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In medicine, triage (/ ˈ t r iː ɑː ʒ /, / t r i ˈ ɑː ʒ /) is a process by which care providers such as medical professionals and those with first aid knowledge determine the order of priority for providing treatment to injured individuals [1] and/or inform the rationing of limited supplies so that they go to those who can most benefit from it. [2]
Field triage is the process by which emergency medical services providers decide on the destination for the injured subject. Each year, the approximately 1 million emergency medical services (EMS) providers have a substantial impact on the care of injured persons and on public health in the United States.
Instead, START (Simple Triage and Rapid Treatment)/JumpSTART for pediatric patients or similar valid [6] rapid triage programs should be used instead. [4] [7] The use of the ESI algorithm should strictly be used by those with at least one year ED experience that have taken a comprehensive triage program. [1] [2]
The only medical intervention used prior to declaring a patient deceased is an attempt to open the airway. Any patient who is not breathing after this attempt is classified as deceased and given a black tag. No further interventions or therapies are attempted on deceased patients until all other patients have been treated.
Similar programs exist for immediate care providers such as paramedics. The program has been adopted worldwide in over 60 countries, [2] sometimes under the name of Early Management of Severe Trauma, especially outside North America. Its goal is to teach a simplified and standardized approach to trauma patients.
The JumpSTART pediatric triage MCI triage tool (usually shortened to JumpSTART) is a variation of the simple triage and rapid treatment (START) triage system. Both systems are used to sort patients into categories at mass casualty incidents (MCIs). However, JumpSTART was designed specifically for triaging children in disaster settings. Though ...
The system, born from a desire to reduce unnecessary call-outs for emergency services, and to reduce the instances of patients rebounding between care providers due to repeated re-triage, is designed to triage any health problem and refer to the appropriate service either within or without the service undertaking the triage.
Following a Category 2, 3, or 5 telephone triage, the patient may receive an ambulance response (which could be Category 1-4 depending on the outcome of the triage), may be referred to another service or provider, or treatment may be completed over the phone.
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