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Triage

  • If faced with large number of casualties need to prioritise management
  • Aim is to 'do the most for the most'
  • Triage is the sorting of casualties by priority of treatment
  • Performed by a 'Triage officer' who assesses casualties without giving treatment
  • Divides patients into categories
  • Casualties may be given coloured triage label

Triage categories

Cat Definition Colour Treatment Example
P1 Life-threatening Red Immediate Tension pneumothorax
P2 Urgent Yellow Urgent Fractured femur
P3 Minor Green Delayed Sprained ankle
P4 Dead White

Method of triage

  • Triage can be performed rapidly by assessing
    • Ability to walk
    • Airway
    • Respiratory rate
    • Pulse rate or capillary return

Triage

Bibliography

Hirshberg A, Holcomb J B, Mattox K L.  Hospital trauma care in multiple-casualty incident : a critical review.  Ann Emerg Med 2001;  37:  647-652.

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