Triage
Manchester Triage Group
Second Edition
E D IT E D B Y
Kevin Mackway-Jones
Janet Marsden
Jill Windle
iii
,
,Emergency Triage
Second Edition
i
, ii
Emergency Triage Manchester Triage Group Second Edition EDITED BY Kevin Mackway-Jones Janet Marsden Jill Windle iii BLUK019-MTG August 30, 2005 2:51 C 2006 by Blackwell Publishing Ltd BMJ Books is an imprint of the BMJ Publishing Group Limited, used under licence Blackwell Publishing Inc., 350 Main Street, Malden, Massachusetts , USA Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia The right of the Authors to be identified as the Authors of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. First published 1996 Library of Congress Cataloging-in-Publication Data Emergency triage / Manchester Triage Group ; edited by Kevin Mackway-Jones, Janet Marsden, Jill Windle.– 2nd ed. p. ; cm. ISBN-13: 978-0-7279-1542-9 (pbk.) ISBN-10: 0-7279-1542-8 (pbk.) 1. Triage (Medicine)—Great Britain. 2. Hospitals–Emergency service—Great Britain. 3. Emergency nursing—Great Britain. [DNLM: 1. Triage–methods. 2. Emergency Service, Hospital. WX 215 E562 2005] I. Mackway-Jones, Kevin. II. Marsden, Janet. III. Windle, Jill. IV. Manchester Triage Group. RA975.5.E5E56 2005 362.18–dc22 ISBN-13: 978-0-727915-42-9 ISBN-10: 0-727915-42-8 A catalogue record for this title is available from the British Library Set in 9.5/12pt Meridien & Frutiger by TechBooks, New Delhi, India Printed and bound in Harayana, India by Replika Press Pvt Ltd Commissioning Editor: Mary Banks Development Editor: Veronica Pock Production Controller: Debbie Wyer For further information on Blackwell Publishing, visit our website: The publisher’s policy is to use permanent paper from mills that operate a sustainable forestry policy, and which has been manufactured from pulp processed using acid-free and elementary chlorine-free practices. Furthermore, the publisher ensures that the text paper and cover board used have met acceptable environmental accreditation standards. iv BLUK019-MTG August 30, 2005 2:51 Contents Editors, vii Members of the original Manchester Triage Group, viii International Reference Group, ix Preface to the second edition, xi Preface to the first edition, xiii 1 Introduction, 1 2 The decision-making process and triage, 5 3 The triage method, 10 4 Pain assessment as part of the triage process, 21 5 Patient management, triage and the triage nurse, 29 6 Auditing the triage process, 35 7 Telephone triage, 40 8 Beyond prioritisation, 45 Presentational flow chart index, 50 Presentational flow charts, 52 Discriminator dictionary, 156 Index, 171 v BLUK019-MTG August 30, 2005 2:5
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