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Zorluk: OrtaEmergency Response Plan

An emergency department nurse is deployed to the site of a partial factory collapse to conduct field triage. According to the START (Simple Triage and Rapid Treatment) algorithm, arrange the following assessment actions in the correct chronological order.

  1. 1Instruct all victims who are able to walk to move to a designated safe zone.
  2. 2Assess the respiratory rate and reposition the airway if breathing is absent.
  3. 3Evaluate capillary refill time or palpate for the presence of a radial pulse.
  4. 4Check the victim's ability to obey a simple motor command.

Cevap

The correct sequence for the START algorithm is: 1) Instruct ambulatory victims to move, 2) Assess respirations, 3) Evaluate perfusion, and 4) Check mental status.
The START (Simple Triage and Rapid Treatment) algorithm follows a strict systematic sequence to maximize efficiency during a mass casualty event. The assessment flow uses the mnemonic RPM (Respirations, Perfusion, Mental Status) after initially clearing the walking wounded. Therefore, the correct chronological order is: directing ambulatory clients away (Minor/Green), assessing breathing and airway (Respirations), checking pulses or capillary refill (Perfusion), and evaluating command-following ability (Mental Status).

Adım Adım Çözüm

1
Identify the initial step of the START disaster triage algorithm.
Instructing ambulatory victims to move to a safe zone.
This quickly isolates the 'minor' or green-tagged clients, allowing responders to focus on non-ambulatory victims.
2
Determine the first physiological parameter assessed on non-ambulatory victims.
Assess the respiratory rate and airway.
Airway and breathing are the most critical priorities. If a victim is not breathing, the airway is opened; if still not breathing, they are expectant (black). If breathing is over 30 per minute, they are immediate (red).
3
Identify the next physiological parameter if respirations are adequate (less than 30 breaths per minute).
Evaluate capillary refill or palpate the radial pulse.
Perfusion is the next priority. An absent radial pulse or capillary refill greater than 2 seconds indicates immediate (red) intervention is needed.
4
Determine the final assessment step if both respirations and perfusion are adequate.
Check the ability to obey simple commands.
Mental status determines if the victim is categorized as immediate (red) due to an inability to follow commands, or delayed (yellow) if they can follow commands.

Anahtar Kavram

Disaster Triage Assessment Sequence (START Method)
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Konular

Emergency Response Plan

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