Talk:Triage
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At Maine Medical Center we use a T1 to T4 scale. The article here mentions only 3 levels. This might need to be updated. Rlee0001 15:37 Jul 25, 2002 (PDT)
Different scales are used all over. Maryland emergency systems used a simply Priority 1 - 4 scale (1 = highest priority; 4 = dead or uninjured), and a quick scan of the article reveals that capillary refill is recommended for prioritizing victims. Capillary refill is notoriously unreliable in adults, though in a triage system it can be used if necessary. I think this is one person's system that he mistakenly thinks applies elsewhere. I'll see if I can fix it up one of these days. Tokerboy 13:43 Nov 13, 2002 (UTC)
I'd love to know how and why it fails. Anemia?
I wrote the original article in 2001. I'm not qualified to evaluate the method, but I'm a certified disaster service worker, and it really is the system we learned in CDSW class. From a training video for fire-fighters. I was told that here in California it's taught to a wide range of emergency service personnel, including the fire departments and police. Different regions probably use different labels. We learnt it for earthquake response, when emergency services are massively overloaded. Our trainers from the fire department said that it's been used successfully in school bus accidents and the like. I'm not very skillful, but I can follow instructions. For people like me, the capillary refill method may be much more reliable than other methods. I know that some of my classmates could not find their -own- carotid artery, and couldn't detect shallow breathing. Nobody in class had trouble finding fingernails or seeing them turn pink.
Best wishes, User:Ray Van De Walker 6 February 2003
I looked over this article at one point. Capillary refill is a lot better than nothing for unskilled persons, and it is only used to distinguish between "immediate" and "delayed" transport by unskilled persons. START is a regional system but is widely used here in California.
Just a quick question - in Triage 5, what is meant by " As you have time, tag walking wounded as "WALKING" and upgrade shock victims to "INJURED."? It seems a bit iffy to me. Thanks. Alex.tan 01:40, 2 Aug 2003 (UTC)
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[edit] Advertising
Looking over some edits here I have a question for someone more knowledgable, there are a bunch of edits by Carl.wallin@btopenworld.com which all point to advertising for the "Cruciform" by cwc services, replacing earlier references to "Smart Tag" or "The Smart Incident Management System" my feeling is that this is an attempt by this user to replace a generic system with his company's specific brand, in other sections of triage he has added references to his website in the links section ("Details of the Triage Sieve document can be seen on the CWC Services website, link below.") also looking at that user's profile ALL their edits are in triage and related to this Cruciform. Can someone confirm if this system really is only "cruciform" rather than "smart" as previously listed? and wether we should be removing the advertising bias this user has added? Green1 18:26, 25 March 2006 (UTC)
ok... I think this is getting ridiculous, are we in a tug of war between two companies? tsgassociates and cwcservices seem to be going back and forth with their specific websites and links for their specific brand of triage cards... can we get a generic version put in with no link to any company? Green1 16:55, 11 April 2006 (UTC)
I agree this looks very suspect. I'm removing all links and references to commercial triage tags (and pros/cons of specific features on them) from the article. The picture of a tag will suffice. Ben Finn 13:14, 23 May 2006 (UTC)
[edit] Trauma scores?
This article keeps talking about judging triage by people's "trauma score" - less than 3 is mentioned, as is 10-12 - but there's no indication of how these "scores" are calculated or what they actually mean - I've never heard of them so I can't edit this, but is it possible to clarify or provide a link? Atalan 18:58, 27 March 2006 (UTC)
The Glascow Coma Score (GCS) is a rating from 3 to 15 (a dead person has a 3, an uninjured person has a fifteen) used by emergency medical technicians and emergency medical personnel. It is appropriate in single-patient medical emergencies and care provided by emergency rooms, etc. but not in a mass casualty incident by laypersons. The entire point of triage is that there is no time to use tools such as the GCS until all patients have been evaluated. clarka 29 June 2006
[edit] Copyvio?
A lot of this article, especially the START section, seems to be copied directly from some sort of manual. A google search for the section of text "If you have not called for help, point at a particular person, and forcefully ask them to call for help." returns many pages with the exact same text in this article. Any ideas?
[edit] French (Tire)
F.Y.I, the french meaning of the word "Tire" is not "to sort", rather "to pull", or "to tug". This should be considered for change to this article. 24.57.5.161 15:27, 23 July 2006 (UTC)
[edit] Objective
This article suggests that triage is designed to treat as many patients as possible. This is not true, that effect would be arrived at by treating trivial wounds first. Triage is designed to give the best possible care to those in most urgent need who will benefit from it. It might be worth pointing out that triage is an application of the utility principle, which is part of the philosophical method known as Utilitarianism championed by Jeremy Bentham and J.S. Mill Peter Brooks 13:20, 1st November 2006 (SAST)
