Military Triage Categories - More than half of today's training is over The bad news is that you have the next two hours with me. The good news is that for those of you who have been in the military for a few years, we probably won't use the full two hours. You have participated in many ongoing medical preparation exercises, this will probably be old for you, but it is important to remember that there are some people in the audience who may not have the same experience as some of us, so hopefully we can all get something. from this. In the first hour, I will show a videotape and a short slide presentation about triage. Course date: 10/10 End date: 13/10
2 Purpose Provides general information about triage classification systems and patient categories. Provide general information about factors that should be considered by the triage manager when assessing patients.
Military Triage Categories
Set priorities for treatment/evacuation Dynamic process Triage is the French equivalent of classification. In medicine, it involves classifying and reclassifying casualties to determine treatment and evacuation priorities. Triage is the French word for sequencing. In medicine, it refers to the classification and reclassification of wounded to determine priorities for treatment and evacuation, and is based on the principle of providing the greatest possible benefit to the greatest number of wounded and wounded at a given time and at a given time in the particular conditions of war. Place. CAN THE TRIAGE CATEGORY BE CHANGED AFTER A PATIENT HAS BEEN TRIAGED? Yes, triage is a dynamic process, so the patient is constantly reassessed throughout the treatment process: WHY TRIAGE? Triage saves lives and reduces the likelihood of death due to limited treatment.
We Love It When A Plan Comes Together
WHEN DO WE TRIAGE? When we think of triage, in most cases we think of multiple casualties in a situation where the number of casualties exceeds the capacity of the healthcare unit to treat them all. we decide which injury to treat first.
6 Color Coding Casualties are color coded to quickly identify a victim's priority for medical treatment. The International Color Codes (METTAG) are: Black - Expected/Dying Red - Immediate Yellow - Delayed Green - Minimal/Little US Military Color Code (MEDIC) Blue - Expected The Army uses a four-category system of interrelated colors. Some use the abbreviation MIDE to remember them, but I use the abbreviation MEDIC. M-Minimal E-Expected D-Delayed I-Immediate C-Continuous process/contaminated From least severely damaged to most Minimal, Delayed, Urgent and finally Expected
Priority Emergency Critical/ Immediate Red 1 Delayed Emergency/ Delayed Yellow 2 Keep Small Minimal Green 3 Dying Near Death Black 4 Dirty WHY USE COLOR CODING?? Color labels allow medical personnel to refer to the colored labels and quickly identify patients who need treatment first or are most seriously injured, but at the same time do not allow the casualty to understand the severity of the injury. Note that in the international color coding system, black is used instead of blue to identify waiting patients. Without these colors, the treatment of these victims can be very chaotic. This system has been used in previous combat situations and has worked quite well.
Body function rather than cosmetic appearance Best benefit for the greatest number of people When we are asked to prioritize the injured, there are certain principles of triage that we must keep in mind. These principles apply in times of peace as well as in times of war. Life replaces the limb (amputation). Body function precedes cosmetic appearance. The goal is to get the greatest benefit for the greatest number of victims. In wartime, the situation and conflict require a unique military triage where personnel are assigned to a triage team. These individuals do not treat the injured when they arrive, their only purpose is to prioritize in peacetime, the priorities are: Urgent, then Delayed, Minimal and finally Expected/Dead if resources are limited. The ultimate goal in wartime is to return the wounded to wartime duties or stabilize them for evacuation to the next level of care. Given the goal of returning members to duty and maintaining a fighting force, what order of treatment should you follow for the separate triage categories? The first casualties to be treated should be your minimum so they can be returned to duty to help minimize other casualties. Care of emergency patients will take place at the same time as a minimum. Delayed patients followed. Waiting patients will be the last to receive treatment.
Rapid Assessment & Triage Methods:
WHO SHOULD BE THE TRIAGE OFFICER? Basically, the triage officer can be anyone listed in the picture, depending on the situation, location, number of medical personnel assigned. Again, the triage worker is not providing medical care when assessing a victim. The triage officer initially evaluates all casualties and then assigns an initial priority for the treatment or triage category.
CONTINUOUS PROCESS SHOULD AN INJURY TO BE TRIED AT A MEDICAL FACILITY IN SAUDI BUST PREFER TO A MEDICAL TREATMENT INFORMATION IN KOREA? Maybe maybe not! There are many factors that determine how victims are triaged. What types of transport are available for these patients What resources are available to you. How many staff do you have, how much material do you have What type of facility do you have? Do you have OR skills like Lester or do you lack these skills that we have at our facility? I don't want to prolong the subject, but you should always remember that prioritization is a dynamic/continuous process.
Classic "Goosebumps" Easily separated Later Self-help, accompanying care Treat and release, return to task/manpower pool It is difficult to give hard and fast rules for what types of injuries fall into which category. Again, remember that there are several factors that can affect your triage category. However, there are some rough guidelines for what types of injuries fall into what types of categories First, we look at the minimal category, we use the green label here. This category is used if the threat to the patient's life is minor In most cases care is provided by self-help or peer care These are usually quick return to duty Otherwise they can act as a staff pool, and the treatment recorder manufactured, litter carrier, environmental protection, etc. can fulfill their duties.
Burns under 20% BSA Rule of 9 Combat Stress Casualty Minimal types of injuries include: Minor cuts Abrasions Sprains Bruises BSA Rating Burns Degree First degree: Sunburn Second degree: blisters Third degree: waxy, leathery, white skin Surface Torso Front: 18% Torso Back : 18% Left leg: 18% Right leg: 18% Head: 9% Left arm: 9% Right arm: 9% Genital area: 1% Patient's palm: 1% Combat-stressed victims
Emergency Department Triage Article
Simple procedure will be lifesaving Reposition the airway, control bleeding, … Need immediate treatment Acute injuries use the red label. This category is reserved for casualties where the threat to life is high and a short procedure would be lifesaving. If the injured person is to survive, they need immediate treatment.
Massive external bleeding Shock Missing Amputation 2./3. 3rd degree burns to the face or neck White phosphorus burns Examples of such injuries include: Airway obstruction Suction chest wound Massive external bleeding Shock Incomplete amputation 2nd/3rd. degree burns on the face or neck. White phosphorus burns
Delayed treatment is not life-threatening Requires care but no immediate life-saving interventions Treatment can be delayed for several hours, including surgery Delayed category uses yellow label This category is reserved for serious injuries, but a delay in treatment is a risk to their life. Injuries in this category require care, but surgical care is not required at that time. According to this brochure, their maintenance can be delayed by 6-8 hours.
Serious eye damage Open wounds Non-life-threatening fractures 2./3. 2nd degree burns not involving the face/neck These types of injuries include: Open chest wounds Penetrating abdominal wounds/visceral injury Serious eye injury, Open wounds Non-life threatening fractures Grade 2 and 3 not involving the face or neck and greater than 60% of the body surface minor burns
History Of Triage
Little hope for recovery High threat to life Treatment complex/time consuming Supportive vs curative treatment Only used if resources are limited. The last category is known as Prospect and uses a blue label (black for international use) This is used for casualties there. little hope for recovery. The threat to their lives is great and the treatment is both complex and time-consuming. These patients are given a very low chance of survival and their treatment is mostly focused on supportive rather than curative treatment. this category
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