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TRIGETRIGE

H.HATAMABADI M.DH.HATAMABADI M.DAssistant Professor of Emergency MedicineAssistant Professor of Emergency Medicine

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

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ConvergenceConvergence

Hospital close to disaster sceneHospital close to disaster scene

SAVE = SAVE = SSecondary econdary AAssessment of ssessment of VVictim ictim EEndpointndpoint

Combine with STARTCombine with START

Useful for any scenario in which multiple Useful for any scenario in which multiple patients with prolong delay in care (days)patients with prolong delay in care (days)

Health Care Provider in disaster zoneHealth Care Provider in disaster zone

Immediate and dynamicImmediate and dynamic

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SAVESAVEMangled Extremity Severity Score (MESS) (64) to assess crush injury to extremitiesGlasgow Coma Score less than eight in adults with significant head injuryAbdominal trauma with refractory hypotensionChest trauma with abnormal vital signsSpinal traumaBurns with < 50% probability of survival or adults over 60 years of age with an inhalational injuryAdults with pre-existing diseasesNon-traumatic emergenciesSpecial triage categories such as health-care workers with minor injuries who with simple treatment may be able to assist in the medical response

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CategoriesCategories

1) Those who will die regardless of cares1) Those who will die regardless of cares

2) Those who will survive whether or not 2) Those who will survive whether or not they receive carethey receive care

3) Those who will benefit significantly from 3) Those who will benefit significantly from austere field interventionaustere field intervention

Chest TubesChest Tubes

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First Out = treatable in hospital and fatal in First Out = treatable in hospital and fatal in fieldfield

Intraabdominal problems need to surgeryIntraabdominal problems need to surgery

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PAEDIATRIC TRIAGE

The basic principles of triage remain the same for children as they are for adults.

overtriage