[Scan-DC] Priority 4

[ltbrown122 at aol.com]

I would say as a general rule, pri 4 would only be said over the air for a patient that's dead. Even though it could mean someone that's un-injured, that would more relate to a mass casualty incident where a rapid triage is being used, and they are using triage tags. Especially when you have more patients than resources, you have to choose who you are going to help versus someone you can't help.

If someone does not require help, for instance a PDC or property damage collision (a crash where there is no injury) they would say just that versus calling someone a pri 4.

Interesting to note also, if you have a car crash where there is more than 1 occupant in the vehicle, and 1 of those occupants is a fatal, then automatically everyone else in that car is considered a trauma. 

The whole reason there is Pri 1 A,B and Pri 2 C,D trauma categories came out after trooper 2 crashed and they had to re-evaluate the criteria for who gets a helicopter and whether or not you need to consult to get one. If you have a pri 1 cat A trauma then you can ask for aviation and they will send it. Everything else, you need to consult with a trauma center and ask permission from the doc to get one.

Joe B
-----Original Message-----
From: "Andrew Clegg" <w4jecom at w4je.com>
Date: Thu, 11 Feb 2010 21:19:28 
To: Alan Henney<alan at henney.com>; <scan-dc at mailman.qth.net>
Subject: Re: [Scan-DC] Priority 4

Thanks Alan and Doug,

Seems like there could be confusion over Priority 4. Someone could either be
so injured as to be dead (does not require medical attention); or could be
perfectly fine (also does not require medical attention). Do the dispatchers
and others listening just hope to catch the meaning by the context, or is
there further information that is relayed to indicate whether the person is
dead or fine?

Is this priority code system poised to go out the window with the current
push to communicate in plain language?

Andy

-----Original Message-----
From: scan-dc-bounces at mailman.qth.net
[mailto:scan-dc-bounces at mailman.qth.net]On Behalf Of Alan Henney
Sent: Thursday, February 11, 2010 9:14 PM
To: scan-dc at mailman.qth.net
Subject: [Scan-DC] Priority 4



http://www.miemss.org/home/LinkClick.aspx?fileticket=WKeNmP-DJ9w%3d&tabid=10
6&mid=534

7. Assign Clinical Priority
a) Priority 1 — Critically ill or injured person requiring immediate
attention;
unstable patients with life-threatening injury or illness. (NEW ’09)
b) Priority 2 — Less serious condition yet potentially life-threatening
injury or illness,
requiring emergency medical attention but not immediately endangering the
patient’s life.
(NEW ’09)
c) Priority 3 — Non-emergent condition, requiring medical attention but not
on an emergency basis.
d) Priority 4 — Does not require medical attention.
e) In the event of a multiple casualty incident, the Simple Triage And Rapid
Treatment
(START and/or JumpSTART) technique will be instituted for rapid tagging and
sorting
of patients into priority categories for both treatment and transport.



c) Stable priority 3 or 4 patients who do not need a time critical
intervention
may also be transported to the local emergency department or
freestanding medical facility.
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