NORCET 3 - 2022 (Shift-2)
Medical & Surgical Nursing
Easy

Which of the following colour code is used for emergent cases in triage system?

Appeared in: NORCET 3 - 2022 (Shift-2)

Explanation

  • The color Red is used in triage to designate patients in the 'Immediate' or 'Emergent' category.
  • These patients have life-threatening injuries to their Airway, Breathing, or Circulation (ABCs) but have a high chance of survival if they receive immediate medical intervention.
  • Examples include patients with severe hemorrhage, shock, or respiratory distress.
  • The primary goal for red-tagged patients is rapid stabilization and transport.

Why Other Options Were Wrong

  • Option B: Blue is not a standard color in pre-hospital mass casualty triage systems like START (Simple Triage and Rapid Treatment).
  • Option C: Green is used for the 'Minor' category, representing patients with non-life-threatening injuries who are often referred to as the 'walking wounded.'.
  • Option D: Black is used for the 'Expectant' or 'Deceased' category. These individuals have injuries so severe they are not expected to survive, or they are found without signs of life.

Related Visual

A chart displaying the four triage colors Red, Yellow, Green, Black with corresponding category names Immediate, Delayed, Minor, Expectant and examples of injuries for each.
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Triage color coding in emergency and disaster nursing as background academic context rather than a clinical decision trigger.
  • A nurse's ability to perform rapid and accurate triage during a Mass Casualty Incident (MCI) is critical for maximizing the number of survivors. The principle is 'to do the greatest good for the greatest number.'.
  • Nurses must prioritize interventions for red-tagged patients, focusing on the ABCs: securing an airway, managing breathing, and controlling hemorrhage.
  • In the Indian context, the National Disaster Management Authority (NDMA) guidelines also advocate for triage systems to manage mass casualties effectively in hospital and pre-hospital settings.
How to Approach the Question
  • First, identify the key terms in the question: 'triage system,' 'emergent cases,' and 'colour code.'
  • The question asks for the color associated with the most critical, life-threatening category.
  • Recall the standard color-coding system used in disaster triage (START system).
  • Match the term 'emergent' (meaning requiring immediate action) to the corresponding color.
  • Red signifies danger or emergency, making it the logical choice for the highest priority patients.
  • Eliminate the other options by recalling their meanings: Green (minor), Black (deceased/expectant), and Blue (not a standard triage tag).
Concept Tested & Keywords
  • Concept Tested: Triage color coding in emergency and disaster nursing.
  • Stem keywords: colour code, emergent cases, triage system
  • Lead-in keywords: Which

Question ID

Qd7ndAHlbElYH0heNvw2LA

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

E6 Nursing Brunner Adult Health 3SA Vol 2 Part 3 p. 113-115

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