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Flashcards in Disaster Triage Deck (27)
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1
Q

What is triage?

A

The sorting of pts by the seriousness of their condition and likelihood for survival

2
Q

What is the MASS triage model?

A

Move, Assess, Sort , Send

Proven means to handle large number of casualties in a mass casuistry incident (MCI)

3
Q

What is the basis of the MASS triage?

A

Glasglow Coma Scale (GCS)

4
Q

What does the Move step 1 mean in MASS?

A

Group ambulatory patients
Anyone who can response and move, do
Minimal initial groups for those people

5
Q

What does Move step 2 mean in MASS?

A

The group that cannot walk but can follow commands, delayed initial group

6
Q

What does the Assess in MASS mean?

A

Group - identify location of who is left and unable to respond
Proceed immediately to pts and deliver like-saving interventions
Immediate initial group

7
Q

Who should be assessed first?

A

The immediate group

8
Q

What should be done in Assess for immediate pts?

A

Open airways, stop bleeding, give antidote

9
Q

What does Sort mean in MASS?

A

Sort pts based on individual assessment, continue treatment based on condition

10
Q

Who do you start with in the Sort section?

A

Delayed groups

11
Q

What are the ID-me groups?

A

Immediate, Delayed, Minimal, Expectant, Dead

12
Q

What should be done with triage tags?

A

Tag pt directly, maybe improvise, write on pt if not other option

13
Q

What should be done after all pts have been tagged?

A

Count immediates, tell incident commander

Take immediates to collection points for urgent transport

14
Q

What does the send mean in MASS?

A

Traditional sequence of immediate, delayed, minimal, expectant
Transport and release of all living pts
Be resourceful

15
Q

What should be done with dead pts?

A

Should not be moved or sent, ID remains, crime scene investigation, preserve evidence

16
Q

Treatment on scene should continue until:

A

All pts are transported, resources unavailable, comfort is care
Document - tags, medical records

17
Q

What should be done in treatment?

A

Decontaminate, ABC’s, supportive, consider pre-existing conditions, specific treatments
Risk to provider

18
Q

What are some special considerations?

A

Aggravation of pre-existing conditions, dirt, debris and gross contamination , environment conditions, walking wounded and worried well

19
Q

Which nerve agents require immediate treatment?

A

Vapor exposure - tabun, sarin, soman

Liquid exposure - VX

20
Q

What is the number one cause of death in a nerve agent crisis?

A

Hypoxia

21
Q

What generally happens in a cyanide incident?

A

Most will significant exposure will die

22
Q

Are their specific therapies for choking, blister or lacrimator agents?

A

No

23
Q

If there is a biological event, who is cared for first?

A

The sickest, outcome still poor

24
Q

What should be done for treatment in a trauma care situation?

A

Airway with cervical spine immobilization, breathing, circulation with hemorrhage control

25
Q

When and how would you observe a crush injury?

A

Common after structural collapse, sustained compression of large muscle beds
Presents with redness, blistering, tenderness, bruising, hypotension, shock, paralysis

26
Q

What is crush syndrome?

A

Reperfusion injury

Occurs after extrication, restoration of circulation flushes toxins in to blood, profound shock and cardiac arrest

27
Q

What should be done to treat a crush injury?

A

Early, aggressive resuscitation, IV fluids ASAP

Management of extremity, treatment of electrolyte abnormalities