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Journal of Health Management and Informatics، جلد ۱۱، شماره ۳، صفحات ۱۵۸-۱۶۰
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی A critical review of the START and Jump START triage protocols in emergencies and disasters: challenges and suggestions
چکیده انگلیسی مقاله In the START triage, a red tag is assigned to the respiratory rate of more than 30/minute in the first moment. However, many non-acute factors, including emotional and psychological reactions, can cause this labeling. This problem will have two undesirable consequences. First, the majority of the injured have psychological and physiological reactions in most incidents and disasters. The physiological response may include tachycardia, tachypnea, and other hemodynamic changes. Therefore, these physiological reactions may cause over-triage. Second, if the patient is triaged based on the respiratory rate of more than 30/minute, it will cause the mental reactions to be falsely prioritized for treatment and transfer at the accident scene, while service delivery to other critically ill patients will be delayed. Another issue is that the respiratory rate may be less than 30/ minute (normal range), but the breathing volume is insufficient; in this case, the patient will suffer from hypoxemia and should receive a red label.
کلیدواژه‌های انگلیسی مقاله START triage,Disaster,emergency,Mass casualty incident
نویسندگان مقاله Milad Ahmadi Marzaleh |
Assistant Professor, Department of Health in Disasters and Emergencies, Shiraz University of Medical Sciences, Shiraz, Iran

Mahmoudreza Peyravi |
shiraz university of medical sciences

Vahid Saadatmand |
Department of Medical Emergencies, School of Paramedicine, Faculty of Jahrom University of Medical Sciences, Jahrom, Iran.

نشانی اینترنتی https://jhmi.sums.ac.ir/article_50425_c0aceb192a1cac38ea9ba5271b7bf669.pdf
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