Triage In Disaster Management

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Disaster management is a vast topic which cant be cover in one ppt so i have taken one particular topic which is on Triage in disaster Management . I am trying to elaborate the topics by putting few pictures , if anyone have any problem with understand the ppt ,I have mentioned the reference guide . They can check it .

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KIRTTI

1. TRIAGE KIRTTI

2. Derived from a French word ‘ triar ’ which means ‘to separate out’ A method of quickly identifying victims who have immediately life-threatening injuries and who have the best chance of surviving Use when the quantity severity of injuries overwhelm the operative capacity of health facilities .

3. The principal of “first come” “first treat” is not followed in mass emergencies Processing of determining the priorities patients treatment based on their severity It consist of rapidly classifying the patients as per the severities as High priorities Low priorities

4. French army triage centre WW-1

5. The goal of managing a mass casualty incident Priorities for transportation to the hospital Priorities for care in the field

6. START SYSTEM Created in the 1980’s by Hoag Hospital and the Newport Beach CA Fire Dept Allows rapid assessment of victims It should not take more than 15 sec/ Pt Once victim is in treatment area more detailed assessment should be made Clasificación is based on three items Respiratory Perfusion Mental status evaluation

7. START First Step Can the Patient Walk? Green (Minor) Evaluate Ventilation (Step-2)

8. Ventilation Present? YES NO > 30/Min < 30/min Evaluate Circulation (Step-3) Open Airway Ventilation Present? NO YES Black Red/ Immediate Red/ Immediate START Step-2

9. Circulation Absent Radial Pulse Present Radial Pulse Evaluate Level of Consciousness Red/ Immediate START Step-3

10. START Step-4 Level of Consciousness Can Follow Simple Commands Yellow/ Delayed Red/ Immediate Can’t Follow Simple Commands

11. Patients with exposure (potential or real) to contaminants should be tagged as BLUE This category will continue to stay until patient is adequately decontaminated then follow START as usual Some recommend a “double tagging” with blue and the standard START color Contaminated Patients

12. START-Overview Remember RPM R- Respirations- 30 P- Perfusion- Radial Pulse M- Mental- Follows Commands

13. References : https://en.wikipedia.org/wiki/Triage#/media/File:Wounded_Triage_France_WWI.jpg http://www.ifrc.org/PageFiles/95530/The-Sphere-Project-Handbook-20111.pdf