Title: ?????????? TAIWAN TRIAGE AND ACUITY SCALE
1??????????TAIWAN TRIAGE AND ACUITY SCALE
2????????
- ?????????????,?????????????,????????????????????
3???????????
- ???????????????????
- ????????????????
- ???????????
- ???????????????
4?????????????
- ????
- ??????
- ???????,???????????????
5??????????????(TTAS) TAIWAN TRIAGE AND
ACUITY SCALE
- ???????????????????????????????????(CTAS)???,?????
??????,???(?)?? - ????????,?????,??????,????/??????????????
- ????????????????
6TTAS ????
- ??? ????(RESUSCITATION)
- ??? ??(EMERGENT)
- ??? ??(URGENT)
- ??? ???(LESS URGENT)
- ??? ???(NOT URGENT)
7??? (????)
?????? ?? ?????? ???? ?? ?????? ?????? GCSlt9 ???? ????? ?? ????,??????????
8??? (??)
?????? 10?? ?????? ?????? ???????? ??? gt 200 ? ??? gt 110 ???????? ???????(8-10) GCS(10-13) ??????? ?? ?? ?????????????????,????????
9??? (??)
?????? 30?? ?????? ????????/???????? ????????? ??? (SBP gt 200? DBP gt 110) ?????? ?????? (4 - 7) ???????? ?? ??????????????,???????????????????
10??? (???)
?????? 60?? ?????? ???????????? ???????? ????? ????,?????? ??????(4 - 7) ?? ?????????????? ???????????,???1-2?????,????????
11??? (???)
?????? 120?? ?????? ????,?????? ?? ?? ???? ?? ????????,???????????????????????
12TTAS???????
- ????/??????
- ??????????????
- ????/???????????????
1st MODIFIERS PAIN SCALES MECHANISM OF INJURY
vital sign/ infection control
PRESENTING COMPLAINT
Critical LOOK
13? ?????/??????
- ???????????????,???????????????????????-??????????
- ???????????????,?????????????????,?????????
- ?????????????????
14? ?????????
- ??????14??,?132????
- ?????15??,?47????
15? ???????
- ???? ---- Airway
- ---- Breathing
- ???? ---- Circulation
- ???? ---- Disability
- ??
- ????
- ???? (??????)
-
16???? 1-????
?? ???? ???? TTAS ??
?? ??????????????,??,??????????,???????????? lt90 1
?? ??????,?????????????????????????????,???????????? lt92- 2
?? ????,????,????????????,???????????,?????????,?????????????????? 92-94 3
17???? 2-????
?????? TTAS??
????????????????(????????????????????????????????????????????????????????)????????????????????????? 1
???????????????,??????????????????(??????????????????????),?????????????????????????????????????????? 2
?????????????,???????????????? 3
?????? 45
18???? 3-????
?????? GCS???? TTAS??
??????????,???????????????????(????????????),????,?????????? 3-8 1
???????????????(??????,??????)???????????(??)??????(??)????(?????)? 9-13 2
?????????????? 14-15 3,45
19???? 4-??
??gt38.0C(??gt16?) TTAS??
?????? ????????????,???????? 2
?????????(????????) 2
?????? 3
?????? 4
????? (?????)gt41?C ? lt32 ?C
20???? 5-?????
???????? ???? TTAS ??
??(8-10) ?? 2
??(8-10) ?? 3
??(4-7) ?? 3
??(4-7) ?? 4
??(0-3) ?? 4
??(0-3) ?? 5
21???? 6-????
- ????????????????????? 2?
- ????????????????????
22???? ????????(??2?)
???? 1.????? 2.??????????? 3.???6??????? 4.???????????????????????????? 5.??
???? 1.??????? 2.???????, 3.???1???5????? 4.?????1???(????)
???? 1.????? 2.???1???5?????? 3.?????????
23- ???-?????
- ????/(????)
- ????
- ????????
- -??????
- ????-????
- ????
- ??????
- ??????
????
Vital signs/ Infection Control
1st modifiers/ Pain scale/ MOI
Presenting Complaints
Critical Look
????
24????????????????????
- ??????????????????
- ????????????
- ??????????(????????????)??????????????????
- ???????????????
- ??????(???????????????????)
25Thank you for your attention!!