Triage: Who Goes First?

Scenario: It is Saturday, July 4th and you are working at the Urgent Care Center. There are five (5) exam rooms and one (1) treatment room. On staff for the day: A physician, a physician assistant, a receptionist, a radiology tech along with you and two other medical assistants.

You get a call from the city emergency management stating that there has been a situation out at the fairgrounds where a stage has collapsed injuring over 100 people. They are triaging people at the scene and sending severe and life threatening injuries to the emergency room and everyone else to the urgent care center. The first bus is 20 minutes away; there are 10 people on it. You need to prepare.

· How are you going to prepare for this situation?

· What is your plan?

· What do you consider resources or extra help and how can they be useful?

· What kind of supplies will you need to make sure you have ready and available to use?

~Remember you only have about 20 minutes to prepare~

The bus arrives and people starting to come in to the clinic. Of the 10 people who are there you have seven (7) adult and three (3) pediatric patients.

The injury/condition:

3 yr. old laceration on the head

10 yr. old skinned knee/pain

32 yr. old with ankle pain

55 yr. old with abdominal pain

63 yr. old with back pain

16 yr. old wrist pain

23 yr. old with laceration to the eye lid

47 yr. old laceration on the hand

62 yr. old with vomiting

92 yr. old laceration on the right leg

Take some time and think about your answer to this question and share with the class the order in which you feel the patient’s should be seen. Initial discussion posts are due by Wednesday. Reply to at least two other students post explaining why you agree or disagree with their opinion. Remember to be respectful towards each other.

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