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TRIGE. H.HATAMABADI M.D Assistant Professor of Emergency Medicine. BY ALIREZA MAJIDY EM DOCTOR UPLOAD AND PRESENTED IN PEZESHKMAJIDY.BLOGFA.CO. Convergence. Hospital close to disaster scene SAVE = S econdary A ssessment of V ictim E ndpoint Combine with START

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trige

TRIGE

H.HATAMABADI M.D

Assistant Professor of Emergency Medicine

BY ALIREZA MAJIDY EM DOCTOR UPLOAD AND PRESENTED IN PEZESHKMAJIDY.BLOGFA.CO

convergence
Convergence
  • Hospital close to disaster scene
  • SAVE = Secondary Assessment of Victim Endpoint
  • Combine with START
  • Useful for any scenario in which multiple patients with prolong delay in care (days)
  • Health Care Provider in disaster zone
  • Immediate and dynamic
slide28
SAVE
  • Mangled Extremity Severity Score (MESS) (64) to assess crush injury to extremities
  • Glasgow Coma Score less than eight in adults with significant head injury
  • Abdominal trauma with refractory hypotension
  • Chest trauma with abnormal vital signs
  • Spinal trauma
  • Burns with < 50% probability of survival or adults over 60 years of age with an inhalational injury
  • Adults with pre-existing diseases
  • Non-traumatic emergencies
  • Special triage categories such as health-care workers with minor injuries who with simple treatment may be able to assist in the medical response
categories
Categories
  • 1) Those who will die regardless of cares
  • 2) Those who will survive whether or not they receive care
  • 3) Those who will benefit significantly from austere field intervention
  • Chest Tubes
slide30
First Out = treatable in hospital and fatal in field
  • Intraabdominal problems need to surgery
paediatric triage
PAEDIATRIC TRIAGE
  • The basic principles of triage remain the same for children asthey are for adults.
  • overtriage