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Simple Triage And Rapid Treatment
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). https://remm.hhs.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) The colors correspond to triage tags, which are used by some agencies to indicate each victim's status, although physical tags are not necessary if patients can be physically sorted into different areas. Responders arriving to the scene of a mass c ...
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Triage
In medicine, triage (, ; ) is a process by which care providers such as Health professional, medical professionals and those with first aid knowledge determine the order of priority for providing treatment to injured individuals and/or inform the rationing of limited supplies so that they go to those who can most benefit from it. Triage is usually relied upon when there are more injured individuals than available care providers (known as a mass casualty incident), or when there are more injured individuals than supplies to treat them. The methodologies of triage vary by institution, locality, and country but have the same universal underlying concepts. In most cases, the triage process places the most Major trauma, injured and most able to be helped as the first priority, with the most Terminal illness, terminally injured the last priority (except in the case of reverse triage). Triage systems vary dramatically based on a variety of factors, and can follow specific, measurable me ...
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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. First responders typically include Law enforcement, law enforcement officers (commonly known as Police officer, police officers), emergency medical services members (such as Emergency medical technician, EMTs or Paramedic, paramedics), Fire department, fire service members (such as Firefighter, firefighters, search and rescue members, Technical rescue, technical/heavy rescue members, etc) and Public Works employees such as Heavy Equipment Operators as well as Public Works Tree Department personnel. In some jurisdictions, emergency department personnel, such as Physician, doctors and Nursing, 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. In a medical con ...
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Mass Casualty Incident
A mass casualty incident (often shortened to MCI) describes an incident in which emergency medical services resources, such as personnel and equipment, are overwhelmed by the number and severity of Casualty (person), casualties. For example, an incident where a two-person crew is responding to a motor vehicle collision with three severely injured people could be considered a mass casualty incident. The general public more commonly recognizes events such as building collapses, train and bus collisions, plane crashes, earthquakes and other large-scale emergencies as mass casualty incidents. Events such as the Oklahoma City bombing in 1995, the September 11 attacks in 2001, and the Boston Marathon bombing in 2013 are well-publicized examples of mass casualty incidents. The most common types of MCIs are generally caused by terrorism, mass-transportation accidents, fires or natural disasters. A multiple casualty incident is one in which there are multiple casualties. The key difference ...
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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 Tami Hoag (born Tami Mikkelson; January 20, 1959) is an American novelist, best known for her work in the romance and thriller genres. More than 22 million copies of her books are in print. Biography Hoag was born in C ...
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Newport Beach Fire Department
Newport Beach is a coastal city of about 85,000 in southern Orange County, California, United States. Located about southeast of downtown Los Angeles, Newport Beach is known for its sandy beaches. The city's harbor once supported maritime industries. 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. The Spanish Empire colonized the land, followed by Mexicans and Americans, all of whom displaced the Tongva. The State of California sold -pl ...
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California
California () is a U.S. state, state in the Western United States that lies on the West Coast of the United States, Pacific Coast. It borders Oregon to the north, Nevada and Arizona to the east, and shares Mexico–United States border, an international border with the Mexico, Mexican state of Baja California to the south. With almost 40million residents across an area of , it is the List of states and territories of the United States by population, largest state by population and List of U.S. states and territories by area, third-largest by area. Prior to European colonization of the Americas, European colonization, California was one of the most culturally and linguistically diverse areas in pre-Columbian North America. European exploration in the 16th and 17th centuries led to the colonization by the Spanish Empire. The area became a part of Mexico in 1821, following Mexican War of Independence, its successful war for independence, but Mexican Cession, was ceded to the U ...
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United States
The United States of America (USA), also known as the United States (U.S.) or America, is a country primarily located in North America. It is a federal republic of 50 U.S. state, states and a federal capital district, Washington, D.C. The 48 contiguous states border Canada to the north and Mexico to the south, with the semi-exclave of Alaska in the northwest and the archipelago of Hawaii in the Pacific Ocean. The United States asserts sovereignty over five Territories of the United States, major island territories and United States Minor Outlying Islands, various uninhabited islands in Oceania and the Caribbean. It is a megadiverse country, with the world's List of countries and dependencies by area, third-largest land area and List of countries and dependencies by population, third-largest population, exceeding 340 million. Its three Metropolitan statistical areas by population, largest metropolitan areas are New York metropolitan area, New York, Greater Los Angeles, Los Angel ...
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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 Dominique Jean Larrey, Baron Dominique Jean Larrey, a French surgeon in Napoleon I of France, Napoleon's army. Simple triage and rapid treatment (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 ...
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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. The most reliable and applicable site for CRT testing is the finger pulp (not at the fingernail), and the cut-off value for the normal CRT should be 3 seconds, not 2 seconds. 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 C ...
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Pulse
In medicine, the pulse refers to the rhythmic pulsations (expansion and contraction) of an artery in response to the cardiac cycle (heartbeat). The pulse may be felt ( palpated) in any place that allows an artery to be compressed near the surface of the body close to the skin, such as at the neck ( carotid artery), wrist (radial artery or ulnar artery), at the groin (femoral artery), behind the knee ( popliteal artery), near the ankle joint ( posterior tibial artery), and on foot (dorsalis pedis artery). The pulse is most commonly measured at the wrist or neck for adults and at the brachial artery (inner upper arm between the shoulder and elbow) for infants and very young children. A sphygmograph is an instrument for measuring the pulse. Physiology Claudius Galen was perhaps the first physiologist to describe the pulse. The pulse is an expedient tactile method of determination of systolic blood pressure to a trained observer. Diastolic blood pressure is non-palpable and ...
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Fire Department Of New York
The New York City Fire Department, officially the Fire Department of the City of New York (FDNY) is the full-service fire department of New York City, serving all Boroughs of New York City, five boroughs. The FDNY is responsible for providing Fire Suppression Services, Specialized Hazardous Materials Response Services, Emergency Medical Response Services and Specialized Technical Rescue Services for the entire city. The New York City Fire Department is the largest municipal fire department in North America and the Western Hemisphere, as well as the second largest in the world after the Tokyo Fire Department. The FDNY employs over 11,000 uniformed firefighting employees, 4,500 uniformed EMTs, paramedics, and EMS employees, and 2,000 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 area. ...
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Apnea
Apnea (also spelled apnoea in British English) is the temporary 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. If there is sufficient flow, gas exchange within the lungs and cellular respiration would not 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 tra ...
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