Trauma Triage Systems

8/21/2019 Trauma Triage Systems

1/12

TRIAGE SYSTEMSFOR TRAUMA CARE

8/21/2019 Trauma Triage Systems

2/12

DEFINITION

Process of determining the priority ofpatient’s treatments based on the

severity of their condition

Mechanism that is essential for effective

management of modern emergency services.

Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.

8/21/2019 Trauma Triage Systems

3/12

PRINCIPLES OF TRIAGE

To e"sure that the#atie"t re$ei%es the&e%e& a"' ua&ity o$are a##ro#riate to

$&i"i$a& "ee'.

That resour$es are

most useu&&ya##&ie'

Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.

8/21/2019 Trauma Triage Systems

4/12

TRIAGE SCALES

*e hea&th#roessio"a&s

$&assiy#atie"ts

$o"siste"t&y

To a$hie%ea$$e#ta+&eout$omes

Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.

8/21/2019 Trauma Triage Systems

5/12

The Most Commonly UsedScales

SC*

• Fi%e $ategorys$a&e i" /hi$h

the u"$tio"a&urge"$y is+ase' o""urses

'etermi"atio" o

the #atie"t$o"'itio".

 ATS

• ost $ommo"a"' u"i%ersa&

system, /hi$his a 'ire$t triageme$ha"ism a"'

has a &e%e&$ategori$a&

s$a&e.

CTAS

• 3eri%e' rom ATS. t is a

$ategori$a&s$a&e .

Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.

8/21/2019 Trauma Triage Systems

6/12

Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.

8/21/2019 Trauma Triage Systems

7/12

TRIAGE OUTCOMES

• The triage assessme"t /hi$h &ea's toa&&o$atio" o a triage $ategory a"' su+seue"t#ro$essi"g o the #atie"t

First

• "itiatio" o treatme"t to a$i&itate emerge"$y

$are /ith a #ossi+&e re'u$tio" i" the #atie"ts'is$omortSecondly

Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.

8/21/2019 Trauma Triage Systems

8/12

TRAUMA TRIAGE

  Trauma triage is the use of trauma

assessment for prioritising of patients for

treatment or transport according to their

severity of injury  Primary triage is carried out at the scene of an

accident and secondary triage at the casualty

clearing station at the site of a major incident.

  Triage is repeated prior to transport awayfrom the scene and again at the receiving

hospital

  Trauma triage is the use of trauma

assessment for prioritising of patients for

treatment or transport according to their

severity of injury  Primary triage is carried out at the scene of an

accident and secondary triage at the casualty

clearing station at the site of a major incident.

  Triage is repeated prior to transport awayfrom the scene and again at the receiving

hospital

Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.

8/21/2019 Trauma Triage Systems

9/12

  The primary survey aims to identify and immediately

treat life-threatening injuries and based on the !"#$%’

resuscitation system. !irway control with stabilisation of the cervical spine. "reathing.

#irculation &including the control of e'ternal

haemorrhage( $isability or neurological status.

%'posure or undressing of the patien while also protectingthe patient from hypothermia

  The primary survey aims to identify and immediately

treat life-threatening injuries and based on the !"#$%’

resuscitation system. !irway control with stabilisation of the cervical spine. "reathing.

#irculation &including the control of e'ternal

haemorrhage( $isability or neurological status.

%'posure or undressing of the patien while also protectingthe patient from hypothermia

Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.

8/21/2019 Trauma Triage Systems

10/12

PRIORITY PATIENTS

)ed T* +mmediate priority re,uire immediate life-savingintervention

e&&o/ T2 5rge"t #riority euire sig"ii$a"t i"ter%e"tio" /ithi" 2-4

hoursree" T8 3e&aye' #riority euire i"ter%e"tio", +ut "ot /ithi" 2-4

hours

9&ue T4 :#e$ta"t #riority Treatme"t at a" ear&y stage /ou&' 'i%ertresour$es rom #ote"tia&&y +e"ei$ia&

$ausa&ities, /ith "o sig"ii$a"t $ha"$e o asu$$essu& out$ome

Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.

8/21/2019 Trauma Triage Systems

11/12

TRIAGE SIEVE

#an the patient wal /es 0 Priority 1 &2reen(.

3o 0

+s the patient breathing

3o4 even after opening airway0 $ead.

 /es4 after opening airway0 Priority * &)ed(. /es4 without resuscitation0

5hat is the respiratory rate

!bove 167minute or less than *67minute0 Priority * &)ed(.

*6-167minute0

5hat is the pulse rate &or capillary refill time(8ess than 96 or more than *:6 &or capillaryrefill time greater than :

seconds(0 Priority *&)ed(.

"etween 96 and *:6 &or capillary refill tim less than : seconds(0

Priority : &/ellow(

#an the patient wal /es 0 Priority 1 &2reen(.

3o 0

+s the patient breathing

3o4 even after opening airway0 $ead.

 /es4 after opening airway0 Priority * &)ed(. /es4 without resuscitation0

5hat is the respiratory rate

!bove 167minute or less than *67minute0 Priority * &)ed(.

*6-167minute0

5hat is the pulse rate &or capillary refill time(

8ess than 96 or more than *:6 &or capillaryrefill time greater than :

seconds(0 Priority *&)ed(.

"etween 96 and *:6 &or capillary refill tim less than : seconds(0

Priority : &/ellow(

Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.Shuja A, Triage Systems For Trauma Care.(2014).Indep Rev ;16(7-)! 244-24.

8/21/2019 Trauma Triage Systems

12/12

TRIAGE SORTP;/S+