— 照護管理 · HARD · MCQ —
護理師在災難現場執行檢傷分類，哪位病人應列為最高優先級？
A nurse is managing a disaster scene. Which client should receive the highest priority for treatment based on triage protocols?
- AA client with a tension pneumothorax✓ 正解患有張力性氣胸的個案
- BA client with a crushed injury who is unresponsive遭受壓迫傷且無反應的個案
- CA client with minor lacerations and ambulatory有輕微割傷且能行走的個案
- DA client with an open fracture of the femur股骨開放性骨折的個案
— Explanation · 中文詳解 —
災難現場依 START (Simple Triage and Rapid Treatment) 分類。張力性氣胸屬於危及生命但可透過急救措施（減壓）迅速救活的病例，列為紅色（Immediate）。骨折屬黃色（延遲），輕傷者為綠色（輕傷），無反應者視為黑色（期待治療）。
Triage at a disaster scene follows the START (Simple Triage and Rapid Treatment) system. Tension pneumothorax is life-threatening but can be rapidly reversed with emergency intervention (needle decompression), classifying it as red (Immediate). Fractures are yellow (delayed), minor lacerations are green (walking wounded), and unresponsive clients are black (expectant).
✦ 台美臨床差異
台灣與美國災難檢傷多採用相同國際標準（START），臨床判斷無差異。