In triaging airplane crash victims, which client should be seen first?

In an emergency triage situation, especially one involving an airplane crash with potentially numerous injured individuals, the primary goal is to identify and prioritize patients based on the severity of their conditions and the likelihood of survival with timely intervention.

The 14-year-old with asthma and wheezing is categorized as the client who should be seen first due to the acute nature of respiratory distress. Asthma exacerbations can escalate quickly and may lead to respiratory failure if not treated promptly. The wheezing indicates significant airway obstruction, and without immediate medical intervention, this patient is at a high risk of severe complications, including hypoxia and potentially death.

In comparison, while the 22-year-old with a laceration and confusion is certainly concerning, confusion may not indicate an immediately life-threatening issue like compromised airway. The minor arm laceration of the 75-year-old poses a lower risk compared to respiratory distress. As for the pregnant woman experiencing mild contractions, while it is essential to monitor her condition closely due to potential implications for the fetus, mild contractions alone do not typically warrant immediate attention over an acute respiratory issue. Therefore, prioritizing the patient in respiratory distress reflects the principles of emergency triage where airway, breathing, and circulation are prioritized.