伤情评估和战场伤员分类(江).ppt

TheT(Treatment)systemoftriage,isanalternativetothePsystemandisroutinelyusedbytheRN,theRAF,NATOallies,theInternationalCommitteeoftheRedCross,civilianambulanceservicesandinciviliandisasterprograms.Therelationshipbetweenthetwosystemsisasfollows:P1isequivalenttoT1P2isequivalenttoT2P3isequivalenttoT3P1HoldisequivalenttoT4DeadisstillDead.TriagefortreatmentAsimple,safe,rapidandreproduciblesystemisrequiredthatcanbeappliedbyanyServicemanwithappropriatemedicaltraining．Physiologicalsystemsthatlookattheconsequencesofinjury(achangeintheVitalSigns：RespiratoryRate,PulseRateandCapillaryRefillTime[CRT]aremorereliablethananatomicalsystems（whichrequireextensiveclinicalknowledgeandaneedtoundressthecasualty）TriageSieveSimpletriageandrapidtreatment(START)triagealgorithmTriagefortreatmentTriageisonlya“snapshot”ofhowthecasualtyisatthetimeofassessment．1Inordertoidentifychangesinthecasualty’scondition，thetriagesievemustberepeatedateachlinkoftheevacuationchain.2Itisimportantinitiallynottotrytopredicthowacasualtymaydeteriorate,thiswillleadtoover-triage（ahigherthannecessarytriagecategory）andcanoverwhelmthesystemwithP1andP2casualties.3伤情评估和战场伤员分类江雷卫生勤务学教研室MasscasualtiesAnylargenumberofcasualtiesproducedinarelativelyshortperiodoftime,usuallyastheresultofasingleincidentsuchasamilitaryaircraftaccident,hurricane,flood,earthquake,orarmedattack,thatexceedslocallogisticalsupportcapabilities.Thetermmasscasualtiesmeansthatalargenumberofcasualtieshasbeenproducedsimultaneouslyorwithinarelativelyshortperiodoftime.01Italsomeansthatthenumberofpatientsrequiringmedicalcareexceedsthemedicalcapabilitytoprovidetreatmentinatimelymanner.02Anabsolutedisparityexistsbetweenthenumberofpatients,theavail