Changes

'''Note''': Triage has multiple [[meaning]]s: The term may also refer to the allocation of [[space]] on a priority basis for patients arriving at the emergency department, or to nurse-driven telephone medical advice systems,[3] among others. This article deals with the concept of triage as it occurs in medical emergencies, including the pre-hospital setting, disasters, and during emergency room treatment.

'''Note''': Triage has multiple [[meaning]]s: The term may also refer to the allocation of [[space]] on a priority basis for patients arriving at the emergency department, or to nurse-driven telephone medical advice systems,[3] among others. This article deals with the concept of triage as it occurs in medical emergencies, including the pre-hospital setting, disasters, and during emergency room treatment.

==History and origin==

==History and origin==

Triage originated and was first formalized in [[World War I]] by French doctors treating the battlefield wounded at the aid stations behind the front. Much is owed to the work of [http://en.wikipedia.org/wiki/Dominique_Jean_Larrey Dominique Jean Larrey] during the [http://en.wikipedia.org/wiki/Napoleonic_Wars Napoleonic Wars]. Historically, there has been a broad range of attempts to triage patients, and differing approaches and patient tagging [[system]]s used in a variety of different countries. Triage has, in [[fact]], existed for a very long time, albeit without a particular appellation applied to the [[practice]]. Until recently, triage results, whether performed by a paramedic or anyone else, were frequently a matter of the 'best guess', as opposed to any real or meaningful assessment.[4] In fact, triaging used to be taught with an emphasis on the speed of the [[function]], rather than the accuracy of the outcome. At its most primitive, those responsible for the removal of the wounded from a battlefield or their care afterwards have always divided victims into three basic categories:

Triage originated and was first formalized in [[World War I]] by French doctors treating the battlefield wounded at the aid stations behind the front. Much is owed to the work of [https://en.wikipedia.org/wiki/Dominique_Jean_Larrey Dominique Jean Larrey] during the [https://en.wikipedia.org/wiki/Napoleonic_Wars Napoleonic Wars]. Historically, there has been a broad range of attempts to triage patients, and differing approaches and patient tagging [[system]]s used in a variety of different countries. Triage has, in [[fact]], existed for a very long time, albeit without a particular appellation applied to the [[practice]]. Until recently, triage results, whether performed by a paramedic or anyone else, were frequently a matter of the 'best guess', as opposed to any real or meaningful assessment.[4] In fact, triaging used to be taught with an emphasis on the speed of the [[function]], rather than the accuracy of the outcome. At its most primitive, those responsible for the removal of the wounded from a battlefield or their care afterwards have always divided victims into three basic categories:

*1) Those who are likely to live, regardless of what care they receive;

*1) Those who are likely to live, regardless of what care they receive;

For many Emergency medical services (EMS) systems, a similar [[model]] can sometimes still be applied. Once a full response has occurred and many hands are available, virtually every paramedic will use the model included in their [[service]] policy and standing orders. In the earliest stages of an incident, however, when there are one or two paramedics and twenty or more patients, sheer [[practicality]] demands that the above model will be used. As in virtually all aspects of EMS, there are times when 'back to basics' is the only approach that will be effective.

For many Emergency medical services (EMS) systems, a similar [[model]] can sometimes still be applied. Once a full response has occurred and many hands are available, virtually every paramedic will use the model included in their [[service]] policy and standing orders. In the earliest stages of an incident, however, when there are one or two paramedics and twenty or more patients, sheer [[practicality]] demands that the above model will be used. As in virtually all aspects of EMS, there are times when 'back to basics' is the only approach that will be effective.

Modern approaches to triage are more [[Science|scientific]]. The outcome and grading of the victim is frequently the result of [http://en.wikipedia.org/wiki/Physiological physiological]] and assessment findings. Some models, such as the START model, are committed to memory, and may even be [[algorithm]]-based. As triage [[concepts]] become more sophisticated, triage [[guidance]] is also evolving into both software and hardware [[decision]] support products for use by caregivers in both hospitals and the field.[6][http://en.wikipedia.org/wiki/Triage]

Modern approaches to triage are more [[Science|scientific]]. The outcome and grading of the victim is frequently the result of [https://en.wikipedia.org/wiki/Physiological physiological]] and assessment findings. Some models, such as the START model, are committed to memory, and may even be [[algorithm]]-based. As triage [[concepts]] become more sophisticated, triage [[guidance]] is also evolving into both software and hardware [[decision]] support products for use by caregivers in both hospitals and the field.[6][https://en.wikipedia.org/wiki/Triage]

==References==

==References==