When do you transport a critically injured patient to a trauma center?
A. if the patient's condition is stabilizing or deteriorating. You are transporting a critically-injured patient to a trauma center located 30 minutes away from the scene. At a minimum, how many times should you reassess the patient's vital signs during transport?
When transporting a patient who has inhaled poison what should you do?
When transporting a patient who has inhaled poison, take all containers, bottles, and labels from the substance if it is safe to do so. Do this for poisoning from any substance. You respond to a home where the parents found their 12-year-old son unconscious on the floor.
Can a patient under the influence of alcohol refuse treatment or transport?
A patient under the influence of alcohol cannot make an informed refusal of treatment or transport. If the patient refuses treatment or transport, you should nevertheless treat and arrange for transport of the patient as necessary on the basis of implied consent. Always contact medical direction before transporting a patient against his will.
What is the difference between immediate and delayed patient classification?
Patients who are breathing and have any of the following conditions are classified as immediate: All other patients are classified as delayed. After all patients have been evaluated, responders use the START classifications to determine priorities for treatment or evacuation to a hospital.
Which category of casualty will not receive any treatment?
Black tags - (expectant) are used for the deceased and for those whose injuries are so extensive that they will not be able to survive given the care that is available.
What is rapid treatment?
A rapid treatment area (RTA) is an identified space, typically close to triage in the emergency department, which is used to help manage patient flow and throughput.
When is CPR not appropriate?
CPR is inappropriate when survival is not expected or if the patient is expected to survive without the ability to communicate. The issue becomes more difficult with changes in legal, cultural, or personal perspectives.
What are the 4 triage categories?
TriageImmediate category. These casualties require immediate life-saving treatment.Urgent category. These casualties require significant intervention as soon as possible.Delayed category. These patients will require medical intervention, but not with any urgency.Expectant category.
What does a rapid response nurse do?
A rapid response nurse is an emergency medical technician who specializes in providing immediate care to patients. They are often the very FIRST person to arrive on the scene of an accident or other emergency situation, and they're responsible for assessing the patient's condition and initiating treatment as necessary.
What is simple triage and rapid treatment system?
The Simple Triage And Rapid Treatment (START) system was developed to allow first responders to triage multiple victims in 30 seconds or less, based on three primary observations: Respiration, Perfusion, and Mental Status (RPM).
Why should you not do CPR?
You should stop giving CPR to a victim if you experience signs of life. If the patient opens their eyes, makes a movement, sound, or starts breathing, you should stop giving compression. However, when you stop and the patient becomes uncurious again, you should resume CPR.
What does Priority 4 patient mean?
Priority 4 (Blue) Those victims with critical and potentially fatal injuries or illness are coded priority 4 or "Blue" indicating no treatment or transportation.
What are the 5 levels of triage?
In general, triage categories can be expressed as a Description (immediate; Urgent; Delayed; Expectant), Priority (1 to 4), or Color (Red, Yellow, Green, Blue), respectively, where Immediate category equals Priority 1 and Red color [1,2]. ...
What are the 3 categories of triage meaning?
Category I: Used for viable victims with potentially life-threatening conditions. Category II: Used for victims with non-life-threatening injuries, but who urgently require treatment. Category III: Used for victims with minor injuries that do not require ambulance transport.
When transporting a patient who has inhaled poison, take all containers, bottles, and labels from the substance
When transporting a patient who has inhaled poison, take all containers, bottles, and labels from the substance if it is safe to do so. Do this for poisoning from any substance. You respond to a home where the parents found their 12-year-old son unconscious on the floor. A half-empty bottle of vodka is next to him.
Why is mouth to mouth ventilation dangerous?
When ventilating a patient who has ingested a poison, mouth-to-mouth ventilation is dangerous not only because of the possibility of infection, but also because: A.
Can a patient refuse treatment?
A patient under the influence of alcohol cannot make an informed refusal of treatment or transport. If the patient refuses treatment or transport, you should nevertheless treat and arrange for transport of the patient as necessary on the basis of implied consent.
Can a patient under the influence of alcohol refuse treatment?
A patient under the influence of alcohol cannot make an informed refusal of treatment or transport.
Can an EMT miss other medical conditions?
It is easy for the EMT to miss other medical conditions or injuries. The health risks related to alcohol abuse are only a concern when the patient is intoxicated. Confusion and disorientation are uncommon in patients who abuse alcohol. Indications of head injury will be obvious in patients who abuse alcohol.
What triage system uses red, yellow, green and black?
Other triage systems that are variations of or similar to START include Triage Sieve, Pediatric Triage Tape, and CareFlite Triage. Each of these systems uses four or five triage classes with the red, yellow, green, and black colors.
What color is a delayed triage tag?
Delayed (yellow) Walking wounded/minor (green) The colors correspond to triage tags, which are used by some agencies to indicate each victim's status, although physical tags are not necessary if patients can be physically sorted into different areas.
What does it mean when a patient resumes breathing on their own?
If they resume breathing on their own, they are tagged as "immediate". If they do not resume breathing on their own, they are tagged as "deceased". Another needed bit of information is to decide who qualifies as a pediatric patient and who qualifies as an adult.
What is immediate respiratory rate?
Patients who are breathing and have any of the following conditions are classified as immediate: Respiratory rate greater than 30 per minute; Radial pulse is absent, or capillary refill is over 2 seconds; Unable to follow simple commands. All other patients are classified as delayed.
Is there a measure to judge the appropriateness of any given system in mass casualty triage?
There is no accepted measure to judge the appropriateness of any given system in mass casualty triage. Like many other triage systems, START suffers from implementation problems such as substantial amounts of overtriage. One of the major strengths of START, its simplicity, is also a major limitation. Since START was developed, consensus has emerged that triage should be more sophisticated, by incorporating resource limitations and capacity in determining how to prioritize patients.