General concepts in triage-based treatment options and outcomes Palliative care For patients that have a poor prognosis and are expected to die regardless of the medical treatment available, palliative care such as painkillers may be given to ease suffering before they die. Evacuation In the field, triage sets priorities for evacuation or relocation to other care facilities. Alternative care facilities Alternative care facilities are places that are set up for the care of large numbers of patients, or are places that could be so set up. Examples include schools, sports stadiums, and large camps that can be prepared and used for the care, feeding, and holding of large numbers of victims of a mass casualty or other type of event. Such improvised facilities are generally developed in cooperation with the local hospital, which sees them as a strategy for creating surge capacity. While hospitals remain the preferred destination for all patients, during a mass casualty event such improvised facilities may be required in order to divert low-acuity patients away from hospitals in order to prevent the hospitals becoming overwhelmed. Secondary (in-hospital) triage In advanced triage systems, secondary triage is typically implemented by emergency nurses, skilled paramedics, or battlefield medical personnel within the emergency departments of hospitals during disasters, injured people are sorted into five categories. Some crippling injuries, even if not life-threatening, may be elevated in priority based on the available capabilities. During peacetime, most amputation injuries may be triaged "Red" because surgical reattachment must take place within minutes, even though in all probability the person will not die without a thumb or hand. Specific triage systems and methods Practical applied triage During the early stages of an incident, first responders may be overwhelmed by the scope of patients and injuries. One valuable technique is the Patient Assist Method (PAM). The responders quickly establish a casualty collection point (CCP) and advise, either by yelling or over a loudspeaker, that "anyone requiring assistance should move to the selected area (CCP)". This does several things at once: it identifies patients who are not so severely injured that they need immediate help, it physically clears the scene, and it provides possible assistants to the responders. As those who can move do so, the responders then ask, "anyone who still needs assistance, yell out or raise your hands"; this further identifies patients who are responsive yet may be unable to move. Now the responders