Ramesh Aruna C, Kumar S
Ramaiah Medical College and Hospitals, MSR Nagar, MSRIT Post, Bangalore - 560 054, India.
J Pharm Bioallied Sci. 2010 Jul;2(3):239-47. doi: 10.4103/0975-7406.68506.
In a mass casualty situation due to chemical, biological, radiological, or nuclear (CBRN) event, triage is absolutely required for categorizing the casualties in accordance with medical care priorities. Dealing with a CBRN event always starts at the local level. Even before the detection and analysis of agents can be undertaken, zoning, triage, decontamination, and treatment should be initiated promptly. While applying the triage system, the available medical resources and maximal utilization of medical assets should be taken into consideration by experienced triage officers who are most familiar with the natural course of the injury presented and have detailed information on medical assets. There are several triage systems that can be applied to CBRN casualties. With no one standardized system globally or nationally available, it is important for deploying a triage and decontamination system which is easy to follow and flexible to the available medical resources, casualty number, and severity of injury.
在因化学、生物、放射或核（CBRN）事件导致的大规模伤亡情况下，必须进行分诊，以便根据医疗护理优先级对伤亡人员进行分类。应对CBRN事件始终从地方层面开始。甚至在对病原体进行检测和分析之前，就应迅速启动分区、分诊、去污和治疗工作。在应用分诊系统时，经验丰富的分诊人员应考虑到可用的医疗资源以及医疗资产的最大利用，这些人员最熟悉所呈现损伤的自然病程，并掌握有关医疗资产的详细信息。有几种分诊系统可应用于CBRN伤亡人员。由于全球或国家层面都没有一个标准化系统，因此部署一个易于遵循且能灵活适应可用医疗资源、伤亡人数和损伤严重程度的分诊和去污系统非常重要。
