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| '''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: |
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| *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; |
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| 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. |
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− | 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] |
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| ==References== | | ==References== |