feeled trize

feeled trize anedi atyavasara vaidya sevala pradaatalu gayapadina vyaktiki gamyanni nirnayinche prakriya. 
prati samvatsaram, sumaru 1 million atyavasara vaidya sevalu (ems) andinchevaaru united stateslo gayapadina vyaktula samrakshana mariyu prajaarogyampai gananeeyamaina prabhavanni chuuputaaru. ems providerlu chese rojuvaaree aann-seen triage nirnayaala yokka lothaina praamukhyata sidisi-maddatugala parisoedhana dwara balopetam cheyabadindi, idhi sthaayi I trauma centerlo samrakshana andinchinappudu mottam maranaala pramaadam 25 saatam takkuvagaa undani choopistundi. gayapadina rogulandarinee level I trauma centarku ravana cheyalemu ledhaa cheyakudadu. itara aasupatrulu takkuva teevramaina gayalu unna rogula avasaralanu samarthavantamgaa teerchagalavu mariyu sanghatana sthalaaniki daggaragaa undavacchu. gayapadina rogulandarinee sthaayi I kendraalaku ravana cheyadam-gaayam teevratatoo sambandham lekunda-aaa soukaryaalalo andinchina samrakshana sthaayi nijamgaa avasaramaina rogulaku sthaayi I trauma center labhyatanu parimitam chestundi. saraina kshetra pareeksha anedi rogulanu vaari avasaraniki anugunamgaa atyanta tagina aarogya samrakshana kendraaniki ravana cheyadaanni nirdhaaristundi.
nepathyam.
unnaayi, american college off sarjan (acs) acs-coat, trauma centerlugaa soukaryaalanu gurtinchadaaniki mariyu teevramgaa gayapadina rogulaku tagina samrakshana kosam maargadarsakatvam andinchadaaniki vanarula patraalanu prachurinchadam praarambhinchindi. 
eee maargadarsakatvam kanipinchaka mundu, aaa aasupatri saamardhyamtho sambandham lekunda, mariyu tarachugaa takkuva prii hospital jokyamtho, gaayam baadhitulanu sameepa aasupatriki ravana chesevaaru. 
acs-coat kramam tappakunda vanarula patraanni savarinchindi, indulo nirnaya pathakam kooda undhi. prati savarana samayamlo, nirnaya pathakaanni acs-coat upasangham moolyaankanam chesindi, idhi andubaatulo unna saahityaanni vislaeshimchimdi, nipunula abhiprayanni parigananaloki teesukundi mariyu nirnaya pathakaaniki cherpulu mariyu tolagimpulaku sambandhinchi sifaarsulanu abhivruddhi chesindi. sifaarsula tudi aamodam acs-coat executive kamitee vadda undhi. phalitamgaa prarambha prachurana nundi, nirnaya pathakam naalugu saarlu savarinchabadindihi 1990,1993,1999 mariyu pathakam. 
iteevali samvatsaraalalo, prajaarogyam mariyu teevramaina gaayam samrakshana madhya vibhajanalo sidisi marinta churukaina paatra pooshinchindi, sahaa gaayam samrakshana parisoedhana agenda prachuranatho sahaa. sahaa, jaateeya rahadari traaphik bhadrata paripalana (nhtsa) nundi aardhika sahayamtho, nirnaya pathakam yokka 2006 savaranaku maarganirdesam cheyadaaniki sidisi feeled trize (panel) paie jaateeya nipunula panel yokka varusa samavesalanu erpaatu chesindi. eee panel savarana prakriyaku adanapu naipunhyam kaligina pratinidhulanu teesukuvacchindi (udhaa.zii., ems, emergency medicine, prajaarogyam, automotive parisrama mariyu itara federal agencylalo unna vyaktulu). nirnaya pathakaaniki maddatugaa andubaatulo unna saakshyaalapai teevramaina sameekshanu andinchadam, savarinchina pathakaanni vyaapti cheyadamlo sahayapadatam mariyu pedda prajaarogyam mariyu teevramaina gaayam samrakshana sanghaaniki antarleena hetubaddhata, kshetra vichaaranalo adanapu parisoedhana avasaranni nokki cheppadam mariyu bhavishyat savaranalaku sakshyam mariyu nirnaya punaadini erpaatu cheyadam vanti aneka lakshyalanu panel kaligi undhi. panel samavesala pradhana phalitam 2006 feeled triage nirnayam pathakamh national trauma triage protocol.
kshetra triage pramaanaala abhivruddhi.
kshetra triaz pramaanaala abhivruddhi gaayam kendraala abhivruddhiki samaantaramgaa undhi, indulo teevramgaa gayapadina rogulaku chikitsa cheyadaaniki merugaina saamarthyaalu unnavaariki anukuulamgaa sannihita soukaryaalanu daatavese bhavana kooda undhi. acs-coat yokka prarambha 1976 maargadarsakatvamlo nirdishta triage pramaanaalu laevu, conny gaaya teevrata dwara rogula stareekarananu anumatinche saareeraka mariyu shareera nirmaana charyalanu kaligi unnaayi. unnaayi kooda, acs-coat gayapadina vyaktula saraina samrakshanaku avasaramaina sibbandi pramaanaalu, soukaryam mariyu prakriyalatho sahaa gaayam kendraala dhruvikarana kosam maargadarsakaalanu abhivruddhi chesindi. chesindi mariyu 1980la praarambhamlo madhyakaalam varaku nirvahinchina adhyayanalu pratyaekamaina gaayam kendraalato united states praantaalalo maranaala taggudalanu pradarsinchaayi. eee adhyayanalu jaateeya ekaabhipraaya samavesaniki daariteesaayi, dheeni phalitamgaa phalitamgaa triage nirnayam pathakam anie piluvabade modati acs feeled triage protocols prachurinchabaddaayi. 1986 nundi, eee nirnaya pathakam united statesloni chaalaa varaku ems vyavasthalalo gaayam rogula feeled triageku aadhaaramgaa panichesindi. 
eee nirnaya pathakam united states antataa ekkuva bhaagam ems vyavasthalalo konni sthaanika mariyu praantiiya anusaranatho feeled triage protocolla kosam namoonaga panicheestuunee undhi. vyaktigata ems vyavasthalu avi panichese kaaryaacharana sandarbhaanni pratibimbimchaelaa nirnaya pathakaanni sweekarinchavachhu. udaaharanaku, nirnaya pathakaanni oka nirdishta vaataavaranaaniki (dattamaina pattana ledhaa atyanta graameena), andubaatulo unna vanarulaku (pratyeka pediatric trauma center undatam ledhaa lekapovadam) ledhaa sthaanika ems vaidya director abheeshtaanusaaram savarinchavachhu.
kshetra triage nirnaya pathakam.
feeled triage nirnayam pathakamh national trauma triage protocol.
feeled triage desition scheme national trauma triage protocol" (desition skeem) vidya chorava savarinchina nirnaya pathakam gurinchi telusukovadaaniki mariyu amalu cheyadaaniki ems providerlu, ems medical directorlu, trauma system leadership mariyu ems managementku sahaayapadataaniki abhivruddhi cheyabadindi. eee nirnaya pathakam pathakam american college off sarjan-kamitee aann trauma und national haive traaphik safety administration (nhtsa) bhaagaswaamyamto abhivruddhi cheyabadindi mariyu trauma trizelo prastuta uttama paddhatulapai aadhaarapadindi. dheenini 17 samsthalu nhta nundi sammatitoe aamodinchaayi mariyu sthaanika mariyu praantiiya kshetra triage protocols abhivruddhi, amalu mariyu muulyaankanaaniki punaadigaa uddesinchabadindi. 
eee choravalo bhaagamgaa, sidisi ems nipunula kosam upayoginchadaaniki sulabhamaina padaarthaalanu abhivruddhi chesindi. eee materials prati okkati tama communitylalo gayapadina vyaktula aarogya phalitaalanu meruguparachadamlo churukaina paatra pooshinchadaaniki ems nipunulu upayoginchagala samacharanni andistundi.

