Why Are Some ER Patients Preferred from Others?

Why Are Some ER Patients Preferred from Others?

Why Are Some ER Patients Preferred from Others?


You might have experienced an incident in a hospital that likes to make you cranky: You go to the ER to get help as soon as possible, but the doctor on duty puts other patients who have just arrived after you treated. However, do not rush to feel neglected and immediately protest "Why, how come it's playing in? I was the first to register! "

Sometimes doctors and teams are required to prioritize patients whose condition is more severe than yours. This is a reasonable procedure in the medical world because each ER definitely adheres to a medical emergency triage system.

Why are there some patients who need to get medical attention?

In the ER, a medical emergency triage system is used to determine which patients should be treated first compared to other patients. The initial concept of emergency triage is to divide patients into 3 categories, namely immediate, urgent, and non-urgent. The concept that was first created for this war situation is still valid for use in modern times, and is used in various countries such as Britain, the Netherlands, Sweden, India, Australia, and NATO military organizations.

The medical triage system will evaluate and categorize patients who are sick or experiencing truma when their health resources do not compare with the number of patients at that time. This system will be very useful in conditions such as natural disasters with a very large number of victims, or at one time at a time, either because of what a hospital emergency room is flooded with in large numbers of patients.

How do doctors sort emergency patients with a medical triage system?

The medical triage system selects patients based on the patient's condition when entering the treatment room and provides color codes for patients, ranging from red, yellow, green, white and black. What is the meaning of these colors?

  1. Red : A red code is given to patients who, if not treated quickly, will surely die, provided that the patient still has the possibility to live. Examples such as patients with respiratory disorders, head trauma with unequal pupil size, and severe bleeding.
  2. Yellow : A yellow code is given to patients who need immediate care, but can still be delayed because they are still in stable condition. Patients with yellow codes still need hospital treatment and under normal conditions will be treated immediately. Examples include patients with fractures in several places, hip or pelvic fractures, extensive burns, and head trauma.
  3. Green : A green code is given to those who need treatment but can still be delayed. Usually injured patients who are still conscious and can walk into this category. When other patients who are in serious condition have been treated, the patient with a green code will be treated. Examples such as patients with mild fractures, minimal burns, or minor injuries.
  4. White : A white code is given to patients with only minimal injuries where there is no need for medical treatment.
  5. Black : A black code is given to patients who after being examined show no signs of life. For example, those who are still alive but experience very severe injuries so that even though they are immediately handled, the patient will still die.

However, this medical emergency triage system is not rigid. If the patient with the red code has received the first treatment and the condition is more stable, the patient code can be changed to yellow. Conversely, patients with yellow codes whose conditions suddenly get worse can be changed to red.

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