Term
| With Military Triage, those with the __ serious wounds may be the first treatment priority. The goal is to get as many soldiers back into action as possible. |
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Definition
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Term
| With Civilian Triage, those with the most __ but realistically ___ injuries are treated first. |
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Definition
- most serious
- realistically salvageable |
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Term
| In both models of triage, those with __ injuries are given lowest priority. |
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Definition
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Term
| Goal in disaster setting: |
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Definition
| do the greatest good for the greatest number. maximize survival. UTILITARIAN RULE. |
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Term
| Triage is a dynamic process in which __ minute assessments are performed and repeated. |
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Definition
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Term
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Definition
- 0-Expectant-Black- patients have lethal injuries and will die despite treatment
- 1- Immediate- Red- Patients have life-threatening injuries that probably are survivable if treated immediately
2- Delayed- Yellow- Patients require definitive tmt, but no immediate threat to life exists, can wait for tmt without jepoardy
3-Minimal-Green- Patients have minimal injuries, are AMBULATORY, and can self-treat or seek later tmt |
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Term
| Minor lacerations, contusions, and abrasions: |
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Definition
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Term
Minor extremeity fractures
Lacerations with controlled hemorrhage
Burns less than 25% of body |
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Definition
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Term
Tension pneumothorax
Respiratory distress
Major internal hemorrhage
Airway injuries |
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Definition
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Term
| Immediate response to tension pneumothorax: |
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Definition
| Needle decompression: large bore needle into the 2nd intercostal space at the midclavicular line, put rubber valve calking around it so it can open/close |
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Term
Devastating head injuries
Major 3rd degree burns over most of body
Destruction of vital organs |
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Definition
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Term
| what is included in 1 minute exam during triage: |
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Definition
- airway
- breathing
- circulation (perfusion)
- mental status |
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Term
START Triage- adults
JumpSTART triage- children |
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Definition
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Term
| Patient is not breathing, you reposition airway and they start breathing, what category: |
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Definition
1-Immediate-Red
See slide 15 of Triage lecture for good diagram |
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Term
| Patient is breathing at greater than 30 rpm, what category? |
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Definition
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Term
| Patient is breathing at less than 30 rpm, what now? |
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Definition
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Term
| Patient is breathing at less than 30 rpm, when you check perfusion, their capillary refill is greater than 2, what now? |
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Definition
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Term
| Patient is breathing at less than 30 rpm, capillary refill is less than 2, what now? |
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Definition
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Term
| Patient is breathing at less than 30 rpm, their capillary refill is less than 2 seconds, and when asked to perform simple exams the cannot. What now? |
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Definition
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Term
| Patient is breathing less than 30 rpm, their capillary refill is less than 2 seconds, and when asked to perform simple commands they can. what now? |
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Definition
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Term
| In a child, according to the JumpSTART triage model, if they are not breathing, but have a pulse, you should perform __ __ __. If they are still apneic, they are in the __ category, if they start to breathe, they are in the __ category. |
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Definition
- 5 rescue breaths
- 0-expectant-black
- 1-immediate-red |
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Term
| If the respiratory rate is less than __ rpm or greater than __ rpm, they should be in the __ category. |
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Definition
- less than 15 rpm
- greater than 45 rpm
- 1- immediate- red |
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Term
| If someone has a respiratory rate between 15 and 45, but does not have a palpable pulse, what category are they in? |
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Definition
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Term
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Definition
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Term
| how can you check perfusion? |
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Definition
| radial pulse and capillary refill |
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Term
| Patient is breathing less than 30 rpm, when you check perfusion there is no radial pulse, what now? |
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Definition
- control bleeding
- 1- immediate- red |
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Term
| Patient is breathing less than 30 rpm, there is a radial pulse, what now? |
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Definition
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Term
| The Initial assessment and treatment of each patient is accomplished within 30 seconds. Initial treatment is limited to correcting immediate life-threatening conditions (i.e. opening an airway and controlling severe bleeding) |
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Definition
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Term
| first thing you do when arrive at a disaster scene? |
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Definition
| make sure the scene is safe, then direct walking wounded (green) away from scene to predetermined eval and tmt area |
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Term
| Where do you start once you know surrouding is safe? |
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Definition
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Term
| ALL green pts must be individually assessed in __ __. |
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Definition
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Term
| Who should be assessed first in secondary triage? |
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Definition
| children that were carried there and thus did not prove they could walk |
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Term
| what does AVPU stand for? |
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Definition
- Alert
- Verbal
- responsive to Pain/Posturing
- Unresponsive |
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Term
| child is breathing b/w 15 and 45 and has a palpable pulse. they are unresponsive to pain and are abnormally postured and unconscious, what do you tag them as? |
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Definition
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Term
| child is breathing b/w 15 and 45 no palpable pulse: |
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Definition
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Term
| child is breathing b/w 15 and 45, pulse is palpable, they are alert and respond to voice and pain. |
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Definition
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Term
| For __ children due to young age or disability, use the __ methond. |
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Definition
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Term
| Unambulatory child due to age or disabilities, if they meet __ red criteria tag them as red. |
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Definition
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Term
| There is no widely recognized civilian MCI triage tool used in the US for any of the NRBC agents. |
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Definition
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Term
| with WMD, must consdider __ |
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Definition
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Term
| example of biosurveilance tool: |
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Definition
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Term
| Some agents cause __ that allow for prediction of outcome based on presenting signs/symptoms. |
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Definition
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Term
| __ _ is limiting factor in MCI triage. |
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Definition
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Term
| In order for MCI triage to work toward its goal, all victims must have equal importance at the time of primary triage. No patient group can receive special consideration other than that dictated by their physiology. |
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Definition
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Term
| This pt cannot move or feel legs, respirations are 24, radial pulse of 100, awake and oriented, how would you triage this patient? |
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Definition
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Term
| Blood soaked shirt, respiratons 36, capillary refill less than 2 seconds, awake and oriented. How would you triage? |
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Definition
| 1-Immediate-Red (b/c respirations are greater than 30) |
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Term
| Minor abrasions on forehead, respirations 16, cap refill less than 2 seconds, very slow in recalling his name and whereabouts. How would you triage? |
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Definition
| 1-Immediate-Red b/c head injury |
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Term
| Pt has no apparent injuries, Unconscious, respirations are 20, cap refill less than 2 seconds. How would you triage? |
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Definition
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Term
| PT lying quietly on floor, unconcsious, not breathing, cap refill more than 2 seconds, what is the first thing you would do? |
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Definition
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Term
PT lying quietly on floor, unconcsious, not breathing, cap refill more than 2 seconds, what is the first thing you would do?
- Reposition the airway, adjust head position
Still doesn’t start breathing, how would you triage? |
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Definition
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Term
| In triage, what does RPM stand for? |
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Definition
respirations
perfusion
mental status |
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Term
| Give example of circumstances in which you could provide medical treatment during the initial triage? |
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Definition
- not breathing
- bleeding profusely |
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Term
| Give example of circumstances in which you could provide medical treatment during the initial triage? |
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Definition
- not breathing
- bleeding profusely |
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