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Prehospital Report (vs Triage?)
KMATTOX at aol.com KMATTOX at aol.comThu Jan 31 03:49:01 GMT 2008
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For both routine EMS and during disaster, and I have been through my share.
I want to know two bits of information first. What is cerebral status
(can she talk and understand) and is there a presence of a peripheral pulse.
PERIOD. THat is ALL. I do NOT want to know the BP. It does not help
me in the EC.
I next want to know what injuries the pre hospital person found and what do
they think. Is this person going to do OK, are they going to die, will
they need an operation or hospitalalizaiton. These evaluations are
remarkable helpful. If they are of the 3 later categories, I head for the
OR/ICU/IR, etc.
If there is any triage tag, I ignore it as it is misleading and a dis
service to the patient and an insult to any nurse or doctor. If there is a
Sharpie or Magic Marker which indicates pulse or no pulse or loss of CNS I like
it. The field triage is essential if FOCUSED, but ridiculously over
rated it it gives me too much information.
The Disaster field manuals must be totally re written as they have very
little resemblance to reality.
k
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