- e$ploying res!scitation $eas!res w en necessary Etra!$a patients $!st ave t e cervical spine protected and c est in0!ries assessed firstF c& CIRCU;ATI'N G eval!ate and restore cardiac o!tp!t #y controlling e$orr age- preventing and treating s oc4 and $aintaining or restoring effective circ!lation d& )ISA=I;ITY G deter$ine ne!rologic sta#ility #y assessing ne!rologic f!nction !sing t e Glascow Co$a scale /& SEC'N)ARY SUR9EY a& Co$plete ealt istory and ead to toe assess$ent #& )iagnostic and la#oratory testing c& Insertion%application of $onitoring devices s!c as ECG electrodes- arterial lines or !rinary cat eters d& Splinting of s!spected fract!res e& Cleaning and dressing of wo!nds f& (erfor$ance of ot er necessary intervention #ased on t e individ!al patient8s condition R'UTINE :'S(ITA; TRIAGE G directs all availa#le reso!rces to t e patients w o are $ost critically ill- regardless of potential o!tco$e *IE;) TRIAGE G SCARCE reso!rces $!st #e !sed to #enefit t e $ost people possi#le

)ISASTER NURSING )ISASTERS -Any catastrop ic sit!ation in w ic t e nor$al patterns of life Eor ecosyste$sF ave #een disr!pted and e.traordinary- e$ergency interventions are re5!ired to save and preserve !$an lives and%or t e environ$ent :AJAR) -Rare or e.tre$e event in t e nat!ral or $an-$ade environ$ent t at adversely affect !$an life- property or activity to t e e.tent of ca!sing disaster ( eno$enon t at poses t reat EsF to people str!ct!re or econo$ic asset t at $ay ca!se a disaster eit erK - !$an introd!ces or -nat!rally occ!rring in t e environ$ent 9U;NERA=I;ITY -E.tent to w ic t e co$$!nity- str!ct!re- service or geograp ic area is li4ely to #e da$aged or disr!pted #y t e i$pact of a partic!lar a,ard :AJAR)L9U;NERA=I;ITY%CA(ACITYG)ISASTER RISH (:YSICA; 9U;NERA=I;ITY -E.tent of li4ely da$age%disr!ption on acco!nt of nat!re%constr!ction and pro.i$ity to $an-$ade environ$ent E#!ildings and nat!ral environ$ent- forest- a5!ac!lt!reF CA(A=I;ITIES -Reso!rces and s4ills people posses- can develop- $o#ili,e and ave access to w ic allow t e$ to ave $ore control over s aping t eir f!t!re

TYPES OF DISASTERS According to CAUSE%'CCURRENCE Nat!ral Man-$ade Tec nological According to (RE)ICTA=I;ITY S!dden 'nset Slow 'nset According to E<TENT '* )AMAGE ;arge scale S$all scale HEALTH SERVICE )ISASTER MANAGEMENT -A colla#orative ter$ !sed to enco$pass all activities !nderta4en in anticipation of t e occ!rrence of a potentially disastro!s event- incl!ding prepareness and long ter$ ris4 red!ction $eas!res EMERGENCY RES('NSE -T e period i$$ediately following a disaster w en t e e.ceptional $eas!res ave to #e ta4en to searc and find s!rvivors as well as $eet t eir #asic needs for s elterwater- food and $edical care RE:A=I;ITATI'NS -'perations and decisions ta4en after t e disaster wit a view to restoring a stric4en co$$!nity to its for$ers living conditions w ile enco!raging and acilitating t e necessary ad0!st$ents ca!sed #y t e disaster )ISASTER NURSING -T e adaptation of (rofessional N!rsing HN'>;E)GE - S4ills and ATTITU)E in recogni,ing and MEETING t e n!rsing and ME)ICA; NEE)S of )ISASTER 9ICTIMS BASIC PRINCIPLES IN PLANNING FOR DISASTER NURSING N- !rsing (lans s o!ld #e integrated and coordinated U- pdate p ysical and (syc ological preaparedness R- esponsi#le for 'rgani,ing- Teac ing and S!pervision S- ti$!late Co$$!nity (articipation E- .ercise Co$petence BASIC PRINCIPLES OF NURSING CARE for DISASTER VICTIMS A- daptation of S4ills to Sit!ation C- are for )isaster 9icti$s C- ontin!o!s Awareness of t e patient8s condition T- eac AU<I;;ARY personnel S-election of Essential Care ROLES and RESPONSIBILITIES of a DISASTER NURSE )- isse$inate infor$ation on t e prevention and control of environ$ental :a,ards I- nterpret ealt laws and reg!lations S- erve yo!rself of self-s!rvival A- ccepts directions and ta4e orders fro$ an organi,ed a!t ority S- erve t e #est of t e M'ST T- eac t e $eaning of warning signals E- .ercise leaders ip R- efer to appropriate agencies DISASTER HEALTH ASSESSMENT +& =ACHGR'UN) 'N T:E )ISASTER Type of disaster- occ!rrence I$$ediate effects in t e areas Nat!re and e.tent of da$age on pop!lation (roperties and environ$ent

 Affected pop!lation C anges fro$ pre-disaster period Earea $ap- indicating t e affected areas- e.isting a,ards and location of affected pop!lation co!ld #e presentedF /& :EA;T: E**ECTS M INITIA; RES('NSE >ater s!pply availa#ility- ade5!acy and distri#!tion Sanitation conditions and e.isting sanitation facilities (syc ological stress #ro!g t a#o!t #y t e disaster and $ental ealt services provided Eval!ation and !sing ealt info REC'R) all relevant infor$ation received- noting so!rce and origin%date E9A;UATE all ealt infor$ation ?consistentN =iasesNinfl!encing reportsN@ Esta#lis specific p!rpose and eval!ation )ecide w o will eval!ate *i. ti$e sc ed!le" res!lts s o!ld #e prod!ced 5!ic4ly in order to #e !sef!l (;ANNING T' MEET )ISASTER :EA;T: NEE)S M (R'=;EMS Need%s (ro#le$ +&Need%(ro#le$" INOURIES '#0ectives" Mini$i,e f!rt er in0!ry and prevent co$plications Relieve pain and disco$fort (rovides $eans of transport to a safer area Interventions" (rovide i$$ediate and appropriate treat$ent (roper andling and positioning I$$ediate evac!ation to nearest $edical facility (rovide psyc ological s!pport /&Need%(ro#le$" )EAT: '#0ectives" (rovide care of t e dead (rovide s!pportive care to t e #ereaved fa$ily Interventions" (roper identification and disposal Notification of relatives Spirit!al #lessing to t e dead (roper $ar4 of t e grave8s site $!st #e done 1&Need%(ro#le$" E(I)EMICS '#0ectives" Control of epide$ics Interventions" Initiate preventive $eas!res Eisolation- i$$!ni,ation- environ$ental sanitationF Treat$ent of cases Record and report 4nown cases to proper a!t orities Acco$plis $ent of ter$inal disinfections Interventions" Initiate preventive $eas!res Eisolation- i$$!ni,ation- environ$ental sanitationF Treat$ent of cases Record and report 4nown cases to proper a!t orities Acco$plis $ent of ter$inal disinfections MANAGEMENT '* MASS CASUA;TIES" RESCUE- TRANS*ER- TRIAGE and TAGGING '#0ectives -Ill!strate t e application of triage and tagging proced!res in t e $anage$ent of $ass cas!alties -Understand t e priorities in triage and tagging- and orders of evac!ation MASS CASUA;TY MANAGEMENT MCMS is a $!lti-sectoral coordination syste$ #ased on daily !tili,ed proced!res$anaged #y s4illed personnel in order to $a.i$i,e t e !se of e.isting reso!rcesC provide pro$pt and adapted care to t e victi$sC ens!re e$ergency services and e$ergency services and ospital ret!rn to ro!tine operations as soon as possi#le

IM('RTANCE '* MCI MANAGEMENT 9icti$s of MCI can #e efficiently TRIAGE)- TREATE) and TRANS('RTE) in a properly C'MMAN)E)- C'NTR';;E)- C'MMUNICATE)- C''R)INATE) and orderly way t at all tas4s are carried o!t MASS CASUA;TY INCI)ENT -prod!ces several patients -as few as si. or as $any as several !ndred -affects local ospitals -patients are greater t an reso!rces of t e initial responders

(RE(ARATI'N *'R MASS CASUA;TY -(re-planning and training is critical -Esta#lis g!idelines and proced!res -Early i$ple$entation of incident co$$and -*irst five $in!tes will deter$ine ne.t five o!rs MASS CASUA;TY MANAGEMENT Si$ple Triage And Rapid Treat$ent%transport TRIAGE process !sed in sorting patients or victi$s into categories of priorities for care and transport #ased on t e severity of in0!ries and $edical e$ergencies Triage Eprono!nced is a process of prioriti,ing patients #ased on t e severity of t eir condition so as to treat as $any as possi#le w en reso!rces are ins!fficient for all to #e treated i$$ediately& T ere are two types of triage" si$ple triage and advanced triage Si !"e #riage +& Si$ple triage is !sed in a scene of $ass cas!alty- in order to sort patients into t ose w o need critical attention and i$$ediate transport to t e ospital and t ose wit less serio!s in0!ries& & /& S&T&A&R&T& ESi$ple Triage and Rapid Treat$entF is a si$ple triage syste$ t at can #e perfor$ed #y lig tly-trained lay and e$ergency personnel in e$ergencies& It is not intended to s!persede or instr!ct $edical personnel or tec ni5!es& Triage separates t e in0!red into fo!r gro!ps" T e deceased w o are #eyond elp T e in0!red w o can #e elped #y immediate transportation T e in0!red w ose transport can #e delayed T ose wit minor in0!ries- w o need elp less !rgently +& Dead - t ose w o are prono!nced as s!c #y a $edically 5!alified person or para$edic w o is legally 5!alified to prono!nce deat /& Immediate - patients w o ave a tra!$a score of 1 to +D ERTSF and need i$$ediate attention 1& Urgent - patients w o ave a tra!$a score of +D or ++ and can wait for a s ort ti$e #efore transport to definitive $edical attention 2& Delayed - patients w o ave a tra!$a score of +/ E$a.i$!$ scoreF and can #e delayed #efore transport fro$ t e scene E$a%&a#ion Si$ple triage identifies w ic people need advanced $edical care& In t e field- triage also sets priorities for evac!ation to ospitals& In S&T&A&R&T&- cas!alties s o!ld #e evac!ated as follows" +& Deceased are left w ere t ey fell- covered if necessaryC note t at in S&T&A&R&T& a person is not triaged PdeceasedP !nless t ey are not #reat ing and an effort to reposition t eir airway as #een !ns!ccessf!l& /& Immediate or (riority + EredF evac!ation #y ME)E9AC if availa#le or a$#!lance as t ey need advanced $edical care at once or wit in + o!r& T ese people are in critical condition and wo!ld die wit o!t i$$ediate assistance&

1& Delayed or (riority / EyellowF can ave t eir $edical evac!ation delayed !ntil all immediate persons ave #een transported& T ese people are in sta#le condition #!t re5!ire $edical assistance& 2& Minor or (riority 1 EgreenF are not evac!ated !ntil all immediate and delayed persons ave #een evac!ated& T ese will not need advanced $edical care for at least several o!rs Ad$an%ed #riage In advanced triage- doctors $ay decide t at so$e serio!sly in0!red people s o!ld not receive advanced care #eca!se t ey are !nli4ely to s!rvive& (rinciples" CAR)INA; RU;E" ?)o t e greatest good for t e greatest n!$#er@ (reservation of life ta4es precedence over preservation of li$#s i$$ediate t reats to life" :EM'RR:AGE TRIAGE CATEGORIES *IRST (RI'RITY -i$$ediate- red tag -victi$s wit serio!s in0!ries t at are life t reatening #!t as a ig pro#a#ility of s!rvival if t ey received i$$ediate care T ey re5!ire i$$ediate s!rgery or ot er life-saving intervention- and ave first priority for s!rgical tea$s or transport to advanced facilitiesC t ey Pcannot waitP #!t are li4ely to s!rvive wit i$$ediate treat$ent& SEC'N) (RI'RITY -inter$ediate- o#servation yellow tag -victi$s w o are serio!sly in0!red and w ose life are not i$$ediately t reatened -can delay transport and treat$ent for / o!rs T eir condition is sta#le for t e $o$ent #!t re5!ires watc ing #y trained persons and fre5!ent re-triage- will need ospital care Eand wo!ld receive i$$ediate priority care !nder Pnor$alP circ!$stancesF& ;'> (RI'RITY >ait Ewal4ing wo!ndedF -delayed- green tag -patients%victi$s w ose care and transport can #e delayed !ntil last& - old careC can delay transport !p to 1 o!rs T ey will re5!ire a doctorQs care in several o!rs or days #!t not i$$ediately- $ay wait for a n!$#er of o!rs or #e told to go o$e and co$e #ac4 t e ne.t day E#ro4en #ones wit o!t co$po!nd fract!res- $any soft tiss!e in0!riesF& ;'>EST (RI'RITY )is$iss Ewal4ing wo!ndedF -patients%victi$s w o doesn8t re5!ire care T ey ave $inor in0!riesC first aid and o$e care are s!fficient- a doctorQs care is not re5!ired& In0!ries are along t e lines of c!ts and scrapes- or $inor #!rns& =lac4 % E.pectant T ey are so severely in0!red t at t ey will die of t eir in0!ries- possi#ly in o!rs or days Elarge-#ody #!rns- severe tra!$a- let al radiation doseF- or in lifet reatening $edical crisis t at t ey are !nli4ely to s!rvive given t e care availa#le Ecardiac arrest- septic s oc4- severe ead or c est wo!ndsFC t ey s o!ld #e ta4en to a olding area and given pain4illers as re5!ired to red!ce s!ffering& Categories +& I$$ediate - T reat to life%li$# /& Urgent - (atient is at ris4 if treat$ent or transportation is delayed !nreasona#ly 1& )elayed - No ris4 to life or conse5!ence if $ore definitive care is not rendered 5!ic4ly 2& E.pectant - Regardless of t e level of care rendered- patient is li4ely to e.pire -To!g call to $a4e for !nit personnel '(a# are #(e OB)ECTIVES of doing Triage*

Rapid sorting of t e $ore serio!s patients fro$ t ose less serio!s to facilitate t e rapid care of t e $ore serio!s patients > en pro#le$s e.ceed reso!rces- triage s o!ld facilitate ?doing t e greatest good for t e greatest n!$#er@ =ring order to c aos t !s facilitating t e care of all patients

T(e Goa" of S&rgi%a" Priori#i+a#ion +&Selection of cases wit t e ig est pro#a#ility of s!ccess t at cons!$e t e least a$o!nt of reso!rces& /&Ma4e a decision & 1&Respect t e Triage )ecision Triage Categories !sed in :ospitals Ca#egor, I - Priori#, for S&rger, (atients w o need !rgent s!rgery and w o ave a good c ance of satisfactory recovery Ca#egor, II - No S&rger, (atients wit wo!nds so slig t t at t ey do not need s!rgery AN)K (atients w o are so severely in0!red t at t ey are !nli4ely to s!rvive Ca#egor, III - Can 'ai# For S&rger, (atients w o need s!rgery #!t not !rgently DON.T CONFUSE TRIAGE CATEGORIES 'ITH EVACUATION PRIORITIES EVACUATION PRIORITIES /0 (RI'RITY I R URGENT E9ACUATI'N >IT:IN / :'URS 10 (RI'RITY IA - URGENT SURGICA; E9ACUATI'N T' NEAREST SURGICA; *ACI;ITY >IT:IN / :'URS 20 (RI'RITY II R (RI'RITY E9ACUATI'N >IT:IN 2 :'URS 30 (RI'RITY III R R'UTINE E9ACUATI'N >IT:IN /2 :'URS 40 (RI'RITY I9 - C'N9ENIENCE