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照護管理 · HARD · MCQ

在災難檢傷分類中,下列哪位病人應優先處理?

Which client should the nurse prioritize to see first during a disaster triage?

  • AA client with respiratory distress✓ 正解
    有呼吸困難的客戶
  • BA client with no pulse or respirations
    無脈搏或呼吸的客戶
  • CA client with minor lacerations
    有輕微割傷的客戶
  • DA client with a closed fracture
    有閉合性骨折的客戶
Explanation · 中文詳解

災難檢傷(Triage)採『紅-黃-綠-黑』分類,旨在有限資源下搶救最多生命。呼吸窘迫者(紅色,Immediate)需立即介入才可存活;封閉性骨折(黃色,Delayed)可稍緩;輕微撕裂傷(綠色,Minimal)最後處理;無脈搏呼吸(黑色,Expectant)則不予優先急救。

Disaster triage follows a red-yellow-green-black classification to maximize survival with limited resources. Clients with respiratory distress require immediate intervention to survive and are tagged red, making them the highest priority. In contrast, those with no pulse are expectant (black), closed fractures are delayed (yellow), and minor lacerations are minimal (green).

✦ 台美臨床差異

災難檢傷系統在美國(START Triage)與台灣醫院體系運用一致,目的均為資源最大化利用。

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