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Prehospital Report (vs Triage?)

KMATTOX at aol.com KMATTOX at aol.com
Thu Jan 31 03:49:01 GMT 2008


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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