Classification and evaluation of accident patients

Cases that require immediate evaluation and treatment by a nurse and doctor. Immediate intervention is required. Any delay in treatment may pose a risk to the patient’s life. Cases include:

Airway  is exposed to  risk

Cardiac and respiratory arrest

severe shock

Neck and spine injury

Multiple organ damage

Long-term  seizures  or  seizures  during pregnancy

Severe behavioral disturbance with threats of serious violence

Severe drop in blood circulation  (blood pressure less than 80 in adults).

Penetrating wounds in the chest, abdomen and pelvis

third degree burns

Severe bleeding that affects the physiological functions of the body.

·  The patient is treated in the triage room and moved to the cardiopulmonary resuscitation room if possible

·  The nurse tests the patient's vital signs (breathing, pulse, and level of consciousness) and confirms that the patient needs cardiopulmonary resuscitation or BLS .

·  The nurse calls the code blue team by informing switch 100, 101 to call the CPR team

·  The Code Blue team follows the advanced cardiopulmonary resuscitation protocol on the patient

Second group  (urgent or emergency sorting)  Orange card:

These patients are in critical condition or are rapidly deteriorating and there is a possibility of a threat to their lives or failure of an organ or body system and require rapid intervention if treatment is not provided within 10 minutes of arrival. The cases that require treatment at the present time and in cases of severe pain include the following cases:

Blood clot or poisoning

severe difficulty breathing

Increase in heart rate of more than 50 or less than 50 in adults

Severe blood loss

Low blood pressure with effects on blood circulation in the body

Hypoperfusion

blood poisoning

Consciousness level less than 13

stroke

Fever with lethargy or meningitis

compound fracture or amputation

Head injuries

Severe injury, heart-related chest pain

lethargy, strange weakness, or irritability

Deliberate overdose

hypersensitive

Eyes exposed to a chemical

Gastrointestinal bleeding with unstable vital signs

·  The nurse directs the patient to the emergency room or the examination and waiting area  (emergency hall)  according to the type of injury

·  The doctor evaluates the patient's condition and requests the necessary diagnostic tests, where the patient is transferred to the examination site (x-rays - laboratory).

·  The nurse and the doctor follow up with the patient until the results of the diagnostic tests appear.

·  The doctor arrives at the final diagnosis, on the basis of which he determines the patient’s destination, either admission to intensive care, operations, the inpatient department, or transfer according to the case and protocol of the emergency department

Group 3: Urgent sorting (green card):

These are cases that may pose a risk to the patient’s life, cause illness, or cause adverse outcomes if the nurse and doctor do not evaluate and provide treatment within half an hour of arrival. These cases include:

Head injury with vomiting and brief loss of consciousness

Severe high blood pressure

Moderate blood loss for any reason

shortness of breath

persistent vomiting

drought

Chest pain not related to the heart

Abdominal pain without serious signs

Moderate injury to the limbs, such as crushing or tearing

sensory disturbance

Moderate asthma attack

Moderate injury

Physical harm or the effects of neglect or violence

Gastrointestinal bleeding with stable vital signs

Previous history of heart attack

·  The nurse directs the patient to the examination room or the examination and waiting area (emergency room)

·  The doctor evaluates the patient's condition and requests the necessary diagnostic tests, where the patient is transferred to the examination site (x-rays - laboratory)

·  The doctor gives the patient treatment according to the emergency protocol

·  The doctor reaches the final diagnosis and determines the patient's destination, whether to enter specialized medical departments, be discharged home, or be transferred to another hospital

Group 4 Less  urgent (blue):

There may be a possibility of danger to the patient's life or it may deteriorate if intervention is not provided within an hour of arrival. These cases include:

Minor bleeding

Head injury without vomiting or loss of consciousness

Minor body injury

Difficulty swallowing without shortness of breath

Ankle sprain

Vomiting and diarrhea in a patient older than two years without dehydration

ear pain

Mild sensitivity

Foreign body in the cornea

Group 5, non-urgent sorting  (white)

Cases that require evaluation within two hours of the case’s arrival include:

Slight rise in temperature for several days

Pain in one limb

Pain in the pharynx or larynx

Chronic abdominal pain

Reassess

Black color: