Overview of continuous integrated triage Continuous integrated triage

1 overview of continuous integrated triage

1.1 group (global) triage (mass triage)

1.1.1 ambulatory minimal or no assistance (green triage area)
1.1.2 non-ambulatory follows commands (yellow triage area)
1.1.3 non-ambulatory , unresponsive/inappropriate (physiological triage)
1.1.4 physiological (individual) triage (start/jumpstart)

1.1.4.1 respirations
1.1.4.2 pulse
1.1.4.3 mentation


1.1.5 hospital triage

overview of continuous integrated triage
group (global) triage (mass triage)
ambulatory minimal or no assistance (green triage area)

ny heart class i
gold copd class i
nihss 0
gcs 15
80% of patient surge

non-ambulatory follows commands (yellow triage area)

ny heart class ii or iii
gold copd class ii or iii
nihss 1 or 2
gcs 15
16% of patient surge

non-ambulatory , unresponsive/inappropriate (physiological triage)

4% of patient surge

physiological (individual) triage (start/jumpstart)
respirations

none – dead (black)
<12 or >20 (red) – not age appropriate child
12 20 – age appropriate child (check pulse)

pulse

none – dead (black)
<60 or >100 (red) – not age appropriate child
60 100 – age appropriate child (check mentation)

mentation

alert, oriented, responsive, ambulatory

(green medical)
(green med/behavioral)


alert, oriented, responsive, non-ambulatory

(yellow medical)
(yellow med/behavioral)


unresponsive or comatose (resource based triage decision)

inadequate resources save patient without denying care 2 or more other patients - expectant (black)
adequate resources save patient without denying care 2 or more other patients - critical (red)



hospital triage

e.s.i. (emergency severity index) or other resource based hospital triage system