Triage objective

Tactical-military triage is similar to disaster triage, only military mission objectives rather than traditional civilian guidelines drive the triage and transport decisions. 

Thus, if the triage officer sees a casualty with crackles or rhonchi 3 hours after exposure, the officer can assume that the casualty will be severely ill in 3 hours within that time, the casualty must reach a medical facility where care can be provided. Even with optimal care, the chances of survival are not good. It should be emphasized that these guidelines apply only to objective signs, not the casualty s symptoms (such as dyspnea). In a contaminated area, it will not be easy and may not be possible to elicit these signs. 

Decontamination is defined as the process of removing or neutralizing a hazard from the environment, property, or life form. The principal objectives of this process are to prevent further harm and optimize the chance for full clinical recovery or restoration of the object exposed to Ae dangerous hazard. The triage process is the initial step taken to meet the primary objectives of a disaster response, which involves sorting the injured by priority and determining the best utilization of available resources (e.g., personnel, equipment, medications, ambulances, and hospital beds). This chapter includes a review of decontamination and mass triage with an emphasis on the research and development needs in these areas of disaster response. 

This triage led to the selection of around 26 600 ligand-protein combinations from the 70 700 X-ray crystal structures available as of December 2010. This stage was the most time consuming, as automated selection could not be applied with complete confidence. Inevitably the amount of human input required also reduced the objectivity of the selection, so improvements in this part of the work are definitely possible. 

The huge needs and limited resources of very low-income countries mean that a severe triage of objectives and detailed attention to implementation are called for. Safety nets in these countries should, and usually do, focus on supplementing the incomes of the poorest to prevent irreversible losses of human capital or livelihoods. Even these will focus on a subset of the poorest, not everyone below the poverty line. Programs for covariate shocks may be funded intermittently, almost always by donors. Programs to address idiosyncratic shocks and social care services are usually not well developed or funded, and the informal sector tends to provide whatever support is available. 

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