casualty report on patient

PURPOSE: The HICS 259 - Hospital Casualty/Fatality Report is used to record the total numbers of adult and pediatric patients seen, admitted (by bed type), discharged, transferred, expired, and waiting to be seen for each operational period

Full Answer

How do you prepare a military casualty report?

Review the Army’s Casualty System for correct sequence. Review Casualty source documents for 100% accuracy and completeness. Prepare the casualty report using DCIPS-PCR without error.

What is a non-hostile casualty?

Non-hostile Casualty: A person who becomes a casualty due to circumstances not directly attributable to hostile action or terrorist activity. Casualties due to the elements, self-inflicted wounds, and combat fatigue are non-hostile casualties.

What are the different types of casualties in the military?

Casualty Statuses, Types, and Categories . In the military, a casualty is a person who is unable to serve in the line of duty due to death, injury, illness, capture, or desertion. Any Service member who is killed, injured, sick, or hospitalized becomes a “casualty.”. Most military casualties are due to injury or death.

What is casualty patient?

and 'casualty' as: A person suffering from injuries or who has been killed due to an accident or through an act of violence.

What is hospital causality?

Casualty is the part of a hospital where people who have severe injuries or sudden illnesses are taken for emergency treatment. [British]

What are the 4 categories of triage in a mass casualty situation?

In both SALT and START , responders classify each victim involved in a mass casualty incident into the following categories for treatment needs:Green (minimal)Yellow (delayed)Red (immediate)Black (dead)

What is mass casualty incident examples?

This might be a hurricane, tornado, tsunami, volcano or any number of other natural phenomena. Multi-Vehicle Accidents: This category refers to things like multi-car pileups on the highway. While an accident between only two cars can be devastating, it isn't likely to be referred to as an MCI.

Is casualty a death?

In civilian usage, a casualty is a person who is killed, wounded or incapacitated by some event; the term is usually used to describe multiple deaths and injuries due to violent incidents or disasters. It is sometimes misunderstood to mean "fatalities", but non-fatal injuries are also casualties.

What is casualty in first aid?

General Rules of First Aid There are four categories of casualties: Casualties with life threatening conditions such as cessation of breath, or circulation of blood and the unconscious. Casualties with serious injuries, head and spinal cord injuries and casualties with impelled objects.

What is a priority 4 patient?

Priority 4 (Blue) Those victims with critical and potentially fatal injuries or illness are coded priority 4 or "Blue" indicating no treatment or transportation.

What are the 3 categories of triage?

TriageImmediate category. These casualties require immediate life-saving treatment.Urgent category. These casualties require significant intervention as soon as possible.Delayed category. These patients will require medical intervention, but not with any urgency.Expectant category.

What is casualty management mean?

Mass Casualty Management is the care and transport of casualties when the number of casualties exceed available resources. This means changing not only the response plan but the focus as well. In day-to-day operations resources are dedicated to care for individual patients.

What are the three criteria for assessing patients during start triage?

The START triage system classifies patients as red/immediate if the patient fits one of the following three criteria: 1) A respiratory rate that's > 30 per minute; 2) Radial pulse is absent, or capillary refill is > 2 seconds; and 3) Patient is unable to follow simple commands.

What is the importance of mass casualty incident during emergencies?

A mass casualty incident (MCI) by definition can overwhelm local and regional resources. Preparation and training is required by any health system to minimize the loss of life and maximize patient recovery.

How do you deal with multiple casualties?

If you have to deal with multiple casualties it can be easy to be tempted to approach the first person making the most noise, delaying treating someone who needs your help more. What you need to do is to quickly assess everyone's injuries and put them into categories. This is also called triage.

A Measurement Tool for Teamwork

Marlow, Shannon L. PhD; Bedwell, Wendy L. PhD; Zajac, Stephanie PhD; Reyes, Denise L. MA; LaMar, Michelle PhD; Khan, Saad PhD; Lopreiato, Joseph MD, MPH, CHSE, CAPT, MC, USN; Salas, Eduardo PhD

Abstract

Teamwork is a critical aspect of patient care and is especially salient in response to multiple patient casualties. Effective training and measurement improve team performance.

METHODS

The development of this measure was informed by both previous relevant literature and insight from SMEs. Using this approach is consistent with recommendations for ensuring content validity of measures. 20,21

RESULTS

We present the resulting behaviors from both the literature review and SME interviews that were synthesized into processes, providing an overarching pilot framework of team performance within multicasualty scenarios ( Fig. 1 ). Table 2 displays the behaviors grouped into their corresponding process. We elaborate on each hereinafter.

DISCUSSION

The multicasualty team performance framework and associated measurement tools represent an evidence-based approach to assessment, filling a gap in the current literature. First, the framework identified with this effort corresponds to team processes stemming from decades of research on teams.

CONCLUSIONS

Multicasualty scenarios are, unfortunately, a characteristic of modern day society. Thus, it is necessary to provide the best training possible, drawing upon the science of teams and team training to enable providers to use effective teamwork to provide the highest level of care.

REFERENCES

1. Morgan BB Jr, Glickman AS, Woodward EA, Blaiwes AS, Salas E. Measurement of team behaviors in a Navy environment. Orlando, FL: Technical Report No. NTSC TR-86-014 Naval Training Systems Center; 1986.

What is the gap in AARs?

Historically, patient tracking and/or family reunification has been identified as an operational gap in AARs for significant responses worldwide. Whether it was the Boston Marathon Bombing, the Aurora Movie Theater shooting, Pulse nightclub, London 7-7 Bombings, or 1 Oct. massacre, these incidents struggled with accurate accountability of victims. The Aurora, Colorado AAR stated, “triage units did not use a patient identification system (triage ribbons or tags), which made tracking for transportation, and quick evaluation at the hospitals, more difficult.” 1

Why is the triage system not accurate?

Because of the chaos , an accurate patient count is unobtainable. Your agency utilizes triage tags that get affixed to the patient’s wrist via lanyard with barcodes attached, but the process is cumbersome and not well-practiced. Furthermore, the tracking system fails because of the level of detail required and it is not supported by the hospital or emergency management system. A separate information and reunification center is established by the Office of Emergency Management in an attempt to coordinate with multiple hospital personnel for victim location information. Ultimately, family members of both deceased victims and survivors arrive at area medical facilities in frustration and anguish seeking information on their loved ones believed to be involved and who are not answering their cell phones.

What is patient tracking technology?

In summary, new technologies for patient tracking currently in use today represent the way forward for emergency medical services. Accurately identifying where a victim is located is a key metric associated with successful resolution of mass casualty and high-threat incidents. Using paper or barcode-based technology is duplicative and inhibitive to patient tracking since each patient already possesses a unique identifier. Leveraging technology while understanding human systems in emergencies can decrease the complexity and failure points associated with patient tracking. Ultimately, agencies must partner more broadly to initiate a systems approach for full patient tracking capability development within a jurisdiction. This should be occurring anyway to prepare for high-threat incidents which necessitate a multi-discipline response. New facial recognition patient tracking technology expands return on investment, helps meet national standards and undoubtedly can provide quicker physical and emotional resolution to chaotic events by optimizing the patient tracking system.

What is the role of fire and EMS?

Fire/EMS agencies are responsible for the tracking of patients on a day-to-day basis and they perform admirably with incidents involving smaller patient counts. Countless times a day, throughout the country, patients experience an emergency to which fire and EMS respond, treat and transport the individual to an appropriate destination. Because the emergency involves a small number of patients or there are enough resources on scene to manage effectively, the location and status of patients does not become an issue. The system knows where patients are going or command can, without too much trouble, determine their location when in question.

What did Albert Einstein say about EMS?

Albert Einstein ascribed that we cannot solve our problems with the same thinking we used when we created them. Newer systems that leverage technology to the advantage of EMS currently exists, which decreases overall incident complexity. This adds to the ability to potentially solve patient tracking in terms of efficiency within an operation and overall government effectiveness. In the above examples mentioned, EMS is adding a unique identifier to the patient, such as a barcode or triage card. What if the patient already had a unique identifier that they were born with that required no additional information to be added? What if your face acted as your bar code?

What is patient tracking?

Patient tracking is the ability to understand where patients, victims or clients are at any point during an emergency; from the time emergency response agencies take “ownership” of an individual through definitive medical care . Family reunification is a broader challenge that involves patient and family accountability. Reunification is a broader challenge because it is responsible for notifying individuals post-emergency/disaster about their loved one who may or may not be alive, injured, transported or hospitalized. The importance of effectively tracking patients and victims of emergencies cannot be overstated. To understand the importance of this issue, imagine a scenario where a family member of yours is injured or missing after an incident. Having a patient tracking system that can expand to a more extensive family reunification capability is vital for accountability and timely family notification. According to the Aurora Century 16 Theater Shooting AAR, “ [b]y early afternoon of the day of the incident, approximately 100 people still remained at the school.” [Family Reunification Center]. The group included 10 families and friends who were waiting for news. They were briefed periodically about the status of the investigation and the process for identifying the deceased. Each time a meeting was convened at Gateway, they prepared themselves for the official announcement. They became emotionally drained as the day wore on and each announcement fell short of the only information they truly wanted.” 2 Although there are legal and criminal investigation requirements for scene processing of victims, there is little doubt that a scalable patient tracking system could have mitigated this issue.

Why use smart devices in emergency services?

Many in emergency services already use smart devices, including cellphones and tablets, to accomplish their daily mission. They also use software-as-a-service applications to realize greater situational awareness of incidents. These larger industry trends should be captured in future patient tracking systems for several reasons. Device familiarity and workflow are already established. Any additional training required is minimal. Finally, the agency does not have to maintain separate equipment for patient tracking, and it can be integrated into daily operations promoting adoption. The COTS architecture facilitates just-in-time training when required leading to increased proficiency of use by EMS personnel.