— 照護管理 · HARD · MCQ —
護理師在災難現場執行檢傷分類，哪位病人應歸類為「紅色」標籤（立即處理）？
A nurse is managing a disaster situation and must triage multiple casualties. Which client should be assigned a 'red' tag (immediate priority)?
- AA client with an open chest wound and difficulty breathing✓ 正解一位有開放性胸傷且呼吸困難的病人
- BA client with agonal breathing and no palpable pulse一位有瀕死呼吸且觸不到脈搏的病人
- CA client with minor abrasions and able to walk一位有輕微擦傷且能行走的病人
- DA client with a closed femur fracture and stable vitals一位有閉合性股骨骨折且生命徵象穩定的病人
— Explanation · 中文詳解 —
災難檢傷中「紅色」代表急需治療且極可能存活的病人。開放性胸部創傷伴隨呼吸困難，屬於威脅生命的緊急狀態，處理後預後良好。A 為黃色（延遲），C 為綠色（輕傷），B 為黑色（期望值極低或死亡），無需優先處置。
In disaster triage, a red tag indicates an immediate priority for clients who are critically injured but have a high probability of survival with prompt intervention. An open chest wound with difficulty breathing represents a life-threatening condition requiring urgent treatment to prevent respiratory failure.
✦ 台美臨床差異
美台災難檢傷原則一致（START 系統）。但在台灣災難現場，護理師需與警消通訊，協調後續轉送機制。