Triage
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5.1.1
Triage
WHO EMT TECHNICAL INFORMATION
EMTs have established triage systems for prioritizing patients by clinical need. This includes day-to-day service provision as well as mass casualty situations.
Each EMT has adopted a triage system that allows prioritizing and classifying patients according to the type and urgency of their conditions. The chosen triage system must ensure each patient has a unique patient identifier. Specific attention is given to infectious disease presentations and mass casualty incidents where the triage system must be adapted to ensure better management and classification of patients.
WHO EMT MINIMUM TECHNICAL STANDARD
- Establish a single-entry point for patient presentation with
consideration for safety and security. - A unique identifier system should be in place that takes into account patient follow-up care and protection issues.
- Provide education and training to all relevant staff on triage systems
and protocols and appoint a dedicated staff member during each shift, taking training and experience into consideration. - Establish a dedicated triage system for mass casualty situations
and guarantee a continued reassessment of patients. - Have a validated and rehearsed Mass Casualty Management (MCM) plan.
WHO EMT RECOMMENDATIONS FOR OPTIMAL PATIENT CARE
- During response to mass casualty incidents, consider adding a triage category for those patients with poor prognosis or limited possibilities of survival if culturally acceptable. For these patients, adequate pain management and comfort care need to be provided.
- Interpreters should be available at the triage area and cultural aspects such as separation of gender in waiting areas should be respected (if applicable).