— 照護管理 · MEDIUM · MCQ —
急診分流中，哪位病人應優先處理？
A nurse is conducting a triage assessment in the ED. Which client should be seen first?
- AA client with localized abdominal pain and nausea一位有局部腹痛和噁心的病人
- BA client with a closed wrist fracture in minimal pain一位手腕閉合性骨折且疼痛輕微的病人
- CA client with severe dyspnea and accessory muscle use✓ 正解一位有嚴重呼吸困難和使用輔助呼吸肌的病人
- DA client with a superficial laceration requesting stitches一位有淺層裂傷並要求縫合的病人
— Explanation · 中文詳解 —
依據急診分流（Triage）原則，呼吸窘迫且出現輔助肌呼吸（Accessory muscle use）代表嚴重通氣障礙，威脅生命安全，屬於最高優先級（Red/Emergent）。其他選項皆無立即危及生命的徵象，屬於較低優先級。
Respiratory distress characterized by severe dyspnea and accessory muscle use is a life-threatening emergency requiring immediate intervention. According to triage principles, this client has the highest priority compared to those with stable fractures, localized pain, or minor wounds.
✦ 台美臨床差異
美台急診分流系統均採用類似的檢傷分類標準。