When used in medicine and healthcare, the term triage refers to the triage of injured or sick people according to their emergency medical needs. It is a method of prioritizing who gets help first. Triage can be performed by emergency medical technicians (EMTs) , emergency room rangers, soldiers on the battlefield, or anyone familiar with the system during an emergency.
The word "order" comes from the French word " trier " which means "to order or choose." Its historical roots for medical purposes go back to the time of Napoleon, when it was necessary to order large groups of wounded soldiers. Over the centuries, rating systems have evolved into a well-defined priority process, sometimes requiring specialized training depending on the context or organization using the system.
When the classification is used
Triage is used when the health care system is overwhelmed, which means there are more people in need of care than the resources available to care for them. In a war zone, terrorist incidents, or natural disasters, there can be heavy casualties. with many wounds. Classification may be necessary when a school bus accident or a large car congestion on the highway has caused too many injuries, resulting in too few ambulances or ambulances.
In the United States, emergency rooms can be filled with people who need immediate help, as well as people seeking treatment for less serious medical conditions. The department can only be staffed to meet expected needs. When too many patients arrive and there are not enough staff or other resources, triage is used to determine who will receive care first. This ensures that patients who need life-saving treatment or hospitalization are seen earlier than those who may be seeking a less serious medical condition.
Therefore, the classification can be seen as a form of valuation . This may be a short-term need, for example in the case of a multi-casualty car accident that requires an ambulance. Or it could be a long-term need for a hospital that is often understaffed for the number of patients admitted to the emergency department.
How the classification works
The classification systems range from verbally yelling in an unusual emergency to clearly defined, color-coded marking systems used by soldiers and medical personnel when they arrive on the scene with massive casualties or on the battlefield with many wounded soldiers. Each organization has its own rating system. Everyone prioritizes who gets help or who is transported for care. The most common classification systems use color coding, which works as follows :
- Red – requires immediate attention in the event of serious injury or life-threatening illness ; first, transportation for medical assistance.
- Yellow: serious injuries that require immediate attention. In some systems, yellow marks are transported first because they have a better chance of recovery than patients with red marks.
- Green: minor or less serious injuries, delayed transport that is not life threatening; Help will be needed over time, but you may wait for others.
- Black: dead or mortally wounded; black cannot mean that the person has already died. This may mean that he or she cannot be helped and is therefore less important than those who can be helped.
- White: no injury or illness (not used in all systems)
Classification systems are changing as technology advances. Increasingly , telephones, mobile phones, the Internet and closed teleconferencing systems are being used between trauma centers and rural hospitals, which cannot afford the latest equipment and high-level specialties.