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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]
The ESI levels are numbered one through five, with levels one and two indicating the greatest urgency based on patient acuity. However, levels 3, 4, and 5 are determined not by urgency, but by the number of resources expected to be used as determined by a licensed healthcare professional (medic/nurse) trained in triage processes. [4]
Simple triage and rapid treatment (START) is a triage method used by first responders to quickly classify victims during a mass casualty incident (MCI) based on the severity of their injury. The method was developed in 1983 by the staff members of Hoag Hospital and Newport Beach Fire Department located in California , and is currently widely ...
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.
In North America, the START system (simple triage and rapid treatment) is the most common and is considered the easiest to use. Using START, the medical responder assigns each patient to one of four color-coded triage levels, based on their breathing, circulation, and mental status. The triage levels are:
The Revised Trauma Score is made up of three categories: Glasgow Coma Scale, systolic blood pressure, and respiratory rate. The score range is 0–12. In START triage, a patient with an RTS score of 12 is labeled delayed, 11 is urgent, and 3–10 is immediate. Those who have an RTS below 3 are declared dead and should not receive certain care ...
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Critical Care is an online open access peer-reviewed medical journal covering intensive-care medicine.The founding editor and the current editor-in-chief is Jean-Louis Vincent of the Université Libre de Bruxelles.