— 照護管理 · HARD · MCQ —
護理師在急診處理大量傷患事件。依據災害檢傷分類原則，哪位病人應優先處理？
A nurse is working in an emergency department during a mass casualty event. Which client should be prioritized for care according to disaster triage protocols?
- AA client with a sucking chest wound and difficulty breathing✓ 正解患有吸吮性胸部傷口且呼吸困難的病人
- BA client with agonal respirations and a non-responsive head injury有喘息式呼吸且無反應之頭部外傷的病人
- CA client with an open fracture of the femur and controlled bleeding患有出血已控制之股骨開放性骨折的病人
- DA client with minor lacerations and abrasions on the extremities四肢有輕微撕裂傷與擦傷的病人
— Explanation · 中文詳解 —
大量傷患檢傷分類（START）採「生存機率」原則。C 為緊急（Red）級別，呼吸道與循環尚未衰竭，及時處置可救活。A 為次緊急（Yellow），尚可延遲處理。B 為黑色標籤（Black），因預後極差，在資源受限下應列後。D 為綠色標籤（Green），屬於輕傷。
In disaster triage, clients with immediately life-threatening but treatable conditions, such as a sucking chest wound causing respiratory distress, are prioritized as Red (Immediate). Clients with agonal respirations and poor prognosis are tagged Black, those with stable fractures are Yellow (Delayed), and minor injuries are Green (Walking Wounded).
✦ 台美臨床差異
台灣災害醫療救援隊（DMAT）檢傷標準大致與國際接軌，但在小型醫院急診，醫療人員常因感性壓力而優先處理重症患者。