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START Triage
Simple triage and rapid treatment (START) is a triage method used by first responders to quickly classify victims during a mass casualty incident (MCI) based on the severity of their injury. The method was developed in 1983 by the staff members of Hoag Hospital and Newport Beach Fire Department located in California, and is currently widely used in the United States.START Adult Triage Algorithm. Radiation Emergency Medical Management: REMM (US Department of Health and Human Services). http://www.remm.nlm.gov/startadult.htm Classification First responders using START evaluate victims and assign them to one of the following four categories: * Deceased/expectant (black) * Immediate (red) * Delayed (yellow) * Walking wounded/minor (green) Lerner EB, Schwartz RB, Coule PL, et al. "Mass Casualty Triage: An Evaluation of the Data and Development of a Proposed National Guideline." ''Disaster Medicine and Public Health Preparedness'' 2(Suppl. 1) 2008, pp S25-S34. The colors correspond t ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Triage
In medicine, triage () is a practice invoked when acute care cannot be provided for lack of resources. The process rations care towards those who are most in need of immediate care, and who benefit most from it. More generally it refers to prioritisation of medical care as a whole. In its acute form it is most often required on the battlefield, during a pandemic, or at peacetime when an accident results in a mass casualty which swamps nearby healthcare facilities' capacity. Triage always follows the modern interpretation of the Hippocratic oath, but otherwise there is plenty of leeway in interpretation, leading to more than one simultaneous idea of its nature. The best settled theories and practical scoring systems used in here come from the area of acute physical trauma in an emergency room setting; a broken bone obviously counts for less than uncontrolled arterial bleeding, apt to lead to death. But no current principle carries too well over to mental health, reproductive heal ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
First Responder
A first responder is a person with specialized training who is among the first to arrive and provide assistance or incident resolution at the scene of an emergency, such as an accident, disaster, medical emergency, structure fire, crime, or terrorist attack. First responders typically include law enforcement officers (commonly known as police officers), paramedics, emergency medical technicians, and firefighters. In some jurisdictions, emergency department personnel, such as doctors and nurses, are also required to respond to disasters and critical situations, designating them first responders; in other jurisdictions, military and security forces may also be authorized to act as first responders. A certified first responder is an individual who has received certification to provide pre-hospital care in a certain jurisdiction, such as the Certified First Responder in France. A community first responder is a person dispatched to attend medical emergencies until an ambulance arrive ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Hoag Hospital
Hoag is a surname. Notable people with the surname include: * Arthur Hoag (1921–1999), American astronomer * Bob Hoag, American record producer and songwriter *Charles Hoag (1808–1888), American scholar and teacher; first school master of Minneapolis, Minnesota *Charlie Hoag (1931–2012), American professional basketball player * Dutch Hoag (1926–2016), American race car driver *Elizabeth Gorham Hoag (1857–1875), American sorority sister; founding member of Sigma Kappa * Harold Hoag (b. 1966), American professional wrestler *Jan Hoag (b. 1948), American film and television actress * Judith Hoag (b. 1963), American actress * Myril Hoag (1908–1971), American professional baseball player *Ryan Hoag (b. 1979), American professional football player *Tami Hoag (b. 1959), American romance novelist *Truman H. Hoag (1816–1870), American politician See also * ''The Unpleasant Profession of Jonathan Hoag'', a novella by Robert A. Heinlein * Hoag's Object Hoag's Object is an un ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Newport Beach Fire Department
Newport Beach is a coastal city in South Orange County, California. Newport Beach is known for swimming and sandy beaches. Newport Harbor once supported maritime industries however today, it is used mostly for recreation. Balboa Island draws visitors with a waterfront path and easy access from the ferry to the shops and restaurants. History The Upper Bay of Newport is a canyon carved by a stream in the Pleistocene period. The Lower Bay of Newport was formed much later by sand brought along by ocean currents, which constructed the offshore beach now recognized as the Balboa Peninsula of Newport Beach. For thousands of years, the Tongva people lived on the land in an extensive, thriving community. The Tongva villages of Genga and Moyongna were located in Newport Beach. Throughout the 1800s, Europeans colonized the land and forcibly removed and assimilated the Tongva. Present-day Newport Beach exists upon the unceded homelands of the Tongva people, and they have a historical a ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
California
California is a U.S. state, state in the Western United States, located along the West Coast of the United States, Pacific Coast. With nearly 39.2million residents across a total area of approximately , it is the List of states and territories of the United States by population, most populous U.S. state and the List of U.S. states and territories by area, 3rd largest by area. It is also the most populated Administrative division, subnational entity in North America and the 34th most populous in the world. The Greater Los Angeles area and the San Francisco Bay Area are the nation's second and fifth most populous Statistical area (United States), urban regions respectively, with the former having more than 18.7million residents and the latter having over 9.6million. Sacramento, California, Sacramento is the state's capital, while Los Angeles is the List of largest California cities by population, most populous city in the state and the List of United States cities by population, ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
United States
The United States of America (U.S.A. or USA), commonly known as the United States (U.S. or US) or America, is a country primarily located in North America. It consists of 50 states, a federal district, five major unincorporated territories, nine Minor Outlying Islands, and 326 Indian reservations. The United States is also in free association with three Pacific Island sovereign states: the Federated States of Micronesia, the Marshall Islands, and the Republic of Palau. It is the world's third-largest country by both land and total area. It shares land borders with Canada to its north and with Mexico to its south and has maritime borders with the Bahamas, Cuba, Russia, and other nations. With a population of over 333 million, it is the most populous country in the Americas and the third most populous in the world. The national capital of the United States is Washington, D.C. and its most populous city and principal financial center is New York City. Paleo-Americ ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Triage Tag
A triage tag is a tool first responders and medical personnel use during a mass casualty incident. With the aid of the triage tags, the first-arriving personnel are able to effectively and efficiently distribute the limited resources and provide the necessary immediate care for the victims until more help arrives. Triage tags were first introduced by Baron Dominique Jean Larrey, a French surgeon in Napoleon's army. Simple triage and rapid treatment (START) is a strategy that the first responders and medical personnel employ to evaluate the severity of injury of each victim as quickly as possible and tag the victims in about 30–60 seconds. The triage tags are placed near the head and are used to better separate the victims so that when more help arrives, the patients are easily recognizable for the extra help to ascertain the most dire cases. Design A triage tag is two-sided, but the actual layout of the sections vary between and within countries and between governmental ag ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Capillary Refill
Capillary refill time (CRT) is defined as the time taken for color to return to an external capillary bed after pressure is applied to cause blanching. It can be measured by holding a hand higher than heart-level and pressing the soft pad of a finger or fingernail until it turns white, then taking note of the time needed for the color to return once pressure is released. In humans, CRT of more than three seconds indicates decreased peripheral perfusion and may indicate cardiovascular or respiratory dysfunction. Assessment In adults CRT can be measured by applying pressure to the pad of a finger or toe for 5–10 seconds. It became popularized in the 1980s when Champion et al. proposed a CRT of less than 2 seconds be deemed normal and included CRT in the Trauma Score. The value of 2 seconds for a normal CRT that was proposed by Dr Champion had been arbitrarily chosen by his nurse, and no evidence supporting that value has subsequently been found. CRT has been shown to be influen ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Pulse
In medicine, a pulse represents the tactile arterial palpation of the cardiac cycle (heartbeat) by trained fingertips. The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body, such as at the neck ( carotid artery), wrist (radial artery), at the groin (femoral artery), behind the knee (popliteal artery), near the ankle joint (posterior tibial artery), and on foot (dorsalis pedis artery). Pulse (or the count of arterial pulse per minute) is equivalent to measuring the heart rate. The heart rate can also be measured by listening to the heart beat by auscultation, traditionally using a stethoscope and counting it for a minute. The radial pulse is commonly measured using three fingers. This has a reason: the finger closest to the heart is used to occlude the pulse pressure, the middle finger is used get a crude estimate of the blood pressure, and the finger most distal to the heart (usually the ring finger) is used to nullify the eff ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Fire Department Of New York
The New York City Fire Department, officially the Fire Department of the City of New York (FDNY), is an American department of the government of New York City that provides fire protection services, technical rescue/special operations services, chemical, biological, radiological, nuclear and high-yield explosive/hazardous materials response services and emergency medical response services within the five boroughs of New York City. The New York City Fire Department is the largest municipal fire department in the United States, and the second largest in the world after the Tokyo Fire Department. The FDNY employs approximately 10,951 uniformed firefighting employees, 4,274 uniformed EMS employees, and 2,096 civilian employees. Its regulations are compiled in title 3 of the ''New York City Rules''. The FDNY's motto is "''New York's Bravest"'' for fire, and "''New York's Best"'' for EMS. The FDNY serves more than 8.5 million residents within a 302 square mile area. The FDNY he ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
Apnea
Apnea, BrE: apnoea, is the temporal cessation of breathing. During apnea, there is no movement of the muscles of inhalation, and the volume of the lungs initially remains unchanged. Depending on how blocked the airways are ( patency), there may or may not be a flow of gas between the lungs and the environment, but if there's sufficient flow, gas exchange within the lungs and cellular respiration wouldn't be severely affected. Voluntarily doing this is called holding one's breath. Apnea may first be diagnosed in childhood, and it is recommended to consult an ENT specialist, allergist or sleep physician to discuss symptoms when noticed; malformation and/or malfunctioning of the upper airways may be observed by an orthodontist. Cause Apnea can be involuntary—for example, drug-induced (such as by opiate toxicity), mechanically / physiologically induced (for example, by strangulation or choking), or a consequence of neurological disease or trauma. During sleep, people with sev ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
First Responders
A first responder is a person with specialized training who is among the first to arrive and provide assistance or incident resolution at the scene of an emergency, such as an accident, disaster, medical emergency, structure fire, crime, or terrorist attack. First responders typically include law enforcement officers (commonly known as police officers), paramedics, emergency medical technicians, and firefighters. In some jurisdictions, emergency department personnel, such as doctors and nurses, are also required to respond to disasters and critical situations, designating them first responders; in other jurisdictions, military and security forces may also be authorized to act as first responders. A certified first responder is an individual who has received certification to provide pre-hospital care in a certain jurisdiction, such as the Certified First Responder in France. A community first responder is a person dispatched to attend medical emergencies until an ambulance arrive ... [...More Info...] [...Related Items...] OR: [Wikipedia] [Google] [Baidu] |
