— 照護管理 · HARD · MCQ —
護理師在災難檢傷分類現場進行規劃,哪位病人被歸類為「黃色」(延後處理/Delayed)?
A charge nurse is planning care for a disaster triage scene. Which client is classified as 'Yellow' (Delayed)?
- AA client who is unresponsive with massive head trauma大規模頭部創傷且無反應的病人
- BA client with a compound fracture requiring stabilization✓ 正解需要穩定的開放性骨折病人
- CA client with minor abrasions and lacerations輕微擦傷和割傷的病人
- DA client with a tension pneumothorax張力性氣胸的病人
— Explanation · 中文詳解 —
災難分類中,黃色(延後)代表病人有嚴重但非即刻致命的傷害,可以在短時間內等待。A 為紅色(即刻,有生命危險)、A 為黑色(預期死亡/不救)、C 為綠色(輕傷)。骨折雖嚴重但生命跡象尚穩定,屬於延後處理的優先順序。
In disaster triage, yellow (Delayed) denotes clients with serious but not immediately life-threatening injuries who can wait briefly. D is red (Immediate, life-threatening); A is black (Expectant / non-salvageable); and C is green (minor injury). Although a fracture is serious, the vital signs remain stable, placing it within the priority of delayed treatment.
✦ 台美臨床差異
台灣重大災難檢傷訓練主要參照國際標準(如 START),與美國臨床執行準則高度一致。