TRIASE

Oleh Rizkiyani Istifada, 0906493414

1. Triage Category: Red
Places to be given the highest priority in all responses
Prevent preventable death through appropriate initial response in order to improve the
quantity and quality of responses in the Red Zone.
Emergency medical care for traumatized patients :
Multiple trauma
Head trauma
Chest/abdominal trauma
Pelvic fracture/Open fracture
Crash syndrom
Extensive burn
Nursing Intervention in Red Area
Assist medical consultation: Stabilization of ABC
Mental care
Support for families
Sharing of information
Consideration of safety
Privacy protection
Consideration to hygiene
Securing of manpower
Preparation for widearea transportation
Responses for crash syndrome
2. Triage Category: Yellow
Continue to perform retriage till treatment starts
Assumed patients: those with injuries such as spinal cord damage and fracture
First aid & Followup
Physical assessment

See, listen and touch

Stable respiration/circulation dynamics
Clear consciousness
Keeping of a peripheral intravenous access
Arrest of bleeding/fixation (stabilization)
Oxygen administration (priority to red area)
Monitoring by ME device (minimum)
Nursing Intervention in Yellow Area
Increased number of patients: To secure the area and manpower
Sharing of information
Responses to the complaints by patients and their families
Retriage: To secure ABC and find crash and spinal cord damage
Selection and distribution of equipment & material: Monitoring
Consideration of privacy protection
Management of infusion, confirmation of treatment
Heating
Giving of wordsresponse to anxiety
Securing of means of transport to the Red Area and of communication
Division of the area into subareas
3. Triage Category: Green
Therapy-waiting group
Re-triage should not be missed.
Retriage
To perform medical examination, treatment and care after completing all and majority
of responses to the emergency treatment group.
Cases without indication for hospitalization
Checking of the conditions of their house
Taking to an evacuation shelter
Nursing Intervention in Green Area
To control a crowd of people. Posting of instructions on a white board
To develop a collaborative network with a local community

 Retriage
Firstaid treatment
To let patients go home if they can do so
Responses to complaints: Patients & their families
Preparation and distribution of the area according to season and weather
Selection of equipment & material
To understand medical records and injured persons
Guiding to and introduction of an evacuation shelter
Lifestyle guidance at home, requiring medical examination if any change is felt or
seen..
4. Triage Category: Black
Response to patients families by regarding the patients as Treatment-waiting group
until death is confirmed.
Instruction on basic life support?
Risk intervention
Preparation of the place for the patient families to stay at the patients deathbed
Death certification, examination and morgue procedures after the completion of all and
majority of responses to emergency treatment group.
Nursing Intervention in Black Area
To secure a place in an invisible area, and cover the place with blanket and curtain.
To respond and explain to the patients families, followed by subsequent response and
the description of the conditions on a tag.
To confirm and manage patients identity and describe a clue on the tag.
Management of belongings.
Management of the corpse (to prevent family to take it away)
To share and manage patients information (with headquarters)
To divide those with vital sign from those without it into different areas.
To clean the patients as much as possible.