7/28/2019 Triage FINAL
1/9
UNIVERSITY OF BAGUIO
SCHOOL OF NURSING
TRIAGE
and
METHODSof
TRANSFER
Submitted by:
BOTIS, Gemray B.
NPC
June 18, 2013
7/28/2019 Triage FINAL
2/9
TRIAGE:
Triage refers to the evaluation and categorization of the sick or wounded
when there are insufficient resources for medical care of everyone at
once.
In mass casualty situations, triage is used to decide who is most urgentlyin need of transportation to a hospital for care (generally, those who have
a chance of survival but who would die without immediate treatment) andwhose injuries are less severe and must wait for medical care.
Triage is also commonly used in crowded emergency rooms and walk-inclinics to determine which patients should be seen and treated
immediately.
Triage may be used to prioritize the use of space or equipment, suchas operating rooms, in a crowded medical facility.
Color Coding:
Red tags - (immediate) are used to label those who cannot survivewithout immediate treatment but who have a chance of survival.
Yellow tags - (observation/ delayed) for those who requireobservation (and possible later re-triage). Their condition is stable
for the moment and, they are not in immediate danger of death. These
victims will still need hospital care and would be treated
immediately under normal circumstances.
Green tags - (wait / minimal/ minor) are reserved for the "walkingwounded" who will need medical care at some point, after more
critical injuries have been treated.
Black tags - (expectant/ morgue) are used for the deceased and forthose whose injuries are so extensive that they will not be able to
survive given the care that is available.
7/28/2019 Triage FINAL
3/9
METHODS OF TRANSFER
A. One Man Carry
1. Ankle Pull (Short Distances)
1. Grasp the victim by both ankles or both pant
cuffs. Be sure to move him or her using your
legs, not your back. Keep your back as straight
as possible, to prevent injuring yourself.
2. Drag the victim in as straight a line as
possible. Note that this carry does not support
the head or neck.
This method is the quickest way to move a person
over a smooth surface. It should only be used if
the rescuer cannot bend over or the victim is in
immediate danger.
2. Shoulder Pull (Short Distances)
1. Grasp the victim's clothing underneath his or
her shoulders. You will have to bend over in
order to pull the victim away.
2. Support the person's head by keeping an arm
along each side of it. Pull the victim away,
keeping the body as aligned as possible.
This method of moving injured people is preferred
over the ankle pull because the rescuer is able
to support the victim's head. However, it is not
suitable for rescuers with back injuries.
3. Blanket Pull (Short to Medium Distance)
1. Lay out a blanket on the floor as close to the
victim as possible.
2. Roll or lift the victim carefully onto the
blanket. You should keep the head and neck as
aligned as possible while transferring the person
to the blanket.
http://www.wikihow.com/Image:Roll-the-victim-2.jpghttp://www.wikihow.com/Image:Lay-a-blanket-1.jpghttp://www.wikihow.com/Image:Pull-the-victim-2.jpghttp://www.wikihow.com/Image:Drag-the-victim-2.jpghttp://www.wikihow.com/Image:Grasp-the-ankles-1.jpghttp://www.wikihow.com/Image:Roll-the-victim-2.jpghttp://www.wikihow.com/Image:Lay-a-blanket-1.jpghttp://www.wikihow.com/Image:Pull-the-victim-2.jpghttp://www.wikihow.com/Image:Drag-the-victim-2.jpghttp://www.wikihow.com/Image:Grasp-the-ankles-1.jpghttp://www.wikihow.com/Image:Roll-the-victim-2.jpghttp://www.wikihow.com/Image:Lay-a-blanket-1.jpghttp://www.wikihow.com/Image:Pull-the-victim-2.jpghttp://www.wikihow.com/Image:Drag-the-victim-2.jpghttp://www.wikihow.com/Image:Grasp-the-ankles-1.jpghttp://www.wikihow.com/Image:Roll-the-victim-2.jpghttp://www.wikihow.com/Image:Lay-a-blanket-1.jpghttp://www.wikihow.com/Image:Pull-the-victim-2.jpghttp://www.wikihow.com/Image:Drag-the-victim-2.jpghttp://www.wikihow.com/Image:Grasp-the-ankles-1.jpghttp://www.wikihow.com/Image:Roll-the-victim-2.jpghttp://www.wikihow.com/Image:Lay-a-blanket-1.jpghttp://www.wikihow.com/Image:Pull-the-victim-2.jpghttp://www.wikihow.com/Image:Drag-the-victim-2.jpghttp://www.wikihow.com/Image:Grasp-the-ankles-1.jpg7/28/2019 Triage FINAL
4/9
The head of the victim should be placed about
2 feet (61 cm) from a corner of the blanket.
3. Gather the corners around the victim's
head and pull them away. You should keep your
back as straight as possible while moving the
person.
4. One Person Lift (For Child or Small Adult
Over All Distances)
1. Place one arm around the victim's back and
the other underneath his or her knees and lift
the person into your arms.
2. Walk to safety. Have the victim place an
arm around your shoulders while walking, if possible.
5. Firefighter Carry (Longer Distances)
1. Crouch down and place one of the victim's
arms across your shoulder. Wrap your arm
around the victim's legs and grasp the other
arm of the victim.
2. Lift the person using your legs and carry
the person to a safe place.
This method of carrying a victim is good for
longer distances. However, the rescuer must
be very strong to place the victim in this
position. This method is also not suitablefor a victim with a spinal injury.
http://www.wikihow.com/Image:Lift-the-victim-2.jpghttp://www.wikihow.com/Image:Crouch-down-1.jpghttp://www.wikihow.com/Image:Lift-the-person-1.jpghttp://www.wikihow.com/Image:Pull-the-blanket-3.jpghttp://www.wikihow.com/Image:Lift-the-victim-2.jpghttp://www.wikihow.com/Image:Crouch-down-1.jpghttp://www.wikihow.com/Image:Lift-the-person-1.jpghttp://www.wikihow.com/Image:Pull-the-blanket-3.jpghttp://www.wikihow.com/Image:Lift-the-victim-2.jpghttp://www.wikihow.com/Image:Crouch-down-1.jpghttp://www.wikihow.com/Image:Lift-the-person-1.jpghttp://www.wikihow.com/Image:Pull-the-blanket-3.jpghttp://www.wikihow.com/Image:Lift-the-victim-2.jpghttp://www.wikihow.com/Image:Crouch-down-1.jpghttp://www.wikihow.com/Image:Lift-the-person-1.jpghttp://www.wikihow.com/Image:Pull-the-blanket-3.jpg7/28/2019 Triage FINAL
5/9
6. Pack Strap Carry (Longer Distances)
1. Crouch down in front of the victim and
place both of his or her arms over your
shoulders.
2. Cross the person's arms and grasp the
opposite wrist with both of your hands. You
should be holding onto his or her left wrist
with your right hand and vice-versa.
3. Pull the injured person's arms close to
your chest and squat slightly.
4. Push your hips into the victim while
bending forward slightly. Balance the
person's weight with your hips while
walking.
This carrying technique is good for long
distances with a larger adult. It is more
suitable for victims whose injuries make the
fireman's carry unsafe
7. Support carrythe casualty must
be able to walk or at least hop on
one leg, using the bearer as a
crutch. This carry can be used to
assist him as far as he is able to
walk or hop.
http://www.wikihow.com/Image:Pull-the-arm-3.jpghttp://www.wikihow.com/Image:Cross-victim-'s-arms-2.jpghttp://www.wikihow.com/Image:Crouch-down-1-1.jpghttp://www.wikihow.com/Image:Pull-the-arm-3.jpghttp://www.wikihow.com/Image:Cross-victim-'s-arms-2.jpghttp://www.wikihow.com/Image:Crouch-down-1-1.jpghttp://www.wikihow.com/Image:Pull-the-arm-3.jpghttp://www.wikihow.com/Image:Cross-victim-'s-arms-2.jpghttp://www.wikihow.com/Image:Crouch-down-1-1.jpghttp://www.wikihow.com/Image:Pull-the-arm-3.jpghttp://www.wikihow.com/Image:Cross-victim-'s-arms-2.jpghttp://www.wikihow.com/Image:Crouch-down-1-1.jpg7/28/2019 Triage FINAL
6/9
8.Neck dragis useful in combatbecause the bearer can transport the
casualty when he creeps behind a low
wall or shrubbery, under a vehicle,
or through a gutter. This drag is
used only if the casualty does not
have a broken/ fractured arm. In
this drag the casualty is on his
back. If the casualty isunconscious, protect his head from
the ground.
9. Arms carry. The arms carry is
used when the casualty is unable to
walk. This carry (Figure B-3) isuseful when carrying a casualty for
a short distance and when placing
him on a litter.
10. Saddleback carry. Only a conscious casualty can be
transported by the saddleback carry because he must be
able to hold onto the bearers neck.
7/28/2019 Triage FINAL
7/9
11. Pistol-belt drag. The pistol-belt
drag (Figure B-7) and other drags are
generally used for short distances. In
this drag the casualty is on his back.
The pistol-belt drag is useful in
combat. The bearer and the casualty
can remain closer to the ground in
this drag than in any other.
12. Pack-strap carry. This carry is used when only a moderate distance
will be traveled. In this carry (Figure B-5), the casualty's weight rests
high on the bearer's back. To eliminate the possibility of injury to the
casualty's arms, the bearer must hold the casualty's arms in a palms-down
position.
B. Two-man Carry
1) Two-man support carry can be used in transporting both conscious or
unconscious casualties. If the casualty is taller than the bearers it may
be necessary for the bearers to lift the casualty's legs and let them rest
on their forearms.
2) Two-man arms carry is useful in carrying a casualty for a moderate
distance. It is also useful for placing him on a litter. To lessenfatigue, the bearers should carry him high and as close to their chests as
possible. In extreme emergencies when there are no times to obtain a
board, this manual carry is the safest one for transporting a casualty
with a back/neck injury. Use two additional bearers to keep his head and
legs in alignment with his body.
7/28/2019 Triage FINAL
8/9
3) Two-man fore-and-aft carry is a most useful two-man carry for
transporting a casualty for a long distance. The taller of the two bearers
should position himself at the casualty's head. By altering this carry so
that both bearers face the casualty, it is also useful for placing him on
a litter.
7/28/2019 Triage FINAL
9/9
4) Two-hand seat carry is used in carrying a casualty for a short distance
and in placing him on a litter.
5) Four-hand seat carry. Only a conscious casualty can be transported with
the four-hand seat carry (Figure B-14) because he must help support
himself by placing his arms around the bearers' shoulders. This carry is
especially useful in transporting the casualty with a head or foot injury
and is used when the distance to be traveled is moderate. It is also
useful for placing a casualty on a litter.