Disaster Medicine by David E Hogan
By David E Hogan
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Sample text
The remaining group will include both the immediate and expectant group. The next step involves the Assess phase in which the casualties who not moving are evaluated and immediate lifesaving interventions are administered. Simple maneuvers such as opening the airway and applying direct pressure to bleeding are performed. If there is a likely fatal injury then the patient is classified as expectant (51). After completion of the Assess phase and all immediate life-threatening interventions are completed, the next phase of Sort is carried out.
2-5. In practice, the initial action is for all casualties who can walk to be asked to move away from the incident area to a specific location. These casualties are classified as priority 3 or minimal (GREEN). They will be reassessed after the more immediate critical casualties are evaluated. The casualties who remain are then assessed. After the patient’s respiratory rate, pulse, and ability to follow commands are evaluated, they are classified as one of the three remaining categories—priority 1 (RED), priority 2 (YELLOW), and expectant (BLACK).
Prehospital disaster triage organization. Abbreviation: EMS, emergency medical service. 22 I. General Concepts Ambulatory treatment entrance Medical informatics Administrative liaison Treatment team liaison Chief triage officer Ambulatory triage physician Nonambulatory treatment entrance EMS nonambulatory casualties Ambulatory casualties Nonambulatory triage teams Security FIGURE 2-4. Hospital-based disaster triage organization. Abbreviation: EMS, emergency medical service. Another key component to the triage organization is the presence of three individuals.