ppt课件-the s t a r tand jump s t a r t m c i triage tools（s t r罐内跳s t r t m c我诊断工具）.pptVIP

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2017-01-25 发布于四川
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ppt课件-the s t a r tand jump s t a r t m c i triage tools（s t r罐内跳s t r t m c我诊断工具）.ppt

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The START and JumpSTART MCI Triage Tools Photo courtesy of Miami Dade Fire Rescue START Simple Triage And Rapid Treatment Developed jointly by Newport Beach (CA) Fire and Marine Dept. and Hoag Hospital Gold standard for field adult multiple casualty (MCI) triage in the US and numerous countries around the world Utilizes the standard four triage categories Used for primary triage – materials available for purchase START Triage START: Step 1 Triage officer announces that all patients that can walk should get up and walk to a designated area for eventual secondary triage. All ambulatory patients are initially tagged as Green. START: Step 2 Triage officer assesses patients in the order in which they are encountered Assess for presence or absence of spontaneous respirations If breathing, move to Step 3 If apneic, open airway If patient remains apneic, tag as Black If patient starts breathing, tag as Red START: Step 3 Assess respiratory rate If ≤30, proceed to Step 4 If ? 30, tag patient as Red START: Step 4 Assess capillary refill If ≤ 2 seconds, move to Step 5 If ? 2 seconds, tag as Red START: Step 5 Assess mental status If able to obey commands, tag as Yellow If unable to obey commands, tag as Red Mnemonic R P M 30 2 Can do The physiology of adults and children are not the same. START: Potential Problems with Children An apneic child is more likely to have a primary respiratory problem than an adult. Perfusion may be maintained for a short time and the child may be salvageable. RR +/- 30 may either over-triage or under-triage a child, depending on age . START: Potential Problems with Children Capillary refill may not adequately reflect peripheral hemodynamic status in a cool environment. Obeying commands may not be an appropriate gauge of mental status for younger children. Why do we need a pediatric tool? Pediatric multicasualty triage may be affected by the emotional state of triage officers. Why do we need a pediatric tool? To optimize triage effectivenes