Breathing, circulation, mental status not expected to change.Treatment can be delayed for several hours and some can treat themselves.Therefore, these patients can get up and GO (move around). What do you do at a traffic light when it turns green? You go! Many times these wounded individuals are termed the “walking wounded”. Integumentary damages: open wounds, deep lacerations etc.Bone fractures: major fractures that require medical treatment.Significant injuries BUT at this point their breathing, circulation, and mental status is within normal range but this could change.Therefore, when a patient is tagged yellow their treatment is delayed but for only about an hour or so because they could turn critical based on their presenting injuries. What do you do at a traffic light when it turns yellow? You slow down or delay because you’re about to stop. Some types of major respiratory trauma: pneumothorax etc.Major burns that affects a high percentage of the body: burns can affect the circulation and the respiratory system (depending on the burn type and where it’s located).Severe bleeding (internal or external): if the patient is treated immediately so the bleeding could be stopped and transfused with blood products they may live.Spinal cord injuries: remember various areas of the spinal cord control breathing, brain and heart function… shock can occur like neurogenic, cardiogenic etc.Conditions that would cause a wounded individual to be tagged red (think of conditions or systems of the body that if severely damaged could majorly alter the breathing, circulation, and neuro system).Severe alteration in breathing, circulation, and neuro/mental status.Injuries are life-threatening but they could possibly survive if they are immediately treated.What do you do at a traffic light when it turns red? You stop! Therefore, when a patient is tagged red, STOP and get them treatment because they have first priority in receiving care. The black tag color is easy to remember because black is most commonly associated with death, which is the meaning of this tag color. The reason I include this is because many students get confused about these three colors on exams. To help you keep the meaning of the tag colors red, yellow, and green separated, think of a traffic light and what you do at the traffic light when it turns certain colors. There are four colors and a wounded individual will be tagged one color based on their health status. Therefore, personnel and resources should be used wisely, and this is where the disaster color-coded triaging tagging system and START method can be helpful. This is where there are many wounded individuals, but the personnel and resources available to treat those wounded are limited. In this review, we will be concentrating on triage related to a disaster situation. The patients who have severe symptoms are seen immediately, while patients who don’t will have to wait to be seen. In the emergency room (ER), patients are triaged based on their presenting signs and symptoms.
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