By David E Hogan
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In addition, the availability of initial resources will often be extremely limited. Patients may require extrication and evacuation that result in delays in the transportation of the patient. Experience has resulted in the formulation of some basic principles, which are listed in Table 2-3, for operational policies’ disaster triage. Triage is not a static activity. After the initial categorization of patients by the triage officer, patients selected to wait for care are retriaged on a continuous basis.
26 I. General Concepts been made with the creation of a hybrid of START named JumpSTART (50). Another simple mass triage system that has emerged in recent years is the MASS triage (Move, Assess, Sort, and Send). This system was introduced as part of the National Disaster Life Support (NDLS) program. The MASS system utilizes the standardized military triage categories as its foundation (51). It is also a very simple user-friendly system, which will allow for rapid triage of multiple patients during an MCI or disaster.
Although various nomenclatures and systems are in common use throughout the world, commonalities do exist. Most systems of triage sort patients into four major categories designated by colors. The deployment of prehospital triage resources and organization of personnel are discussed in Chapter 11. A discussion of the terminology and organization of such categories and the cohorts (groups) within them are important in understanding the triage process. A priority 1 or immediate (RED) patient is classified as one whose injury is critical but who can be cared for with minimal time or resources and who, after treatment, would have a good prognosis for survival.
Disaster Medicine by David E Hogan