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Standardizing Triage Past, Present, Future
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History of Triage- “sort”
Started in the military Adopted by civilian EMS Changed and revised over the last 30+ years Do the greatest good for the largest number of people.
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Purpose/Objectives of Triage
Rapidly identify life-threatening injuries Prioritize based on severity Provide immediate treatment that can change a patient’s category (red to green)
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Triage Catergories Walking wounded/minor (green) Delayed (yellow)
Immediate (red) Deceased/expectant (black) Expectant (MUCC Triage) (blue or gray)
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Why One Tag?
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How Do You Choose?
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Features Can display only one color at a time
Has a barcode for patient tracking Re-triage, same code Document Command Options MUCC, START, SALT, Pediatric…… And more.
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SMART MCI Triage Tag
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Included separate “DEAD” tag
Includes contamination/decon tags Red glow sticks for low light operations Triage tool included Pediatric tool included Class counter/tracking
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Where are we now? Trauma Regulation 61-116 (2016)
Initial distribution to all 911 EMS agencies Secondary distribution to first response fire Tertiary distribution to secondary response private services HPP Taskforce for tracking software Mass Casualty Evacuation
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And Next????? ALL HOSPITAL EMERGENCY DEPARTMENTS
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Purchasing/Distribution
Solicitation closes this week Advertisement of Award Train the Trainer (July) Emergency management Charge Nurses Administration Physicians
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Questions/Discussion
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