檢傷分類(Triage).docVIP

檢傷分類(Triage) 檢傷分類第一級 立即處置及治療 Category 1 Immediate simultaneous assessment and treatment 血壓 blood pressure 收縮壓=90mmHg或收縮壓=220mmHg SBP=90mmHg or SBP=220mmHg 脈搏 pulse rate 脈搏次數=50次/分或=140次/分 PR=50 /min或=140 /min 呼吸 respairatory 呼吸次數=30次/分或呼吸次數=10次/分或不規則呼吸 RR=30 /min或RR=10 /min or irregular Breathing pattern 體溫 temperature 體溫=41。C 或 BT=32。C BT=41。C or BT=32。C 非創傷 non-trauma 心跳或呼吸停止 Cardiac arrest or Respiratory arrest 轉院病人已插有氣管內管或胸管 Transfer to hospital already has a tracheal tube or thoracic tube 胸痛高度懷疑是心臟原因者 Chest pain of likely cardiac nature 內出血無法控制者 中毒而危及生命者 Significant sedative or other toxic ingestion 抽搐不止者 Ongoing/prolonged seizure 突然或近期昏迷之病人 A patient who passes out suddenly or briefly 吸入性傷害或發紺者 Aspiratory injury or caynosis 創傷 trauma 外傷出血無法控制者 A flesh wound with uncontrollable hemorrhaging 車禍、高處墜落、大而深的傷口、開放性骨折 Traffic accident, fall from high, large, deep wound, and open fracture 長骨或骨盆腔骨折者 Long bone or pelvis cavity bone fracture 開放性頭骨破裂、腦組織外露、頭部嚴重畸形 Skull split open, brain tissue exposed and outside, and the forehead is seriously abnormal 胸腹開放性傷口內臟外露 Chest and abdominal wound with internal organs exposed and outside 氣管破裂或需要建議surgical airway者 Trachea broken or suggests one who needs a surgical airway 頭部或脊椎傷害合併四肢癱瘓者 Forehead or vertebra injury combined with paralysis of the four limbs 顏面燒傷、二或三度燒傷BSA40% Facial burns, second or third degree burns BSA40% 特殊外傷 毒蛇咬傷 Snake bite 大量皮下氣腫 Massive subcutaneous emphysema 槍傷或尖銳物品穿刺傷 Bullet wound or sharp object puncture wound 其他 受暴婦女(含性侵害) Female assault victim (including rape) 急產 Emergency childbirth delivery 攻擊性行為 Requires or has required restraint 檢傷分類第二級 10分鐘內處理及治療 （Category 2） Assessment and treatment within 10 minutes 血壓 blood pressure 220＜收縮壓180mmHg 220＜SBP180mmHg 呼吸 respairatory 呼吸次數25＜30 30＜RR25 體溫 temperature 41體溫39或35體溫32 41BT39 or 35BT32 非創傷 non-trauma 抽搐已停止者、突發性神經學症狀 Twitches already stopped, outbursts characteristic of neurological symptoms 暈眩嚴重者、昏厥但意識