Friday, 2 October 2009


As I anticipated, Paul Savage, Clinical Lead from the RNLI, felt inclined to add some detail to yesterday's post:


Last year the MCA requested that P4 was dropped in favour of the term "dead". This is partly because in strict international triage rules P4 does not mean dead. P4 is a category called "expectant" which means the patient is not dead but will not survive the injuries they have sustained. This call is usually made by a doctor.

Also, in line with all the other emergency services, when involved in a major incident management and using the triage sieve, if the patient is not breathing they are "declared" dead. Certification of death will be done after the incident by a doctor and police officer.
These rules only apply on mass casualties, the definition of which is casualties outnumbering rescuers on a 1:to:1 ratio.
When rescuers outnumber casualties non-breathing casualties will always be given CPR and be a P1 patient.

Hope this helps.


Many thanks Paul for the detailed all makes sense now!

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