When patients flood The Pitt after a massive bridge collapse, Dana assigns this color tag to the "walking wounded" who can follow commands and move on their own.
What is Green?
Before a disaster even strikes Pittsburgh, The Pitt’s administration focuses on this first phase of the disaster management cycle, aimed at preventing or reducing hazards.
What is Mitigation?
A critically injured steelworker arrives at The Pitt. The team knows they are racing against this 60-minute window where rapid perfusion must be reestablished to prevent mortality.
What is the Golden Hour?
A patient is brought to The Pitt after a high-speed crash on the turnpike. The nurses closely monitor this non-elastic organ in the left upper quadrant, as it is the most frequently injured abdominal organ in blunt trauma.
What is the spleen?
If an active shooter breaches the doors of The Pitt, the staff is trained to protect themselves first by following this three-word survival protocol so they can eventually care for patients.
What is Run-Hide-Fight?
The medical team at The Pitt uses this five-letter acronym for their disaster triage algorithm, which evaluates patients based on Respirations, Perfusion, and Mental Status.
What is START (Simple Triage and Rapid Treatment)?
Following a mass casualty event, The Pitt must deal with a massive influx of patients. Opening up beds by rapidly discharging less-acute patients is part of creating this type of capacity.
What is Surge Capacity?
The trauma nurses at The Pitt conduct the primary survey using this five-letter acronym format, starting with Airway and ending with Exposure/Evacuation.
What is A-B-C-D-E?
An ironworker sustains blunt force trauma to the chest, creating a free-floating segment of ribs that moves paradoxically. The Pitt team immediately diagnoses this condition.
What is a flail chest?
To empower the Pittsburgh community to save lives before paramedics arrive, The Pitt nurses teach this national campaign focusing on direct pressure, wound packing, and tourniquet application.
What is "Stop the Bleed"?
During a mass casualty influx, a patient arriving at The Pitt who is breathing, but at a rate of over 30 breaths per minute, immediately receives this color tag.
What is Red (Immediate)?
When a disaster is declared, The Pitt organizes its emergency response using this standardized logistical structure, led from the top by an Incident Commander.
What is the Incident Command System (ICS)?
If a patient at The Pitt is bleeding heavily, the team works frantically to prevent the lethal "Trauma Triad of Death": Acidosis, Coagulopathy, and this third condition.
What is Hypothermia?
A patient at The Pitt with a severe chest injury shows hypotension, jugular venous distention, and muffled heart sounds—the classic Beck's Triad for this life-threatening condition.
What is Cardiac Tamponade?
When treating gunshot victims, the nurses at The Pitt meticulously preserve forensic evidence by placing the patient's clothing and hands in this specific type of bag.
What is a paper bag?
The nurse Perlah knows that if a triage patient is breathing but lacks this specific wrist pulse, they must be tagged as "Immediate" to quickly control bleeding.
What is a radial pulse?
If the hospital's infrastructure is compromised by an external environmental disaster, the staff at The Pitt must quickly decide whether to evacuate patients or initiate this protocol to keep everyone safely inside.
What is Shelter-in-Place?
The "third peak" of trauma deaths happens days or weeks after the initial injury at The Pitt, largely driven by hospital-acquired complications like ARDS, blood clots, and this systemic infection.
What is sepsis?
In a penetrating trauma case at The Pitt, nurses know that a bullet creates a permanent cavity, but high-velocity bullets also create this "ripple effect" of tissue destruction as they move through the body.
What is a temporary cavity?
During a mass shooting response at The Pitt, nurses know they must absolutely NOT cut through these specific marks on a patient's clothing in order to preserve ballistic evidence.
What are bullet holes?
A victim brought to The Pitt who has no spontaneous respirations—even after the team attempts to reposition their airway—receives this grim color tag.
What is Black (Expectant/Deceased)?
In the aftermath of a tragic event at The Pitt, the "Recovery" phase emphasizes offering this specific type of support to traumatized patients, families, and the healthcare responders themselves.
What is psychosocial (or mental health) support?
To fully expose the patient in the trauma bay and inspect their posterior surfaces, the nurses at The Pitt use this specific maneuver while maintaining strict spinal immobilization.
What is the log-roll?
This immediate but temporary loss of all spinal reflexes below the level of an injury makes it impossible for The Pitt neurologists to determine the true extent of a patient's spinal cord damage until it resolves.
What is Spinal Shock?
The Pitt nurses use their situational awareness to recognize "red flags" for violence, including toxic stress, bullying, and this specific type of domestic violence that can escalate to a mass shooting.
What is intimate partner violence?