Those for whom immediate care may make a positive difference in outcome.įor many emergency medical services (EMS) systems, a similar model may sometimes still be applied.Those who are unlikely to live, regardless of what care they receive.Those who are likely to live, regardless of what care they receive.Those responsible for the removal of the wounded from a battlefield or their care afterwards would divide the victims into three categories: Triage was used further during World War I by French doctors treating the battlefield wounded at the aid stations behind the front. Modern medical triage was invented by Dominique Jean Larrey, a surgeon during the Napoleonic Wars, who "treat the wounded according to the observed gravity of their injuries and the urgency for medical care, regardless of their rank or nationality", though the general concept of prioritizing by prognosis is foreshadowed in a 17th-century BCE Egyptian document. Triage station, Suippes, France, World War I The term comes from the French verb trier, meaning to separate, sort, shift or select. 7.4 Technical challenges of triage in conflict settings.3 General concepts in triage-based treatment options and outcomes.In practical Western medicine such a form of triage is however exceedingly rare because resources are plentiful and future demand can be predicted well in advance. This is because triage needs to balance multiple and sometimes contradictory objectives simultaneously, most of them being fundamental to personhood: likelihood of death, efficacy of treatment, patients' remaining lifespan, ethics and religion of them all.īecause of this, medical drama often portrays triage in its most brutish form: torn limbs against a heart attack certainly yields a dramatic, Aesopian moral drama. But no current principle carries too well over to mental health, reproductive health (such as abortion), chronic medical conditions, geriatrics, or palliative care (including euthanasia). The best settled theories and practical scoring systems used in here come from the area of acute physical trauma in an emergency room setting a broken bone obviously counts for less than uncontrolled arterial bleeding, apt to lead to death. Triage always follows the modern interpretation of the Hippocratic oath, but otherwise there is plenty of leeway in interpretation, leading to more than one simultaneous idea of its nature. In its acute form it is most often required on the battlefield, or at peacetime when an accident results in a mass casualty which swamps nearby healthcare facilities' capacity. More generally it refers to prioritisation of medical care as a whole. The process rations care towards those who are most in need of immediate care, and who benefit most from it. In medicine, triage ( / ˈ t r iː ɑː ʒ, t r i ˈ ɑː ʒ/) is a practice invoked when acute care cannot be provided for lack of resources. Triage station at the Pentagon after the impact of American Airlines Flight 77 during the Septemattacks.
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