Triage Tyrant: Difference between revisions

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Related to [[Obstructive Bureaucrat]]. Coworker of the [[Battleaxe Nurse]] and [[Dr. Jerk]].
 
{{examples|Examples: }}
 
== [[Film]] ==
* She's not a nurse, but the hospital administrator in ''[[Little Miss Sunshine]]'' certainly qualifies.
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* ''[[Friends]]'', the one who ends up with a face full of hockey puck.
* ''[[One Tree Hill]]'': "I didn't like cheerleaders when I was in school" "But she's pregnant and in pain!" "[[Kick the Dog|Guess who's waiting a little longer?]]"
* ''[[MASHM*A*S*H (television)|M*A*S*H]]'': Given that the camp typically receives dozens of wounded at a time at least, triage is a matter of life and death every time, which has lead to disputes:
** In one episode, Frank Burns deliberately sends in American troops over Koreans even when there are Koreans in much greater need than soldiers.
*** The above is also a prime example of a [[Obstructive Bureaucrat|bureaucratic mentality.]] Regulations say "Americans first, allies second, enemies last." Nothing about severity or urgency...
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== [[Real Life]] ==
* In reality, there's a federal law called [[wikipedia:Emergency Medical Treatment and Active Labor Act|EMTALA]] that requires hospitals and EMS services to at least assess a patient to determine how much of an emergency the patient really has. Once the patient walks through the hospital doors or is brought in by ambulance, they have to be seen and can't be sent away until they are considered stabilized. If the patient isn't really that sick or injured, then they'll get the basic assessment and put in the triage queue to wait until there's room for the less sick and injured.
** People who abuse this law just to get attention or watch the parade of gore cases go by are known as GOMERs. Nothing to do with Jim Nabors or Leonard Lawrence, it's an acronym that stands for "Get Out Of My Emergency Room!"
 
People who abuse this law just to get attention or watch the parade of gore cases go by are known as GOMERs. Nothing to do with Jim Nabors or Leonard Lawrence, it's an acronym that stands for "Get Out Of My Emergency Room!"
* One of the cruel realities of any mass casuality incident, such as a large multi-vehicle wreck in the middle of nowhere or something on the scale of Katrina or 9/11, is that not everyone can be saved, even with the miracles of modern medicine. On the same venue, time spent dealing with those patients who cannot be helped will cause those that can to die. Enter the principle of Simple Triage and Rapid Treatment. If you can walk: Priority 3, help carry the person next to you over to the casuality collection point. If you can't walk, but follow commands, Priority 2: We'll get to you as soon as we can. On the other hand, if the only thing you do is breathe or babble incoherently, you get out of there pretty fast: Priority 1. Unsurvivable injuries, such as massive burns or amputations, no pulse, or no spontaneous breathing? Expectant/Morgue.