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A triage tag is a tool first responders and medical personnel use during a mass casualty incident. With the aid of the triage tags, the first-arriving personnel are able to effectively and efficiently distribute the limited resources and provide the necessary immediate care for the victims until more help arrives. Triage tags were first introduced by Baron Dominique Jean Larrey, a French surgeon in Napoleon's army.[ citation needed ]
Simple triage and rapid treatment (START) is a strategy that the first responders and medical personnel employ to evaluate the severity of injury of each victim as quickly as possible and tag the victims in about 30–60 seconds. The triage tags are placed near the head and are used to better separate the victims so that when more help arrives, the patients are easily recognizable for the extra help to ascertain the most dire cases.
A triage tag is two-sided, but the actual layout of the sections vary between and within countries and between governmental agencies. Design is often in the form of a fold-able card, to allow the state of the victim to be clearly visible. It is now common to use triage tags to allow first responders to have a better handle of the victims during a triage. There is no universal agreement in the design of triage tags, so each authority has implemented their own version to meet their needs.
Popular Triage Tags including Disaster Management Systems' All Risk® Triage Tags, Cruciform and the Smart Tag allow casualties to be re-triaged without having to replace the tag.
Typically, the basic sections of a triage tag may include:
Black | Expectant | Pain medication only, until death |
Red | Immediate | Life-threatening injuries |
Yellow | Delayed | Non-life-threatening injuries |
Green | Minimal | Minor injuries |
Other features may include:
A benefit in using the triage tag, besides improved traffic flow and effectively distributed care among injured patients, is data collection and dissemination. The fill-in slots on the triage tags do not need to be filled out all at once. Information can be obtained and added onto the triage tag throughout the triage, and referred to as needed.
If a patient's medical condition changes while still in triage, medical personnel can simply tag the patient again with the updated information and label the tags sequentially. The other option is to use a tag which can be altered so that the priority level can go up or down. This eliminates the need to re-tag the patient.
In the United States, Community Emergency Response Team (CERT) can refer to
In medicine, triage is a process by which care providers such as medical professionals and those with first aid knowledge determine the order of priority for providing treatment to injured individuals and/or inform the rationing of limited supplies so that they go to those who can most benefit from it. Triage is usually relied upon when there are more injured individuals than available care providers, or when there are more injured individuals than supplies to treat them.
A medical emergency is an acute injury or illness that poses an immediate risk to a person's life or long-term health, sometimes referred to as a situation risking "life or limb". These emergencies may require assistance from another, qualified person, as some of these emergencies, such as cardiovascular (heart), respiratory, and gastrointestinal cannot be dealt with by the victim themselves. Dependent on the severity of the emergency, and the quality of any treatment given, it may require the involvement of multiple levels of care, from first aiders through emergency medical technicians, paramedics, emergency physicians and anesthesiologists.
An ambulance is a medically-equipped vehicle used to transport patients to treatment facilities, such as hospitals. Typically, out-of-hospital medical care is provided to the patient during the transport. Ambulances are used to respond to medical emergencies by emergency medical services (EMS), and can rapidly transport paramedics and other first responders, carry equipment for administering emergency care, and transport patients to hospital or other definitive care. Most ambulances use a design based on vans or pickup trucks, though others take the form of motorcycles, buses, hearses, aircraft and boats.
Emergency services and rescue services are organizations that ensure public safety, security, and health by addressing and resolving different emergencies. Some of these agencies exist solely for addressing certain types of emergencies, while others deal with ad hoc emergencies as part of their normal responsibilities. Many of these agencies engage in community awareness and prevention programs to help the public avoid, detect, and report emergencies effectively. Emergency services are often considered first responders, and typically have dedicated emergency vehicles.
An emergency department (ED), also known as an accident and emergency department (A&E), emergency room (ER), emergency ward (EW) or casualty department, is a medical treatment facility specializing in emergency medicine, the acute care of patients who present without prior appointment; either by their own means or by that of an ambulance. The emergency department is usually found in a hospital or other primary care center.
Mobile Army Surgical Hospitals (MASH) were U.S. Army field hospital units conceptualized in 1946 as replacements for the obsolete World War II-era Auxiliary Surgical Group hospital units. MASH units were in operation from the Korean War to the Gulf War before being phased out in the early 2000s, in favor of combat support hospitals.
A medical identification tag is a small emblem or tag worn on a bracelet, neck chain, or on the clothing bearing a message that the wearer has an important medical condition that might require immediate attention. For emergency medical providers such as paramedics and emergency physicians, medical identification tags are particularly useful in situations where the wearer is unconscious, altered mental status, very young, or otherwise unable to provide critical medical information. The tag is often made out of stainless steel or sterling silver. A wallet card with the same information may be used instead of or along with a tag, and a stick-on medical ID tag may be added or used alone.
The Orsan plan is the emergency plan in France to face a sudden increase of activity in a hospital, such as a massive arrival of casualties due to an accident or a disaster, an epidemic or a lasting climatic event that becomes deadly for fragile people such as a heatwave.
A combat medic is responsible for providing emergency medical treatment at a point of wounding in a combat or training environment, as well as primary care and health protection and evacuation from a point of injury or illness. Additionally, medics may also be responsible for the creation, oversight, and execution of long-term patient care plans in consultation with or in the absence of a readily available doctor or advanced practice provider. Combat medics may be used in hospitals and clinics, where they have the opportunity to work in additional roles, such as operating medical and laboratory equipment and performing and assisting with procedures.
A Disaster Medical Assistance Team (DMAT) is a specialized group under the National Disaster Medical System (NDMS), part of the U.S. Department of Health and Human Services. These teams are composed of professional medical personnel including physicians, physician assistants (PA), nurses, paramedics, pharmacists, and logistical and administrative support staff. DMATs are deployed to provide rapid-response medical care, support hospitals with excess patient loads, and engage in patient triage and emergency care during significant incidents such as natural disasters, terrorist attacks, disease outbreaks, and national special security events.
Simple triage and rapid treatment (START) is a triage method used by first responders to quickly classify victims during a mass casualty incident (MCI) based on the severity of their injury. The method was developed in 1983 by the staff members of Hoag Hospital and Newport Beach Fire Department located in California, and is currently widely used in the United States.
Emergency medical services in France are provided by a mix of organizations under public health control. The central organizations that provide these services are known as a SAMU, which stands for Service d’aide médicale urgente. Local SAMU organisations operate the control rooms that answer emergency calls and dispatch medical responders. They also operate the SMUR, which refers to the ambulances and response vehicles that provide advanced medical care. Other ambulances and response vehicles are provided by the fire services and private ambulance services.
Advanced Automatic Collision Notification (AACN) is the successor to Automatic Collision Notification (ACN). the CDC and the CDC Foundation partnered with OnStar and the GM Foundation to develop procedures to help emergency medical responders determine whether a motorist needs care at a trauma center after a vehicle crash. Through this partnership, the CDC conducted a vehicle telematics initiative to develop evidence-based protocols for the emergency medical community to effectively use automotive telemetry data.
Disaster medicine is the area of medical specialization serving the dual areas of providing health care to disaster survivors and providing medically related disaster preparation, disaster planning, disaster response and disaster recovery leadership throughout the disaster life cycle. Disaster medicine specialists provide insight, guidance and expertise on the principles and practice of medicine both in the disaster impact area and healthcare evacuation receiving facilities to emergency management professionals, hospitals, healthcare facilities, communities and governments. The disaster medicine specialist is the liaison between and partner to the medical contingency planner, the emergency management professional, the incident command system, government and policy makers.
The Medical Priority Dispatch System (MPDS), sometimes referred to as the Advanced Medical Priority Dispatch System (AMPDS) is a unified system used to dispatch appropriate aid to medical emergencies including systematized caller interrogation and pre-arrival instructions. Priority Dispatch Corporation is licensed to design and publish MPDS and its various products, with research supported by the International Academy of Emergency Medical Dispatch (IAEMD). Priority Dispatch Corporation, in conjunction with the International Academies of Emergency Dispatch, have also produced similar systems for Police and Fire
A mass casualty incident describes an incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of casualties. For example, an incident where a two-person crew is responding to a motor vehicle collision with three severely injured people could be considered a mass casualty incident. The general public more commonly recognizes events such as building collapses, train and bus collisions, plane crashes, earthquakes and other large-scale emergencies as mass casualty incidents. Events such as the Oklahoma City bombing in 1995, the September 11 attacks in 2001, and the Boston Marathon bombing in 2013 are well-publicized examples of mass casualty incidents. The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, fires or natural disasters. A multiple casualty incident is one in which there are multiple casualties. The key difference from a mass casualty incident is that in a multiple casualty incident the resources available are sufficient to manage the needs of the victims. The issue of resource availability is therefore critical to the understanding of these concepts. One crosses over from a multiple to a mass casualty incident when resources are exceeded and the systems are overwhelmed.
Emergency Medical Dispatch (EMD) refers to a system that enhances services provided by Public Safety Answering Point (emergency) call takers, such as municipal emergency services dispatchers. It does so by allowing the call taker to quickly narrow down the caller's type of medical or trauma situation, so as to better dispatch emergency services, and provide quality instruction to the caller before help arrives.
A wilderness medical emergency is a medical emergency that takes place in a wilderness or remote setting affinitive care. Such an emergency can require specialized skills, treatment techniques, and knowledge in order to manage the patient for an extended period of time before and during evacuation.
Air medical services are the use of aircraft, including both fixed-wing aircraft and helicopters to provide various kinds of urgent medical care, especially prehospital, emergency and critical care to patients during aeromedical evacuation and rescue operations.