AIIMS Raipur lecturer 2021
Medical Surgical Nursing
Medium
In which among the following disaster a victim can be triaged with red color code?
Appeared in: AIIMS Raipur lecturer 2021
Explanation
- The red color code is assigned to the 'Immediate' priority group in disaster triage.
- This category includes victims with life-threatening injuries that are survivable with immediate medical intervention.
- A severe abdominal injury poses a high risk of internal hemorrhage and shock, which are compromises to circulation (a key component of the ABCs).
- Without rapid treatment, a victim with a severe abdominal injury is likely to die, but with prompt care, their prognosis is good, making them a top priority.
Why Other Options Were Wrong
- Option A: A victim who is already dead is categorized as 'Expectant' or 'Deceased' and assigned a black tag. The goal of triage is to save the maximum number of salvageable lives.
- Option B: An immobilized closed fracture is a serious injury but is not immediately life-threatening. The victim's condition is not expected to deteriorate rapidly. This falls under the 'Delayed' category, which is assigned a yellow tag.
- Option C: Minor tissue injuries are classified under the 'Minimal' or 'Walking Wounded' category. These victims have the least severe injuries and can wait the longest for treatment. They are assigned a green tag.
Related Visual
Clinical Relevance
- Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Disaster Triage and Color Coding (START Method) as background academic context rather than a clinical decision trigger.
- Accurate and rapid triage during a Mass Casualty Incident (MCI) is a critical nursing skill that directly impacts patient survival by allocating limited resources effectively.
- Nurses must be able to perform a quick assessment (typically under 30-60 seconds) focusing on Respirations, Perfusion, and Mental Status (RPM) to assign a triage category.
- Triage is a dynamic process. A patient's condition can change, requiring re-triage. A victim initially tagged as Yellow (Delayed) could deteriorate and need to be upgraded to Red (Immediate).
How to Approach the Question
- First, identify the core concept of the question, which is disaster triage and the meaning of the 'red color code'.
- Recall the START (Simple Triage and Rapid Treatment) system and its four color categories: Red, Yellow, Green, and Black.
- Associate each color with its priority level and the general condition of the victim (e.g., Red = Immediate/Life-threatening; Yellow = Delayed/Serious; Green = Minimal/Walking Wounded; Black = Expectant/Deceased).
- Evaluate each option based on these categories.
- Analyze 'Severe abdominal injury'. Recognize this can cause life-threatening internal bleeding, fitting the 'Immediate' (Red) category.
- Rule out the other options by correctly placing them in their respective categories: 'Already dead' is Black, 'closed fracture' is Yellow, and 'minor injuries' are Green.
Concept Tested & Keywords
- Concept Tested: Disaster Triage and Color Coding (START Method)
- Stem keywords: disaster, victim, triage, red color code
- Lead-in keywords: In which among the following
- Negative lead-in flag: false
Question ID
QzTxZ_870Y4-_RKVzuZAwZ
Reference Book
E6 Nelson Textbook of Pediatrics(2024) — Volume 1 p. 585-587
E6 Comprehensive Textbook of Community Health Nursing for BSc Nursing Students Part 2 — Subpart B (pp 276-535 of 550) p. 179-181
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