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1 day ago · The practical effect of our actions, however, is that we are working to give our daughter an edge – that is, a better chance to succeed than everybody else's children. Even though we might be embarrassed to think of it this way, we are doing our utmost to undermine equal opportunity.
- Etymology and Origin
- Concepts in Triage
- Pre-Modern History of Triage
- Modern History of Triage
- Specific Triage Systems and Methods
- Limitations of Current Practices
- Ethical Considerations
- See Also
- External Links
The term triage comes directly from French, where the term means to pick or to sort, it itself coming from the Old French verb trier, meaning to separate, sort, shift, or select; with trier in turn came from late Latin tritare, to grind. Although the concept existed much earlier, at least as far back as the reign of Maximillian I, it wasn't until t...
Simple triage
Simple triage is usually used in a scene of an accident or "mass-casualty incident" (MCI), in order to sort patients into those who need critical attention and immediate transport to a secondary or tertiary care facility, those who require low-intensity care, those who are uninjured, and those who are deceased or will be so imminently. In the United States, this most commonly takes the form of the START triage model, in Canada, the CTAS model, and in Australia the ATS model. Assessment often...
Advanced triage
In advanced triage, those with advanced training, such as doctors, nurses and paramedics make further care determinations based on more in-depth assessments, and may make use of advanced diagnostics like CT scans. This can also be a form of secondary triage, where the evaluation occurs at a secondary location like a hospital,or after the arrival of more qualified care providers.
Reverse triage
There are a three primary concepts referred to as Reverse Triage. The first is concerned with the discharge of patients from hospital often to prepare for an incoming mass casualty. The second concept of Reverse Triage is utilized for certain conditions such as lightning injuries, where those appearing to be dead may be treated ahead of other patients, as they can typically be resuscitated successfully.The third is the concept of treating the least injured, often to return them to functional...
The Edwin Smith Papyrus
The general concept was first described in a 17th-century BCE Egyptian document, the Edwin Smith Papyrus. Discovered in 1862, outside of modern-day Luxor, Egypt,the Edwin Smith Papyrus contains descriptions of the assessment and treatment of a multitude of medical conditions, and divides injuries into three categories: 1. "A medical condition I can heal" 2. "A medical condition I intend to fight with." 3. "A medical condition that cannot be healed."
The Holy Roman Empire
During the reign of Emperor Maximilian I, during wartime, a policy was implemented where soldiers were prioritized over all others in hospitals, and the sickest soldiers received treatment first.
Napoleonic triage
Modern triage grew out of the work of Baron Dominique-Jean Larrey and Barron Francois Percy during the reign of Napoleon. Larrey in particular introduced the concept of a "flying ambulance" (flying in this case meaning rapidly moving) or in its native French, Ambulance Volante.
World War I
In 1914, Antoine Depage developed the five-tiered Odre de Triage, a triage system which set specific benchmarks on evacuation, described staged evacuation. French and Belgian doctors began using these concepts to inform the treatment of casualties at aid stations behind the front.Those responsible for the removal of the wounded from a battlefield or their care afterwards would divide the victims into three categories: 1. Those who are likely to live, regardless of what care they receive; 2. T...
World War II
By the onset of World War II, American and British forces had adopted and adapted triage, with other global powers doing the same. The increased availability of airplanes allowed rapid evacuation to a hospital outside of the warzone to become a part of the triage process. Although the basic practices remained the same as in World War I, with initial evacuation to an aid station, followed by transitions to higher levels of care, and eventual admission to a permanent hospital, more advanced car...
Most simply, the general purpose of triage is to sort patients by level of acuity to inform care decisions; so that the most people possible can be saved. Although a multitude of systems, color codes, codewords, and categories exist to help direct it, in all cases, triage follows the same basic process. In all systems, patients are first assessed f...
Notions of mass casualty triage as an efficient rationing process of determining priority based upon injury severity are not supported by research, evaluation and testing of current triage practices, which lack scientific and methodological bases. START and START-like (START) triage that use color-coded categories to prioritize provide poor assessm...
Because treatment is intentionally delayed or withheld from individuals under this system, triage has ethical implications that complicate the decision-making process. Individuals involved in triage must take a comprehensive view of the process to ensure fidelity, veracity, justice, autonomy, and beneficence are safeguarded. Ethical implications va...
The dictionary definition of triageat WiktionaryMedia related to Triageat Wikimedia Commons1 day ago · India, officially the Republic of India (ISO: Bhārat Gaṇarājya), is a country in South Asia.It is the seventh-largest country by area; the most populous country as of June 2023; and from the time of its independence in 1947, the world's most populous democracy.
