Quick Reference to Triage

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.

Valerie G. A. Grossman, BSN, RN, CEN: Nursing Director for Acute Services, ViaHealth of Wayne: Newark-Wayne Community Hospital, Newark, New York

Triage Process	p. 1
From Battlefield to Facility	p. 3
Qualities of the Triage Nurse	p. 4
Triage "How To's"	p. 5
Hospital Receptionist	p. 6
Interview	p. 7
Physical Assessment	p. 9
Basic Triage Assessment	p. 11
Orthostatic Vital Signs	p. 12
Documentation	p. 13
Assigning Acuity	p. 13
Triage Guidelines	p. 17
Abdominal Pain	p. 19
Ankle Injuries	p. 22
Burn Trauma	p. 24
Facts	p. 24
General Issues	p. 24
Inhalation Burn Injury	p. 26
Carbon Monoxide Poisoning	p. 27
Electrical Injury	p. 28
Chemical Injury	p. 28
Possible Cervical Spine Injury	p. 30
Chest Pain	p. 31
Difficulty Breathing	p. 35
Peak Flow Measurement	p. 36
Domestic Violence, Child Abuse and Elder Abuse	p. 39
Bruise Assessment	p. 41
Injury Assessment Forms	p. 41
Endocrine Emergencies	p. 46
Hypoglycemia	p. 46
Diabetic Ketoacidosis (DKA)	p. 47
Hyperglycemic Hyperosmolar Nonketotic Coma (HHNC)	p. 48
Adrenal Gland Emergency: Addisonian Crisis	p. 49
Eye Injuries	p. 50
Visual Acuity	p. 51
Facial, Dental, and Ear/Nose/Throat (ENT) Injuries	p. 52
Febrile Child	p. 55
Gynecologic Issues	p. 57
General Issues	p. 57
Bartholinitis	p. 57
Herpes Genitalis (Herpes Simplex Virus Type 2)	p. 58
Pelvic Inflammatory Disease (PID)	p. 59
Vaginitis	p. 60
Headache	p. 62
Hematologic Emergencies	p. 65
General Issues	p. 65
Sickle Cell Anemia	p. 66
Hemophilia	p. 67
Infectious Diseases	p. 69
General Issues	p. 69
Communicable Diseases	p. 71
Sexually Transmitted Diseases	p. 75
Mental Health	p. 80
General Issues	p. 80
Alcohol Abuse, Alcoholism, and Alcohol Withdrawal	p. 83
Bipolar Disorder (Manic/Depression)	p. 87
Depression	p. 89
Drugs of Abuse	p. 93
Obsessive/Compulsive Disorder (OCD)	p. 98
Panic Attack/Disorder	p. 99
Schizophrenia	p. 100
Suicidal Behavior	p. 102
Obstetric Issues	p. 107
General Issues	p. 107
Spontaneous Abortion	p. 108
Ectopic Pregnancy	p. 110
Placenta Previa	p. 111
Abruptio Placentae	p. 111
Pre-eclampsia and Eclampsia	p. 112
Gestational Diabetes Mellitus	p. 113
Premature Rupture of Membranes	p. 115
Preterm Labor	p. 116
Trauma in Pregnancy	p. 117
Emergency Delivery	p. 118
Apgar	p. 119
Orthopedic Injuries (General)	p. 120
Common Fractures	p. 121
Rash	p. 123
General Issues	p. 123
Primary Lesions	p. 125
Secondary Lesions	p. 126
Vascular Lesions	p. 127
Contagious Rashes	p. 128
Syncope	p. 129
Trauma, Multiple (Adult)	p. 131
Glasgow Coma Scale	p. 134
Trauma Score	p. 134
Revised Trauma Score	p. 135
Mechanisms of Injury from Trauma: Adult	p. 138
Trauma, Multiple (Pediatric)	p. 140
Pediatric Trauma Score	p. 142
Pediatric Emergency Equipment	p. 143
Mechanisms of Injury from Trauma: Infant (Birth to 1 Year)	p. 144
Mechanisms of Injury from Trauma: Toddler and Preschooler (1-6 Years)	p. 145
Mechanisms of Injury from Trauma: School Age and Adolescent (7-17 Years)	p. 146
Skin and Surface Trauma (Lacerations, Abrasions, Punctures, Bites, Amputations)	p. 147
Pearls of Triage Wisdom	p. 149
Assessment by Systems	p. 151
Geriatric Patients	p. 154
Mental Health Patients	p. 156
Obstetric Patients	p. 157
Cardiovascular	p. 157
Respiratory	p. 158
Gastrointestinal	p. 158
Urinary Tract	p. 159
Endocrine	p. 159
Integumentary	p. 159
Musculoskeletal	p. 159
Pediatric Patients	p. 160
Differences in the ABCs	p. 161
Normal Vital Signs	p. 161
Abnormal Vital Signs	p. 162
Beyond Triage	p. 165
Customer Service	p. 167
Cross-Cultural Empathy	p. 168
Common Cultural Practices	p. 177
How to Get the Most Benefit From an Interpreter	p. 178
Basic Spanish Triage Questions	p. 179
Telephone Triage	p. 183
Sample Protocol: Abdominal Pain	p. 183
Post Test	p. 187
Questions	p. 189
Answers	p. 200
Glossary	p. 202
Bibliography	p. 204
Index	p. 207
Table of Contents provided by Syndetics. All Rights Reserved.

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