The podcast delves into major incidents and the new triage process in the UK, emphasizing the importance of preparation. They discuss the Ten Second Triage (TST) and Major Incident Triage Tool (MITT) to be implemented soon. Insights from Phil Cowburn, an EM & PHEM consultant, are shared. Efficient 10-second triage application and continuous patient reassessment are highlighted for better response in major incidents.
Understanding major incident triage is crucial for all first responders to provide timely and appropriate care.
The introduction of TST and MITT tools aims to streamline triage processes for efficient patient assessment in major incidents.
Continuous reassessment and updates in triage protocols are essential to prioritize care accurately in dynamic situations, including special consideration for pediatric patients.
Deep dives
Introduction of the Topic: Major Incidents Triage Process
The podcast delves into the topic of major incidents and specifically focuses on the triage process, highlighting its relevance in current contexts. The hosts introduce the significance of understanding major incidents due to their potential impact on patient care and the importance of being prepared for such events.
Development of New Triage Tools: TST and MIT
The episode details the development and implementation of two new triage tools: the 10 Second Triage (TST) and Major Incident Triage (MIT). These tools aim to provide rapid and effective triage assessments, ensuring that patients receive appropriate and timely care in major incident scenarios.
Application of TST in Pre-hospital Settings
The TST, designed for quick and straightforward triage, is highlighted as a valuable tool for all first responders in emergency situations. The podcast emphasizes the simplicity and efficiency of the TST in rapidly assessing patients' conditions, allowing responders to prioritize life-saving interventions during major incidents.
Focus on Pediatric Triage
The discussion includes considerations for pediatric triage within the MIT process, addressing the challenges of recognizing critical injuries in young children. The inclusion of specific protocols for pediatric patients under two years old in the triage process aims to ensure timely and appropriate care for this vulnerable population.
Reassessment and Continuous Triage Updates
Lastly, the episode emphasizes the importance of continuous reassessment and updates in the triage process. It underscores the need for regular retriage of patients, particularly in prolonged or dynamic situations, to ensure accurate prioritization of care based on changing patient conditions.
So this month we’re looking at major incidents and specifically the triage process that is now coming into play in the UK and further afield that you need to know about!
We normally stick pretty strongly to clinical topics; they’re pretty easy to focus on because you can imagine how extra knowledge in a certain clinical area could make a difference to presentations that we see pretty commonly. And being brutally honest, making the effort to prepare and rehearse what we might do, on the off chance that we ever come across a major incident, can be difficult to motivate yourself to do.
But this is probably an area that investing a bit of time in, really thinking about how you would act in a major incident, could make a phenomenal difference to what may be one of the most, if not the most challenging clinical days of your career.
In the episode we run through Ten Second Triage (TST) and the Major Incident Triage Tool (MITT). They replace the previous triage methodologies and are to be implemented by the end of this month. We also cover some other aspects of planning and approach for being the first responder at a major incident, and we were lucky enough to gain some insights to the new triage process from Phil Cowburn, an EM & PHEM consultant who was involved in their development.
Once again we’d love to hear any thoughts or feedback either on the website or via X @TheResusRoom!
Simon, Rob & James
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