WEBVTT - How Triage Works 0:00:00.280 --> 0:00:03.000 This episode of Stuff You Should Know is sponsored by 0:00:03.120 --> 0:00:06.040 squar Space. Whether you need a landing page, a beautiful 0:00:06.080 --> 0:00:09.879 gallery of professional blogger, an online store, it's all possible 0:00:09.920 --> 0:00:13.240 with the square space website. Go to squarespace dot com 0:00:13.480 --> 0:00:17.880 and set your website apart. Welcome to Stuff you Should 0:00:17.960 --> 0:00:26.880 Know from House Stuff Works dot com. Hey, and welcome 0:00:26.920 --> 0:00:30.280 to the podcast. I'm Josh Clark, and there's Chuck Bryant 0:00:30.360 --> 0:00:34.920 and there's Jerry and it's Stuff you Should Know. How's 0:00:34.960 --> 0:00:38.160 going pretty good? Do you like my Scotland shirt? That's great. 0:00:38.159 --> 0:00:40.440 You're gonna wear that in Scotland. Yeah, that's why I 0:00:40.440 --> 0:00:43.000 got it. Okay, I got a shirt for each city 0:00:43.600 --> 0:00:49.320 nice country. Well Edinburgh, yeah, yeah, that's the city. Yeah. 0:00:49.360 --> 0:00:51.839 I think they'll be behind the Scotland shirt. And they 0:00:51.840 --> 0:00:57.000 will too. They're gonna stand up and do that Arsenio like, yeah, 0:00:57.560 --> 0:01:00.480 because they're living in the eighties. Yeah, about a shirt 0:01:00.520 --> 0:01:04.560 for each city on our UK tour because I'm just 0:01:04.920 --> 0:01:09.560 you know, I can write it off and that's just 0:01:09.680 --> 0:01:13.080 the very mean thing to do. I'll keep the Manchester 0:01:14.000 --> 0:01:18.000 shirt a secret. Oh I know what it is, do you? 0:01:18.520 --> 0:01:22.080 I think? So? All right, Well, we'll talk later. Okay. 0:01:22.959 --> 0:01:26.880 In the meantime, Chuck, let's talk about trias. Let's talk 0:01:26.920 --> 0:01:33.160 about the French language. Okay, tree a okay means too short? 0:01:33.240 --> 0:01:36.120 Did you know that? Which means that Lars von Trier's 0:01:36.200 --> 0:01:39.520 name is Lars Vaughan. To sort, Yeah, sort or sift. 0:01:39.600 --> 0:01:42.600 I saw another meaning, but everywhere else said sort, and 0:01:42.640 --> 0:01:49.160 apparently it was originally used exclusively in reference to sorting vegetables. Yeah, 0:01:49.280 --> 0:01:54.320 a little known fact. But the pre industrial French society 0:01:54.480 --> 0:01:59.960 was a grarian, so they would say, and that means 0:02:00.760 --> 0:02:04.720 and they snapped their fingers and point and pile of vegetables, 0:02:04.720 --> 0:02:09.280 sort of veggies, root veggies in France. Yeah, they have 0:02:09.320 --> 0:02:13.600 those everywhere, but but they they're bonkers for root veggies 0:02:13.639 --> 0:02:17.720 in France. They have good, clean, simple food in that country. Yeah, 0:02:17.840 --> 0:02:22.520 good good food. Yeah. What's it called the French food? 0:02:23.160 --> 0:02:25.920 It's not not the trinity that's like a Cajun, but 0:02:25.960 --> 0:02:30.400 the mere poix. Oh I've not heard that before. Is 0:02:30.440 --> 0:02:33.919 it the same thing? No? I think mere poise carrot onion, 0:02:34.000 --> 0:02:41.160 and one other thing parsley, celery, celery. Jerry's the celery Jerry. 0:02:41.160 --> 0:02:44.399 I think you're right? Are you right? You know you're right, okay, 0:02:44.440 --> 0:02:48.280 in Cajun Land, it's like Bell Pepper onion and what 0:02:48.800 --> 0:02:54.040 and uh garlic it would meet garlic. I was trying 0:02:54.040 --> 0:02:56.680 to think of something funny and I failed my brain 0:02:56.800 --> 0:03:02.280 just like, yeah, well it's late in the day, trying 0:03:02.280 --> 0:03:06.480 to think of something about like an angel Heart reference. Man, 0:03:06.600 --> 0:03:10.320 that movie is crazy. Still holds up. I saw it 0:03:10.760 --> 0:03:13.280 really well. Actually I can't say it holds up because 0:03:13.280 --> 0:03:14.679 I never saw it as a kid. I saw it 0:03:14.720 --> 0:03:17.480 as an adult recently. I think it's still on Netflix. 0:03:18.600 --> 0:03:21.679 You know, Lisa Bonet is in the season of Ray 0:03:21.720 --> 0:03:29.760 Donovan and she looks exactly the same vampire perhaps very 0:03:29.800 --> 0:03:32.760 pretty lady. I was crushed on her big when I 0:03:32.800 --> 0:03:36.840 was a kid, and she's super laid back. Um, what 0:03:36.960 --> 0:03:42.920 was it Lisa Huxtable? Yeah, for sure they didn't. Her 0:03:42.960 --> 0:03:47.160 name wasn't Lisa Huxtable. It was something huxtable. Well probably 0:03:47.160 --> 0:03:49.720 not because the real names Lisa. Yes. You know, sometimes 0:03:49.720 --> 0:03:52.760 shows like used the actor's first name as the character's name, 0:03:53.240 --> 0:03:56.480 even though they're not playing themselves. I always thought that 0:03:56.560 --> 0:03:59.360 was weird. Yeah. I always wonder if it's because they 0:03:59.400 --> 0:04:02.560 have a hard time I'm remembering their characters right, or 0:04:02.600 --> 0:04:04.640 the writers like I just can't come up with a name. 0:04:05.080 --> 0:04:07.800 Just call him the real name, okay, sue me. And 0:04:07.840 --> 0:04:10.880 I know people get so tired of screaming at us 0:04:11.040 --> 0:04:14.400 about like, oh, what was the name of that? And 0:04:14.440 --> 0:04:17.240 they're like her name was this? I do that to 0:04:17.279 --> 0:04:20.400 other podcasts, so I feel your pain. I heard one 0:04:20.440 --> 0:04:22.480 just the other day. I think Judge John Hodgement he 0:04:22.480 --> 0:04:28.400 couldn't think of something, and I was like, no navy blue. Anyway, 0:04:28.440 --> 0:04:31.839 I apologize for all the things we don't know. Uh. 0:04:32.160 --> 0:04:38.360 Treer to sort was to sort vegetable foundation of the 0:04:38.480 --> 0:04:42.400 term triage. Yeah. And the reason why the French got 0:04:42.400 --> 0:04:45.960 to got naming rights for this process that will describe 0:04:45.960 --> 0:04:49.720 in a minute is because it was basically invented by 0:04:50.320 --> 0:04:54.719 a French person. Pretty remarkable guy from what I can tell. 0:04:54.880 --> 0:04:57.800 He had a great name. He was Napoleon's surgeon, the 0:04:57.880 --> 0:05:01.119 chief surgeon of Napoleon's Imperial Guard. His name was Baron 0:05:01.200 --> 0:05:07.159 Dominique Jean Larrey. Yeah, and he was, uh, he was 0:05:07.200 --> 0:05:10.279 a bad dude in all the best ways. He was. 0:05:10.360 --> 0:05:14.360 And this was at a time when warfare was getting 0:05:14.400 --> 0:05:17.400 pretty serious. Um, I mean it was already serious, but 0:05:17.920 --> 0:05:23.480 people were dying and massive amounts of people soldiers dying 0:05:23.680 --> 0:05:27.599 on the field and great, great numbers. And so he said, 0:05:27.680 --> 0:05:30.800 you know what, we need to come up with the system, 0:05:30.839 --> 0:05:33.400 a way to take care of these dudes. Uh, so 0:05:33.440 --> 0:05:35.440 they're not waiting over there with a bone sticking out 0:05:35.440 --> 0:05:39.000 of their leg waiting for attention. Well this dude also, 0:05:39.120 --> 0:05:41.280 I mean he came to this conclusion because he was 0:05:41.400 --> 0:05:46.359 running around battlefields like performing amputations and um, just in 0:05:46.400 --> 0:05:49.320 a sea of bodies. Like bite, bite on your gun 0:05:49.320 --> 0:05:53.040 barrel while I cut your leg off. Yeah that kind 0:05:53.040 --> 0:05:57.679 of thing. Yeah, um, and he barrel but stuck. Sure 0:05:58.320 --> 0:06:01.479 could bite on yourn, but be really, they needed up 0:06:01.520 --> 0:06:05.280 needing new teeth. Um, the wood is much more comfortable 0:06:05.279 --> 0:06:08.359 when you're having your leg amputative without anesthetic, I would 0:06:08.360 --> 0:06:11.600 say so. Um, but while he's running around performing these 0:06:11.600 --> 0:06:15.880 battlefield amputations, he realizes quite quick quickly that some people 0:06:15.920 --> 0:06:19.360 are in need of help more urgently than others. And 0:06:19.480 --> 0:06:22.400 he decided it would be pretty awesome if you could 0:06:22.400 --> 0:06:25.240 figure out a way, like you were saying, to devise 0:06:25.279 --> 0:06:30.040 a system of arranging people very quickly so that, um, 0:06:30.200 --> 0:06:34.080 you could give aid to the people who needed it most. 0:06:35.000 --> 0:06:37.560 And Uh, to do that, you would need to sort 0:06:37.640 --> 0:06:42.160 through the people, hence triage as if they were root vegetables. 0:06:43.200 --> 0:06:46.479 Uh so what he did initially, and it's gone through 0:06:46.480 --> 0:06:48.599 some changes that we're going to talk about, but the 0:06:48.640 --> 0:06:54.400 initial incarnation of triage was only based on severity of injuries, 0:06:54.800 --> 0:06:57.839 no other factor. Well even before that, and this is 0:06:57.880 --> 0:07:01.840 another reason this guy is awesome when he like, there 0:07:01.960 --> 0:07:04.520 was a very vague form of triage before, but it 0:07:04.600 --> 0:07:07.320 was based on your social standing. Oh really, so yeah, 0:07:07.360 --> 0:07:10.040 I was reading that, like, if you have a of course, 0:07:10.080 --> 0:07:14.160 a guy who's like, uh, an aristocrat with a broken leg, yeah, 0:07:14.200 --> 0:07:17.320 and just a grunt whose bowels are hanging out, you 0:07:17.440 --> 0:07:21.800 fix the broken leg first, which is senseless. And laure 0:07:22.120 --> 0:07:24.280 was like, no, we're not gonna do that anymore. It's 0:07:24.320 --> 0:07:28.160 going to be based on severity of of injury, yeah, 0:07:28.160 --> 0:07:31.360 their need for help. And Napoleon was like, that's great, 0:07:31.800 --> 0:07:33.280 but you know, I'm at the top of the list 0:07:33.320 --> 0:07:36.559 no matter what. Right, Hey, have you heard people calling 0:07:36.600 --> 0:07:39.000 me the anti Christ behind my back? Because I could 0:07:39.040 --> 0:07:41.360 hear rumblings about this and it's bugging me. You know, 0:07:41.400 --> 0:07:45.040 I'm not really short, I'm average. Yeah, that's true. Uh. 0:07:45.240 --> 0:07:47.160 And the process went on to change a little bit more. 0:07:47.440 --> 0:07:52.880 With British surgeon naval surgeon John Wilson in six he said, 0:07:52.920 --> 0:07:55.200 you know what, let's refine this a little bit and 0:07:55.440 --> 0:07:59.200 let's put some focus on people who can be successfully treated, 0:07:59.240 --> 0:08:02.080 so not necessary early. That guy's got all his bowels 0:08:02.120 --> 0:08:06.520 hanging out, he's the most severely injured. He thought, well, 0:08:06.560 --> 0:08:08.720 you know what, that guy might not make it, so 0:08:08.760 --> 0:08:11.320 maybe we shouldn't spend so much time. It's harsh, but 0:08:11.400 --> 0:08:13.600 it's war, it is. And that was a huge shift 0:08:13.680 --> 0:08:16.160 because it up to that point, if you were a 0:08:16.160 --> 0:08:20.760 medic um like you just treated people. Now you have 0:08:20.880 --> 0:08:23.720 a decision to make with each person. Do you let 0:08:23.760 --> 0:08:28.760 that person die? Um, because they're probably going to die 0:08:28.960 --> 0:08:31.720 and you could be saving other people rather than wasting 0:08:31.760 --> 0:08:34.560 your talents and resources on this person right here, Make 0:08:34.640 --> 0:08:38.320 them comfortable, maybe throw some morphine their way, and then 0:08:38.480 --> 0:08:40.640 you know, go about your business. That was a big 0:08:40.679 --> 0:08:44.000 big shift in in triage, in battlefield triage, and in 0:08:44.040 --> 0:08:47.200 the US it didn't um, they didn't, We didn't. We 0:08:47.280 --> 0:08:51.120 didn't catch up very quickly by the Civil War. So 0:08:51.200 --> 0:08:56.600 that guy uh Laura was was working on triage, inventing 0:08:56.600 --> 0:09:00.760 it in the seventeen nineties. Um, John Wilson refined it 0:09:00.800 --> 0:09:05.079 in the eighteen forties in the Civil War. Still we 0:09:05.080 --> 0:09:08.559 were doing like first come, first served. Whoever was closest 0:09:08.600 --> 0:09:11.240 to the medic was who got worked on first in 0:09:11.280 --> 0:09:14.240 the Civil War in the eighteen sixties. Still, it wasn't 0:09:14.320 --> 0:09:17.800 until um, I think the late eighteen sixties or early 0:09:17.840 --> 0:09:22.800 eighteen seventies that the US first started adopting even basic triage. 0:09:23.080 --> 0:09:25.440 So Britain led the way in this case, well, France 0:09:26.160 --> 0:09:29.640 and then Britain. Yeah, yeah, France led the way in mercy. 0:09:30.000 --> 0:09:33.280 Britain led the way in um saying like, no, we 0:09:33.400 --> 0:09:36.559 gotta let some people die here. Well, I would say 0:09:36.600 --> 0:09:40.600 efficiency in saving lives overall. Yeah, I mean it's a 0:09:40.679 --> 0:09:44.400 very utilitarian way of looking at and like they're they're 0:09:44.400 --> 0:09:47.520 like gotta be gotta have nerves of steel, gotta have 0:09:47.640 --> 0:09:53.160 a kung fu grip. World War One things changed again. Uh, 0:09:53.200 --> 0:09:56.480 they tweaked it and now they said, all right, maybe 0:09:56.520 --> 0:09:59.560 we should treat and you know, if this was what country, 0:09:59.559 --> 0:10:04.199 this was just generally this is a US Army manual. 0:10:04.320 --> 0:10:06.880 It was, but apparently the US wasn't alone in this. 0:10:06.960 --> 0:10:11.520 It was like a it seems like a worldwide movement 0:10:12.679 --> 0:10:18.439 shift in in triage, which was to treat, uh, how 0:10:18.440 --> 0:10:20.600 many people can you treat in the shortest amount of time, 0:10:21.120 --> 0:10:24.920 So like maybe people that don't need as much. But yeah, 0:10:24.960 --> 0:10:28.400 and the basis of this is even more steely nerved 0:10:28.440 --> 0:10:33.559 than than um John Wilson's shift, because this is saying 0:10:34.400 --> 0:10:38.160 not ignore that person, they're probably going to die. It's 0:10:38.840 --> 0:10:42.360 this person is going to die, you could probably save, 0:10:42.920 --> 0:10:44.720 but it's gonna take up too much time. And the 0:10:44.760 --> 0:10:46.920 time that it takes to save this person's life and 0:10:46.960 --> 0:10:49.520 you probably could save it. You could have fixed up 0:10:49.520 --> 0:10:52.520 twelve people who weren't going to die but can get 0:10:52.520 --> 0:10:54.839 back out and fight the war a lot faster if 0:10:54.840 --> 0:10:56.880 you work on them. And that was I think the 0:10:56.920 --> 0:10:59.679 thinking behind it, patching up people who are more likely 0:10:59.679 --> 0:11:01.839 to be a will it returned to battle, rather than 0:11:02.000 --> 0:11:05.800 saving lives of people who UH might not be able 0:11:05.880 --> 0:11:07.960 to or who would take up a lot of time, 0:11:08.480 --> 0:11:12.520 hard choices. Yeah, that's super utilitarian. That was, like you said, 0:11:12.520 --> 0:11:14.720 a surgical manual out of the military at the time 0:11:15.040 --> 0:11:18.200 said this quote, a single case, even if it urgently 0:11:18.240 --> 0:11:21.160 requires attention, may have to wait for in that time 0:11:21.200 --> 0:11:25.600 a dozen others almost equally exigent but requiring less time 0:11:26.200 --> 0:11:28.960 might be cared for. And four people died while I 0:11:28.960 --> 0:11:33.240 read that on the battlefield it could have really sum 0:11:33.240 --> 0:11:45.880 that up quicker. Uh, should we take a little break? Sure? Man, No, 0:11:56.000 --> 0:12:00.280 all right, my friend, Uh, there are we've been talking 0:12:00.280 --> 0:12:03.680 about the battlefield so far in its history. That was 0:12:03.720 --> 0:12:07.240 the origin of it. But uh, if you go to 0:12:07.320 --> 0:12:10.280 the e R. And actually I haven't been to the 0:12:10.320 --> 0:12:15.920 e R much at all in the last jeez much 0:12:15.920 --> 0:12:18.080 at all in my life. That's good. But since I 0:12:18.120 --> 0:12:20.320 was a kid, but I did go in New York remember, 0:12:20.559 --> 0:12:24.400 Oh yeah, that's right. When I got sick. I went 0:12:24.440 --> 0:12:28.600 to the emergency room in New York City, Beth Israel. 0:12:29.480 --> 0:12:34.280 And it was, man, it was a little a little scary, 0:12:35.840 --> 0:12:38.760 just the scene there. Sure, yeah, it wasn't like I'm 0:12:38.840 --> 0:12:41.160 sort of used to the hospitals around here, kind of nicer, 0:12:41.920 --> 0:12:45.480 like it had seen its better days, the e R 0:12:45.559 --> 0:12:49.080 room and the waiting room, and it was it's sad 0:12:49.160 --> 0:12:51.160 to see the people that are in there that need help, 0:12:51.320 --> 0:12:54.240 you know, in a big city like that. It's um, 0:12:54.280 --> 0:12:55.839 it's not like you know, my kid fell down and 0:12:55.880 --> 0:12:59.120 bumped his head. It's like, you know, it was disturbing. 0:13:00.280 --> 0:13:03.600 I'll just say that. Yeah, but I was triaged when 0:13:03.600 --> 0:13:06.120 I first got there. And that's what will happen to 0:13:06.160 --> 0:13:08.000 you when you go to a er there. There's gonna 0:13:08.000 --> 0:13:10.160 be a triage nurse. Somebody runs up to you and 0:13:10.160 --> 0:13:12.520 throws glitter in your face and said, you've been triaged. 0:13:17.679 --> 0:13:20.839 That's after someone already threw molasses on your face. That 0:13:20.920 --> 0:13:24.400 glitter would sticks. Yeah, So triage nurse is gonna come 0:13:24.440 --> 0:13:27.200 by and that that dude to that lady is gonna say, hi, 0:13:27.280 --> 0:13:32.960 welcome to Beth Israel. Sorry about the mess. Um, let's 0:13:33.080 --> 0:13:37.120 check you out. I'll watch your step. There's some blood. Seriously, 0:13:37.559 --> 0:13:41.600 it's kind of like that. Um and uh, they will 0:13:41.640 --> 0:13:44.240 do an assessment. They're gonna look at you and say, 0:13:44.360 --> 0:13:47.400 you know, deep, this guy has a spoon coming out 0:13:47.400 --> 0:13:50.200 of his ear, so I can make a snap judgment 0:13:50.280 --> 0:13:54.160 that you need quick help. Yeah. Or this dude in 0:13:54.160 --> 0:13:57.040 my case was just holding his belly and so he 0:13:57.080 --> 0:13:58.760 looks like he can wait, Yeah, he looks like he 0:13:58.880 --> 0:14:02.240 was shooted duck. He can sit here and hold that 0:14:02.320 --> 0:14:04.520 for a little while. She said, here, let me pull 0:14:04.559 --> 0:14:07.440 your finger. Everything will be all right. And there's what 0:14:07.480 --> 0:14:10.560 you're describing this e er triage that's done by a 0:14:10.559 --> 0:14:14.040 triage nurse, right, the first person about the first person 0:14:14.120 --> 0:14:16.360 you see when you come to an e er when 0:14:16.360 --> 0:14:20.960 they're doing triage. It's not constant necessarily they have been 0:14:21.000 --> 0:14:23.880 trained to do this, but they're also following float charts. 0:14:23.920 --> 0:14:29.200 There's there's triage protocols, different ones, and there's one from Manchester, 0:14:29.520 --> 0:14:33.040 UK and it's from what I understand, the international gold 0:14:33.080 --> 0:14:39.640 standard for triage, the Manchester Triage system And it's a band. Yeah, 0:14:39.680 --> 0:14:43.440 it is like Manhattan Transfer. Um. But it's like it's 0:14:43.440 --> 0:14:45.760 a flow chart and it basically says like, um, are 0:14:45.800 --> 0:14:49.680 they breathing? No, get them immediate help, like stop right 0:14:49.720 --> 0:14:53.160 now and immediately get them into a place where a 0:14:53.200 --> 0:14:56.560 lifesaving intervention can be carried out right. Um. And there's 0:14:56.560 --> 0:15:01.320 some other ones, but it seems like breathing is the 0:15:01.360 --> 0:15:04.760 focus of it. That's good, Yeah it is, but but 0:15:04.840 --> 0:15:07.480 I mean you think about it, you would think there'd 0:15:07.520 --> 0:15:09.800 be some other ones too, like as are there is 0:15:09.840 --> 0:15:12.440 their blood coming out of their ear or something like that. No, 0:15:12.640 --> 0:15:16.600 it's mostly breathing. Like if if you're breathing, there's a 0:15:16.640 --> 0:15:19.400 pretty good chance you're you're gonna make it, especially if 0:15:19.440 --> 0:15:22.200 you have a normal breathing pattern, right. Um. And but 0:15:22.240 --> 0:15:24.120 then there's some other ones like if if the person 0:15:24.200 --> 0:15:29.720 is not responsive or if they're drooling. Apparently it's another one. Um, 0:15:29.760 --> 0:15:32.240 there are a couple of jewelers in the r Israel. 0:15:32.520 --> 0:15:35.280 They should have been seen immediately according to the Manchester 0:15:35.720 --> 0:15:39.720 UM triage system. So, um, there's like a float chart. 0:15:39.760 --> 0:15:43.160 You don't have to It's not necessarily just the nurses 0:15:43.280 --> 0:15:47.280 subjective judgment. It's not supposed to be. I'm sure it 0:15:47.440 --> 0:15:50.240 is in like high stress situations and with really highly 0:15:50.280 --> 0:15:53.280 trained triage nurses they can just be like, yeah, this 0:15:53.960 --> 0:15:58.120 move that person there, you go sit down, you go home. Um. 0:15:58.160 --> 0:15:59.880 But for the most part, it's supposed to be a 0:16:00.360 --> 0:16:04.880 UM an objective system that you can just consult and 0:16:04.920 --> 0:16:09.320 be like, okay, well here here's where you fit paper. 0:16:09.400 --> 0:16:12.040 You're so smart, why don't you just treatage everybody yourself? 0:16:12.480 --> 0:16:15.560 Well beyond the initial UH flow chart to they're also 0:16:15.600 --> 0:16:18.880 going to take some vitals. Um, here your complaint in 0:16:18.920 --> 0:16:22.400 your medical history, allergies, all that good stuff, medications you 0:16:22.440 --> 0:16:25.440 might be on, and then take your vitals, blood pressure, temperature, 0:16:25.480 --> 0:16:28.000 all that good stuff. Yeah, if if you're not in 0:16:28.080 --> 0:16:31.200 that group where they're just like to send them right back. Yes, 0:16:31.240 --> 0:16:33.120 And by the way, I'm not knocking beth is reel 0:16:33.680 --> 0:16:37.000 because Nurse Eddie there, this dude, the guy who didn't 0:16:37.040 --> 0:16:40.280 believe that you were sick. Yeah, a little bit. He 0:16:40.680 --> 0:16:43.240 was amazing and took wonderful care of me and was 0:16:43.280 --> 0:16:46.360 like the typical New York nurse that you might think 0:16:46.400 --> 0:16:49.280 of this sort of like he had the accent, and 0:16:49.360 --> 0:16:52.520 he was like a very kind of cool customer dude, 0:16:52.520 --> 0:16:54.880 like I would have felt very comfortable walking into his 0:16:55.000 --> 0:16:57.960 arms like a gunshot, because I'm sure he could have 0:16:58.000 --> 0:17:00.480 like totally taken care of me. But he did get 0:17:00.520 --> 0:17:03.960 a little like like I couldn't figure out what's wrong 0:17:04.000 --> 0:17:06.720 with me at first, and then after I got better 0:17:07.440 --> 0:17:09.520 and they knocked me out and gave me fluids and 0:17:09.560 --> 0:17:12.600 I woke up. I had a I was like, all right, great, 0:17:12.600 --> 0:17:13.800 and you know, I'm out of here. And I felt 0:17:13.800 --> 0:17:16.159 this lump, remember that, I felt a lump behind my 0:17:16.200 --> 0:17:18.919 ear the size of a golf ball. And I walked 0:17:18.960 --> 0:17:21.800 back in. I was like, Nurse Eddie, dude, I got like, 0:17:21.920 --> 0:17:24.000 what is this? And he kind of gave me one 0:17:24.040 --> 0:17:26.119 of those looks like, oh, you're one of those guys. 0:17:27.359 --> 0:17:32.200 And I was like, I'm not a hypochondriac. I'm never 0:17:32.520 --> 0:17:35.800 at the doctor. I've never been to the e R hardly, like, 0:17:35.920 --> 0:17:39.720 please don't look at me those eyes. Nurse Eddie and um, 0:17:39.760 --> 0:17:42.560 he felt it and I was like, see, it's like 0:17:42.640 --> 0:17:44.919 it's huge. And I think he determined that it was 0:17:44.960 --> 0:17:46.880 some kind of like he had a doctor come over 0:17:47.560 --> 0:17:50.160 and they determined it was just a swelling of lymph 0:17:50.240 --> 0:17:56.399 node from hypochondria brought on by my sickness. But anyway, 0:17:56.400 --> 0:17:58.679 big shout out. It turned out to be you had 0:17:58.720 --> 0:18:02.359 snakes in your belly. Yeah. If I passed out on 0:18:02.400 --> 0:18:05.840 the subway, woke up two days later in Coney Island, 0:18:06.320 --> 0:18:11.920 I had thirteen snakes in my belly, no more, no less. 0:18:11.920 --> 0:18:18.840 So weird. So um. They gather these details in the 0:18:19.000 --> 0:18:23.200 triage didn't take long. They use the color coded system 0:18:23.240 --> 0:18:26.760 in some hospitals. Numbers and some were both things on 0:18:27.040 --> 0:18:31.000 where you are. Yeah, what's this is astounding to me? 0:18:31.240 --> 0:18:36.000 It's not universal, Like the colors aren't universal. Numbers seem 0:18:36.080 --> 0:18:39.119 to be like nobody does it backwards, but the color 0:18:39.200 --> 0:18:42.359 should be the exact same too. So for example, like 0:18:42.440 --> 0:18:46.600 in Manchester's jam Like the worst of all is red. 0:18:47.600 --> 0:18:51.480 See red? Making sense? No another trio system blues? The 0:18:51.520 --> 0:18:54.399 worst code blue. Yeah, I think you hear that a 0:18:54.400 --> 0:18:57.360 lot on American TV, but it's a It's a real thing, 0:18:57.560 --> 0:19:00.679 at least in the States. So I I think that 0:19:00.760 --> 0:19:03.360 everybody should get together and agree on a color system 0:19:03.920 --> 0:19:07.040 because the whole point of triage is rapid fire. Let's 0:19:07.040 --> 0:19:09.679 get this done. Not oh, well, which system did you 0:19:09.760 --> 0:19:13.520 triage them? Because I'm I'm I enjoy a spotted t 0:19:13.760 --> 0:19:17.040 so I'm a fan of the Manchester system, so this 0:19:17.040 --> 0:19:20.359 this red is completely odd to me. Yeah, but you 0:19:20.359 --> 0:19:22.280 know the one your hospital uses, so you're probably not 0:19:22.320 --> 0:19:27.200 getting confused as the triage nurse. Yeah, I guess it's true, 0:19:27.359 --> 0:19:29.520 But I mean, I know what you mean. There's just 0:19:29.680 --> 0:19:31.760 you should you should go out of your way to 0:19:32.600 --> 0:19:37.400 um take out any possible you get transferred to another hospital. Yeah, 0:19:37.440 --> 0:19:39.800 there's just I think there should be universal colors. I 0:19:40.320 --> 0:19:43.159 have a strong opinion on that. I totally agree. If 0:19:43.160 --> 0:19:46.080 you're a kid, you may get sent to closer to 0:19:46.119 --> 0:19:48.480 the front of the line um or if you have 0:19:48.560 --> 0:19:52.399 a history of illness or like you have cancer or 0:19:52.440 --> 0:19:56.119 something like, if you have an outstanding condition already, you 0:19:56.160 --> 0:19:59.160 may be shuffled to the front um or. And this 0:19:59.200 --> 0:20:01.200 makes a lot of sense to me. A lot of 0:20:01.240 --> 0:20:03.320 times now they have what they call it a different track. 0:20:03.359 --> 0:20:06.159 They have two tracks. Um, if you're in severe distress, 0:20:06.200 --> 0:20:09.399 you're in one gets you right away. But if you 0:20:09.400 --> 0:20:11.960 have another one doesn't necessarily mean you're gonna wait eight hours. 0:20:12.080 --> 0:20:14.119 They'll just put you in a different track, right for 0:20:14.200 --> 0:20:16.960 the less severe cases. Yeah, you go see the doctor 0:20:17.000 --> 0:20:20.359 who's been caught drinking on the job. You know that's right. 0:20:20.560 --> 0:20:23.560 All right, Well, let's talk about those color codes since 0:20:23.600 --> 0:20:27.399 you mentioned it. Okay, here in the US, code blue, 0:20:27.440 --> 0:20:30.919 like you said, is the most that means come right away. 0:20:31.240 --> 0:20:34.920 I understand the use of blue. It's um like they're 0:20:34.960 --> 0:20:38.960 turning blue, yes, cyanotic? Okay, right, that it makes sense. 0:20:39.080 --> 0:20:42.280 But again red makes sense too. Yeah, you hear code 0:20:42.320 --> 0:20:45.639 red and that doesn't sound great. It doesn't make me 0:20:45.680 --> 0:20:48.760 think like, oh, they'll be fine. Well code red it's 0:20:48.800 --> 0:20:52.040 category too though, so it is serious. That means they 0:20:52.080 --> 0:20:57.200 require immediate attention. But they're just not blue, right, they're 0:20:57.200 --> 0:21:00.880 still breathing. Uh, then what he got got an orange 0:21:01.359 --> 0:21:05.040 mid level Okay, you got gray, which means you're sick, 0:21:05.800 --> 0:21:08.760 but it's like a bad cold. Really, gray should be 0:21:08.800 --> 0:21:13.040 the worst. If you're gray, you've already passed blue. That's true, 0:21:13.480 --> 0:21:17.960 you're uh. And then the least urgent is green, which 0:21:18.040 --> 0:21:21.040 just means you want someone to love you. Yeah, it 0:21:21.080 --> 0:21:23.280 means you're you're med seeking. Yeah, you shouldn't be in 0:21:23.320 --> 0:21:25.479 the er basically, right, and that's not a joke. That 0:21:25.560 --> 0:21:28.320 literally means you don't have an emergency, right they they 0:21:28.400 --> 0:21:32.200 if if you are deemed code green five, do they 0:21:32.280 --> 0:21:35.120 send you home? Yeah? Or else they'll be like, there's 0:21:35.119 --> 0:21:38.399 a minute clinic down the street, go there. Yeah, you don't, 0:21:38.800 --> 0:21:43.760 you're wasting valuable resources here, go away. So then across 0:21:43.800 --> 0:21:46.639 the pond and then under the Manchester scale, the worst 0:21:46.720 --> 0:21:50.479 is code red, followed by code orange, then code yellow, 0:21:51.000 --> 0:21:59.119 then code green, then code blue, then code earl gray. Wow, 0:21:59.320 --> 0:22:02.120 code blue is the least Yes, yeah, see you got 0:22:02.119 --> 0:22:04.840 a point like that's you can't have one color be 0:22:04.920 --> 0:22:08.000 the worst possible thing and one color be the the 0:22:08.080 --> 0:22:14.000 least dangerous, especially in an increasingly globalized world. I don't 0:22:14.040 --> 0:22:18.040 like it either, Um, what can we do? Should we 0:22:18.040 --> 0:22:22.879 start a movement? Yes? We should online petitions. How does 0:22:22.920 --> 0:22:24.960 that get done? Or just yell about it on Facebook? 0:22:25.640 --> 0:22:29.160 I think the Facebook wanna that's that's the best shot 0:22:29.240 --> 0:22:34.360 we have. That's how you accomplish things. Um, triage if 0:22:34.359 --> 0:22:37.160 there's I mean, we talked about battlefield, we talked about 0:22:37.520 --> 0:22:42.160 regularly er. But then there's of course, like when bad 0:22:42.200 --> 0:22:45.560 things happen, like in New York when that building exploded. Yeah, 0:22:45.760 --> 0:22:48.920 those are called incident triage. Yea, like a natural disaster 0:22:49.080 --> 0:22:52.200 or something. Yeah, uh that Harlem explosion, right, it was 0:22:52.200 --> 0:22:57.000 a gas explosion in Harlem. Yeah. Um, so triage works 0:22:57.040 --> 0:23:01.040 anytime there's a scarcity of resources in a high demand 0:23:01.359 --> 0:23:04.200 of for medical care. It's a good way to say. 0:23:04.280 --> 0:23:07.199 It's just it's healthcare rashing. It's it's it's saying like, 0:23:07.320 --> 0:23:09.199 we don't have enough resources for all you people, so 0:23:09.240 --> 0:23:11.560 we're gonna have to figure out who's worse, right, and 0:23:11.600 --> 0:23:13.840 you're supposed to do it very quickly. But yeah, with 0:23:13.920 --> 0:23:18.800 incident triage. Um, there's actually a really clever thing called 0:23:18.840 --> 0:23:22.400 the met tag. Then that article you sent was awesome 0:23:22.440 --> 0:23:25.959 and it was a fast code design article, and there's 0:23:26.080 --> 0:23:30.119 basically a triage code system that's used out in the 0:23:30.160 --> 0:23:34.560 field Um that you'll see people who are victims of 0:23:34.600 --> 0:23:37.280 like an explosion or a plane crash or something like that, 0:23:37.560 --> 0:23:39.840 and they'll have tags around their necks with the color 0:23:39.920 --> 0:23:43.080 code attached. And that was invented by a guy named 0:23:43.160 --> 0:23:47.880 Robert bludgett Um in Jacksonville, Florida, in the early nineteen sixties, 0:23:48.080 --> 0:23:50.960 in response to the Cuban missile crisis. Yeah. I thought 0:23:50.960 --> 0:23:54.199 that was so interesting. It did not exist. Um, he 0:23:54.280 --> 0:23:58.600 was a civil defense director and America was super scared, 0:23:58.760 --> 0:24:01.480 especially Florida at the time time, because the Soviet Union 0:24:01.520 --> 0:24:06.000 had nuclear missiles pointed at us right off the coast, 0:24:06.920 --> 0:24:09.879 what ninety miles off the coast of Florida, and people 0:24:09.920 --> 0:24:13.119 were freaking out. And um, he was one of him. 0:24:13.240 --> 0:24:16.000 He wasn't freaking out, and he seemed like a cool customer. Yeah, 0:24:16.080 --> 0:24:20.160 but he was definitely worried. But no, he doesn't seem 0:24:20.200 --> 0:24:22.240