The Manchester Triage System (MTS) is the most widely used triage system in the UK, Europe and Australia, with tens of millions of patients being processed through hospital emergency departments. Emergency Triage is the core text for the MTS which utilises a risk averse system of prioritisation for patients in all unscheduled care settings, and as such it is an essential text for all emergency department staff using the MTS, in particular triage nurses themselves. The second edition has been revised throughout and takes in the changes in practice introduced into MTS since the book was first published. These include: Redesigned and expanded flow charts Additional charts for allergy and palpitations New practices - such as the possibility of revascularisation for patients with stroke New discriminators, for example acute neurological deficit and significant respiratory history Redefinition of existing discriminators Also new to this edition is the incorporation of sections on the use of the risk averse system in telephone triage, in settings where ‘streaming’ takes place and as an early warning score for patients in all unscheduled care settings. The tone of this edition reflects the more up to date, modified approach to triage while retaining the principles of clinical prioritisation, which in the authors’ words “remains a central plank of clinical risk management in emergency care”. Emergency Triage is an essential handbook for all clinicians involved in unscheduled care settings such as emergency care, walk in centres, minor injury units, primary care out of hours services.
This user-friendly, quick-access manual provides full-range coverage of the triage process in emergency care, from fundamental clinical guidance concerning patient assessment and treatment through the leadership skills and organizational skill building required by senior staff and emergency department management personnel. This second edition offers updated features from the first edition, such as alphabetized listings of patient complaints, emergency alerts to help nurses recognize serious conditions quickly, “Pearls of Triage Wisdom” with timely clinical tips, and cross-cultural considerations. This edition also includes specific prioritizations for each triage guideline. A brand-new examination that will enable purchasers to receive continuing education credit is included. A Brandon-Hill Recommended Title.
A powerful debut novel tells of a wartime photographer who plays an unfortunate role in the disappearance of a friend and colleague as they cover a third-world conflict together and his subsequent struggle to cope with his feelings guilt and grief upon returning to New York. Reprint.
The Manchester Triage System (MTS) is the most widely used triage system in the UK, Europe and Australia, with tens of millions of patients being processed through hospital emergency departments. It is also used in hospitals throughout Brazil. Emergency Triage is the core text for the MTS, which utilises a risk averse system of prioritisation for patients in all unscheduled care settings. As such, it is an essential text for all emergency department staff using the MTS, in particular triage nurses. The book is both a training tool and a reference for daily use in the Emergency Department and prehospital settings. This edition features revised protocols that reflect new approaches to prioritisation, with accompanying revised flowcharts - the core part of the book. Table of Contents Presentation flow charts index 1: Introduction 2: The decision-making process and triage 3: The triage method 4: Pain assessment as part of the triage process 5: Patient management, triage and the triage nurse 6: Auditing the triage process 7: Telephone triage 8: Beyond prioritisation to other applications
This quick-reference manual presents over 200 triage protocols for evaluating patients' symptoms over the telephone. Each symptom entry lists questions, grouped by urgency level, to determine whether the caller should seek emergency care now, seek medical care the same day, call back for appointment, or follow home care instructions. Detailed home care instructions are then provided. This edition features fourteen new protocols: avian influenza ("bird flu"); congestive heart failure; electrical burns; hand/wrist problems; hip pain/injury; influenza; neurological symptoms; newborn problems; pertussis; severe acute respiratory syndrome (SARS); sickle cell disease problems; substance abuse, use, or exposure; West Nile virus; and wound care: sutures or staples. New appendices include guidelines for scenario practice; difficult caller practice scenarios; mystery caller practice session; temperature conversion guide; weight conversion chart; acetaminophen dosage chart; ibuprofen dosage chart; infant feeding guide; abdominal pain causes and characteristics; chest pain causes and characteristics; and headache causes and characteristics.
"Be fruitful," advises Judeo-Christian Scripture, “and multiply, and replenish the earth.’ Eight centuries BCE the global population was inferred to have been roughly five millions, soaring to between 50 and 60 millions when Julius Caesar fell, and escalating in the mid-17th century to about a half-billion. The significant benchmark of one billion reached circa 1804 doubled in 123 years to 2 billions in 1927, to 3 billions in 1960.Only 14 years later in 1974, 4 billions crowded the world, growing to 5 billions by 1987, 6 by 1999, and 7 billions in late 2011. Despite wars, famines, pestilence, climate change effects and a plethora of natural disasters, the relentless numbers keep marching upward at the alarming, exponential rate of three to five births per second, eleven to fifteen thousand per hour, hence global projections by the U.S. Census Bureau and United Nations will reach eight billions by 2027, and in a relatively short span approximately 9 billions by 2046. But what lies beyond the crucial nexus when our planet can no longer tolerate the succeeding multitudes? Learn the draconian population control tactic illustrated in TRIAGE, and pray that this fictional account never becomes a reality.
Kevin Mackway-Jones,Jörg Krey,Janet Marsden,Jill Windle
Author: Kevin Mackway-Jones,Jörg Krey,Janet Marsden,Jill Windle
Das Manchester-Triage-System ist eines von vier weltweit verbreiteten Systemen, um Notfallpatienten in ihrer Behandlungsdringlichkeit einzuschätzen und einzustufen. Kein anderes System ist in Europa so etabliert: Weit mehr als 25 Mio. Patienten werden alljährlich nach diesem übersichtlichen und verständlichen System in Notfallambulanzen in England, Irland, Belgien, den Niederlanden, Schweden, Portugal, Spanien und Deutschland von Pflegenden eingeschätzt. Das System unterstützt den Neuling in der Pflege genauso wie den Experten, es zeigt die Bedürfnisse des Patienten auf und hilft bei der Organisation der Behandlungsprozesse. Das praktische Handbuch: - führt in das System der Ersteinschätzung ein - strukturiert die Ersteinschätzung anhand von 50 Notfallsituationen von Abszess bis Zahnschmerz - zeigt die zusätzlichen Erkenntnisse für die Prozesse in der Notaufnahme auf - unterstützt den Anwender mit übersichtlichen Flussdiagrammen, Farbleitsystemen und knappen tabellarischen Übersichten über die wichtigsten Notfallsituationen - erläutert und definiert die zentralen Notfallsymptome in einem verständlichen Glossar - wurde für den deutschsprachigen Markt von Experten überarbeitet und angepasst - wurde in der zweiten Ausgabe überarbeitet und ergänzt. “Ersteinschätzung in der Notaufnahme” - das Wesentliche für Pflegende und Ärzte, um Notfallsituationen gekonnt einschätzen, richtige Prioritäten setzen und notwendige Maßnahmen einleiten zu können.
Savage. Searing. Compelling. Images and words that are like ice picks piercing the heart. Mascarenhas dazzles ... and hurts.- SHOBHAA DE In this evocative collection of poetry, flash memoir and sketches, Margaret Mascarenhas challenges still prevalent myths about romantic love, treating it as a medical emergency, whose obsessive nature transcends gender and sexual orientation. This is a body of work that also subtly conveys the intimate and visceral traffic between text and image and, in the process, asserts the curative and restorative powers of writing and art. 'Imperious, yet insistently vulnerable, Margaret Mascarenhas writes into the still unhealed wounds of loves past and present, exposing through her tightly knit, even queer, verse, the glorious vagaries of the human heart.' - Rosalyn D'Mello 'Give me bread and poetry, and make the poetry the rich, sensual, kingfisher-coloured poems that make up Margaret Mascarenhas' Triage. A wickedly intelligent, major voice in Indian writing, Mascarenhas will remind you that poems are as essential, and as satisfying, as fresh-baked bread.' - Nilanjana Roy
This practical handbook for accident and emergency staff guides the user through the general principles of triage and illustrates how to apply them in all major presentation in the accident and emergency department.
Numerous societal factors have given rise to acute psychiatric conditions in patients referred for mental health evaluation and treatment at a specified emergency room (ER). Some of these risk factors include homelessness, domestic violence, unemployment
Package: Manual of Participants and Facilitator Guide
Author: World Health Organization
Publisher: World Health Organization
Deaths in hospital often occur within 24 hours of admission. Many of these deaths could be prevented if very sick children are identified soon after their arrival in the health facility and treatment is started immediately. Therefore, a process of rapid triage for all children presenting to hospital needs to be put in place to determine whether any emergency or priority signs are present. This 3 1/2-day training course builds on the WHO Emergency Triage Assessment and Treatment (ETAT) guidelines as contained in the Pocket book of hospital care for children . It provides participants with the reading materials to prepare themselves for the modules taught in the course. Guidance on how to conduct the training is contained in the parallel facilitator's guide. This training course can be included in a quality improvement process, which targets the whole hospital or it can start such a process.
Emergency Triage: Telephone Triage and Advice complements the highly successful Emergency Triage. The algorithms are rooted in the Manchester Triage System (MTS), which is used in hospitals around the world and which is acknowledged as an effective means of clinical prioritisation. This telephone iteration of a triage system which prioritises millions of patients each year provides a robust, safe, evidence-based system for managing the clinical risk in patients who are at a distance from health care providers. The basic principles that drive the MTS remain, but this book addresses the specific difficulties of assessment by telephone. The possible triage outcomes are "face-to-face now", "face-to-face soon" and "face-to-face later" together with a self-care option. Information and advice is suggested at every level. The advice ranges from life-saving interventions, which can be carried out until health care arrives, to self-care instructions. Emergency Triage: Telephone Triage and Advice provides all the necessary information that telephone triage staff must have to hand as well as including examples of questions to be asked. It will be a valuable resource for staff working in emergency departments, health centres and telephone triage organisations. Furthermore hospitals that are already using Emergency Triage will benefit from being linked with a telephone triage system that follows the same protocols.
An Effective No-nonsense Review of Clinical Knowledge
Author: Kevin Schwechten
Publisher: Oxford University Press
Step 2 Clinical Knowledge is one of the hardest exams you'll take in your medical training, and it's very important to do well! Preparation is the key that separates successful candidates from the rest. USMLE Step 2 Triage provides a thorough yet high-yield review for the exam, covering a gamut of frequently tested specialties and subspecialties with emphasis on pertinent principles of clinical science and patient-centered skills. Consistently organized, each topic is structured to provide the material in a manageable format, divided into several sections: "Symptoms," "Diagnosis," "Treatment," and "Take Home Points." USMLE Step 2 Triage is geared to facilitate the most comprehensive and efficient preparation for the exam; it is packed with tables and figures, and features 100 full color images. Written by the author of the popular USMLE Step 3 Triage and the USMLE Step 2 Clinical Skills Triage, this book will help deliver the best results for any student studying for the Step 2 Clinical Knowledge exam.
USMLE Step 2 Clinical Skills Triage is the indispensable preparation book for the Step 2 Clinical Skills exam, presenting 40 high-yield patient-encounter cases that simulate the examination experience. Cases are organized for straightforward learning: a sample dialogue that mimics actual doctor-patient communication is followed by guidelines on performing the physical exam, ending the case, writing the patient note, and outlining the differential diagnosis. Comprehensive yet succinct, the cases address almost all possible exam scenarios, including telephone cases and "difficult patient" encounters. Each case contains detailed and relevant information on presenting complaints and conditions, with pertinent points highlighted and boxed for easy review. Written by the author of the popular USMLE Step 3 Triage, this book is optimal for either individual or group study and for any student interested in reviewing how to practice applying medical knowledge and patient-centered skills.
Colonel Jake McCrea's mission is to get Dr. Jessie Stevens and her bioterrorism team in the air. The clock is ticking down to a thermal meltdown at the DEEP lab in Mexico. A terrorist group has attacked the facility and only Jessie knows the combination to the GP2 virus and vaccine.Jessie wanted the deadly level four virus to burn in the lab until she learned that GP2 may have been secretly cultivated in Florida. As tension flares into attraction with Jake, Jessie won't fall for another man in uniform, even if Jake is the bravest man she's ever met. Still, she's having a tough time concentrating on a killer virus, instead of Jake's killer smile.Jake doesn't want to take Jessie into a firefight, but she's the only survivor of the DEEP lab scientists with an immunity to GP2. He knows Jessie is stubborn and tough as nails, but can she pull the pin on a thermal device to destroy the virus? With his feelings getting in the way of his mission, could he allow Jessie to put her life in danger?
Triage (tree-ahzh): the assignment of degrees of urgency to decide the order of treatment of people injured in a battle or disaster. Marriage Triage tends to the wounded Christian whose marriage is in crisis. When the biblical model of what a Christian marriage is meant to be has been broken. Marriage Triage will encourage the hurting spouse to make biblical choices when tempted to give in to emotional decisions. Pain, hurt, and betrayal can bring out the very worst in our decision-making processes. While other marriage relationship titles are designed to help marriages improve, Marriage Triage is geared to help a spouse emotionally and spiritually survive.
In the 1980s, America witnessed an explosion in the production, popularity, and influence of literary works by people of color and a decade-long economic downturn that severely affected America's inner cities and the already disadvantaged communities of color that lived there. Marked by soaring levels of unemployment, homelessness, violence, drug abuse, and despair, this urban crisis gave the lie to the American dream, particularly when contrasted with the success enjoyed by the era's iconic stockbrokers and other privileged groups, whose fortunes increased dramatically under Reaganomics.In Urban Triage, James Kyung-Jin Lee explores how these parallel trends of literary celebration and social misery manifested themselves in fictional narratives of racial anxiety by focusing on four key works: Alejandro Morales's The Brick People, John Edgar Wideman's Philadelphia Fire, Hisaye Yamamoto's "A Fire in Fontana," and Tom Wolfe's The Bonfire of the Vanities. Each of these fictions, he finds, addresses the decade's racial, ethnic, and economic inequities from differing perspectives: Morales's revisions of Chicano identity, Yamamoto's troubled invocation of the affinities between African Americans and Asian Americans, the problematic connections between black intellectuals and the black community aired by Wideman, and Wolfe's satirization of white privilege. Drawing on the fields of literary criticism, public policy, sociology, and journalism, Lee deftly assesses the success with which these multicultural fictions engaged in the debates over these issues and the extent to which they may actually have alienated the very communities that their creators purported to represent.Challenging both the uncritical celebration of abstract multiculturalism and its simpleminded vilification, Lee roots Urban Triage in specific instances of multiracial contact and deeply informed readings of works that have been canonized within ethnic studies and of those that either remain misunderstood or were misguided from the start.James Kyung-Jin Lee is assistant professor of English and Asian American studies at the University of Texas at Austin.