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In medicine, triage (/ ˈ t r iː ɑː ʒ /, / t r i ˈ ɑː ʒ /; French:) 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 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.
Triage acuity rating scales were not standardized until approximately 2010 when the ENA and American College of Emergency Physicians released a revised statement stating that they support the adoption of a valid five-level triage scale such as the ESI for emergency departments to benefit the quality of patient care. [4]
These patients are triaged BLACK (EXPECTANT/DECEASED). [4] "RPM-30-2-Can do" helps responders differentiate between the other two triage categories: YELLOW (DELAYED) and RED (IMMEDIATE). "30, 2, Can Do" stands for the criteria that delineate these two categories: Respirations: Is the patient's respiratory rate over 30 per minute?
The protocol was originally developed as a memory aid for rescuers performing cardiopulmonary resuscitation, and the most widely known use of the initialism is in the care of the unconscious or unresponsive patient, although it is also used as a reminder of the priorities for assessment and treatment of patients in many acute medical and trauma ...
The study examined how four different tools would have performed if used to triage pediatric patients that presented at the authors' emergency department. The authors compared the START and JumpSTART systems with two other pediatric triage tools: the Pediatric Triage Tape and Care Flight. [7] The study reported:
So if we could actually triage some of these patients, particularly at the primary care level, then we can actually get a higher quotient of patients who visit neurologists actually being eligible ...
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.