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Hi, everyone.
My name is Ayesha Khan.
I am an assistant clinical professor
at the Stanford University School of Medicine.
Today we're going to be talking about a really interesting case
that has to do with how we can prepare for an emergency.
So imagine that you're in your hospital
and you get a ring down.
A ring down is the EMS or ambulance providers'
way of letting you know that they're bringing in patients.
In this case, they tell you that they're
bringing in multiple patients at the same time.
At this point, you might want to think about
how would you prepare for an emergency?
Now we're gonna look at an interesting case of exactly
this kind of a situation, where multiple patients are coming in
at the same time.
12-year-old.
Minor burns and a radial deformity.
GCS is 15, vitals are good.
33, IV morphine, x-ray.
Mom!
Mom!
You'll see her as soon as we can, OK?
Dana Dixon, 37, complaining of abdominal pain and headache.
Think about how you might want to sort these patients.
The sorting of these patients is called triage.
What is triage?
Mom!
Mom!
You'll see her as soon as we can, OK?
Dana Dixon, 37, complaining of abdominal pain and headache.
Tachy and hypotensive.
Stat's 92.
Trauma one is open.
I'm Dr. Banfield.
My kids--
They're doing OK, Mrs. B. They're
just more scared than anything.
You heard the doctor there talking
about taking a patient to trauma one.
You may have noticed that that patient didn't actually
have any sort of traumatic injury.
It was a critically ill patient who's
tachycardic and hypotensive.
What was she referring to when she
was talking about trauma one?
She was referring to a resuscitation room.
What is a resuscitation room?
This is Norman, the good Samaritan in the neighborhood.
They're in 3A, and I'm 4B.
Heard the explosion, ran in to get the kids out.
They live alone, and she likes to cook for me. [INAUDIBLE]
Hypoxic eight-year-old with a [INAUDIBLE] to the leg.
All right, curtain three.
Get Norman--
Rinna, honey!
They're in good hands, Mrs. D.
[INAUDIBLE] Picked up five more beds.
Good.
This is Norman.
He needs access, fluids, and pain meds.
No, no.
Take Mrs. Dixon.
She's much sicker than me.
Yeah?
No.
I've got her.
Uh, you help Gates.
Maybe you can benefit by having an experienced resident
in the room.
Just in case!
Just in case what?
Got your back, Johnny!
You might have noticed that there
is about three doctors out on that ambulance bay.
The physicians did an excellent job
of running through all of the patients.
Who should triage patients in your emergency department
or hospital?
If you think about it, sometimes you
may not have that many providers.
So it's very important to think about what resources
you want to put up front, when patients are coming in.
Next, we can think about how we should triage patients.
Is there a method?
This physician was just looking at all of the patients
very quickly and sorting them out
based on her medical knowledge.
Are there other ways that we can triage?
That concludes our case for today.
Stay tuned for the expert discussion
that will answer all of these questions.