What Is Emergency Triage?

Refers to the process of judging the priority of a patient's condition and its affiliated specialty according to the patient's main symptoms and signs, and reasonably arranging his treatment. Triage refers to the rapid and focused collection of data for patients who come to the hospital for emergency treatment, and analyzes, judges, classifies, and divides the data. At the same time, it arranges the order of visits according to light, serious, slow, and urgent, and registers (file) at the same time. The time should generally be completed within 2 to 5 minutes. The focus of triage: triage and subject triage.

Triage

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Refers to the process of judging the priority of a patient's condition and its affiliated specialty according to the patient's main symptoms and signs, and reasonably arranging his treatment. Triage refers to the rapid and focused collection of data for patients who come to the hospital for emergency treatment, and analyzes, judges, classifies, and divides the data. At the same time, it arranges the order of visits according to light, serious, slow, and urgent, and registers (file) at the same time. The time should generally be completed within 2 to 5 minutes. The focus of triage: triage and subject triage.

Chinese name

Triage

Nature

science

Category

medicine

Purpose

Improve emergency work efficiency, etc.

Triage refers to the rapid and focused collection of data for patients who come to the hospital for emergency treatment, and analyzes, judges, classifies, and divides the data. At the same time, it arranges the order of visits according to light, serious, slow, and urgent, and registers (file) at the same time. The time should generally be completed within 2 to 5 minutes. The focus of triage: triage and subject triage.

1. Arrange the order of visits, give priority to emergency treatment, and improve the success rate of rescue.

2. Improve emergency work efficiency.

3. Effectively control the number of patients in the emergency room, maintain order in the emergency room, and arrange appropriate places for diagnosis and treatment.

4. Increase patient satisfaction with emergency work.

Level 1: (critical illness)

Patient condition: Life threatening. Instability of vital signs requires immediate first aid. Heartbeat

The common triage techniques are summarized as triage formulas in clinical practice. Since the formulas are easy to remember and practical, they are more commonly used.

SOPA formula: is the abbreviation of the first letter of four English words.

S (subjective): Collect patient's subjective feeling data, including the main complaint and accompanying symptoms.

O (objective): Collect objective data of patients, including physical signs and abnormal signs.

A (asses s , estimation): Comprehensive analysis of the collected data to obtain a preliminary judgment.

P (plan, plan): According to the results of the judgment, a specialist triage is performed, and the visits are arranged in a planned manner according to light, serious, slow, and urgent.

PQRST formula: It is an abbreviation consisting of the first letter of five English words, which is suitable for patients with pain.

P (Provoke): the cause of pain and the factors that aggravate and relieve it.

Q (quality, quality): the nature of pain, such as colic, dull pain, electric shock-like, knife-like, acupuncture, burning, etc.

R (radiate): whether there is radiating pain, and where to radiate.

S (severity, degree): The degree of pain. If you compare painless to unbearable pain with a number from 1 to 10, it is equivalent to which degree.

T (time): The time at which pain begins, continues, and ends. example

(3) CRAMS score: The CRAMS score is a simple, fast, and preliminary method of judging the injury mainly by using four physiological changes of circulation, breathing, exercise, and language plus anatomy. For the sake of memory, CRAMS is used to represent 2 points for each item, 1 point for mild abnormalities, 0 points for serious abnormalities, and a total injury of 8. CRAMS score is that the smaller the total score, the more serious the injury.

C (Circulation): Capillary filling is normal and systolic pressure> 100mmHg is 2 points, capillary filling delay and systolic pressure 85-99mmHg is 1 point, capillary filling disappears and systolic pressure <85mmHg is 0 points;

R (respiration): Normally 2 points, rapid, shallow or breathing frequency> 35 times / minute 1 point, no spontaneous breathing is 0;

A (Abdomen, abdominal chest): 2 points for no tenderness, 1 point for tenderness, 0 point for muscle tension, flail chest, or penetrating injury;

M (Motor, exercise): 2 points for free exercise, 1 point for response to pain, 0 point for no response or inability to move;

S (Speech): 2 points for normal, 1 point for delirium, 0 point for incomplete words.