— 照護管理 · MEDIUM · MCQ —
在一場大規模傷患事故後，護理長應優先為下列哪位病人安排病床？
Which of the following clients should the charge nurse prioritize for a room assignment after a disaster event with multiple casualties?
- AA client with a suspected tension pneumothorax✓ 正解一名疑似張力性氣胸的病人
- BA client with minor lacerations and abrasions一名有輕微割傷和擦傷的病人
- CA client with a stable abdominal wound一名腹部傷口穩定的病人
- DA client with a closed fracture of the tibia一名脛骨閉合性骨折的病人
— Explanation · 中文詳解 —
依據災難分流原則（Triage），處理順序需根據 ABC 原則（氣道、呼吸、循環）。張力性氣胸屬於危及生命的呼吸系統急症，若不及時介入會引發縱隔腔偏移與休克。其餘選項皆為次緊急狀況，生命徵象相對穩定，優先順序低於張力性氣胸。
By disaster triage principles, ABCs (airway, breathing, circulation) guide priority. Tension pneumothorax is a life-threatening respiratory emergency that can cause mediastinal shift and shock without prompt intervention. The other options are less urgent with relatively stable vital signs.
✦ 台美臨床差異
台美對災難分流（如 START triage）原則一致，強調以生命徵象決定優先級，不以病患到院時間排序。