Triage
December 21st, 2006 by Steve Pavlina
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In battlefield medicine the principle of triage involves dividing patients into three groups: 1) those who will die anyway whether they receive medical attention or not, 2) those who will survive anyway whether they receive medical attention or not, and 3) those who will survive only if they receive timely medical attention.
Despite its morbid nature, triage is extremely important if you want to maximize the number of lives you save. If you don’t do it, the results will be far worse than if you do.
Triage is also a key principle of time management. In this case you’d divide your tasks, projects, and activities into three groups:
- Projects that will fail to have a significant impact whether you do them or not.
- Projects that will succeed anyway whether you do them or not.
- Projects that will have a significant impact if you complete them in a timely manner.
Group 1 includes projects that are may be urgent or non-urgent, but they definitely aren’t important. If you focus your attention on this group, you’re just spinning your wheels while more important projects remain undone. Ask yourself what difference a project will make in 5 years, and if the answer is none, it probably belongs to this group.
Group 2 includes projects that will still get done by others even if you decline to participate. Someone else will pick up the ball if you drop it. Sometimes when we think we’re essential, we really aren’t. For example, if you quit a club or team that really seems to need you, it may do just fine without you. I’m not suggesting your participation won’t matter, just that it isn’t essential. Think of the wounded person on the battlefield who’d love some medical attention for his/her injuries but will still be OK even if no help is available.
Group 3 includes projects that are very important but rarely urgent. This is what Stephen Covey refers to as Quadrant II projects in The 7 Habits of Highly Effective People. Such projects include starting a family, launching your own business, becoming physically fit, and exploring personal development. In the long run, these projects, habits, and practices can make a huge long-term difference in your life, but they require your sustained personal attention to succeed.
Just as with battlefield medicine, the time management version of triage may sound a bit brutal: If you want to save group 3, you must withdraw your attention from groups 1 and 2. Otherwise too many good projects from group 3 will die needlessly.
Practicing triage is extremely challenging because it requires saying “no” again and again to what you may feel are good causes. It’s the time management equivalent of saying ”no” to wounded people calling for your help. You simply don’t have time to comfort all your dying projects or to nurse the non-essential ones. If you don’t learn to make these tough decisions consistently, many really good projects will die, and that would be a far greater tragedy.
The practice of triage is a challenge of consciousness. It’s easy to lose sight of the big picture when you’re staring at a project screaming for your attention. But you still need to muster the awareness to ask, “Is this the most important thing that must be done by me right now?” Whenever you fail to ask this question, you can bet there’s a more important project being stalked by the Grim Reaper.
My recommendation is to make a list of your group 3 projects and activities, and keep it handy at all times. Maybe it’s a list of your key goals, but it could just be a list of the life areas you want to attend to, such as your health, marriage, spiritual practice, etc. Review that list every day to keep refreshing its presence in your consciousness. This will help you make some of those tough triage decisions when the need arises. It’s easier to say no to groups 1 and 2 when you can see the whole battlefield in front of you.
The reason triage is so tough is that groups 1 and 2 are still deserving of your help. They’re good projects — or good people — and they need you. However, you simply won’t have time to attend to group 3 if you become mired in groups 1 and 2. While groups 1 and 2 are good, group 3 is the best. While groups 1 and 2 need you, group 3 really, really, really needs you.
Group 3 tends to be the smallest group, so it’s likely you’ll see a lot more 1s and 2s in your life. Most of the time, you have to say no to a lot of 1s and 2s just to reach the 3s, and those 1s and 2s may not want you to leave them once they have your attention. They’ll grab your arm, plead with you to stay, and try to keep you with them. As you leave they’ll think you’re the most heartless person on earth. It can be really tough to pull away in such situations, but that’s exactly what you must do if you’re to find and save those 3s.
What are the 3s in your life that are dying on the battlefield but which can still be saved if you reach them in time? Your health? Your marriage? Your career? Your happiness? In order to make time to save these 3s, what 1s and 2s are you willing to let go of?


December 21st, 2006 at 2:32 pm
[…] Triage, originated in the battlefield medicine, is a time honored technique for determine the priorities for bug fixing in the software industry. As Steve Pavlina puts it succinctly in his article Triage, all of us only have so much time on our hand, and in order for us to gain the most out of our time, we need to ensure that we handle only the vital tasks. Some of these vital tasks may not look urgent, but without our attention and effort, it will never come to fruition. The goal of triage is therefore to ensure that we prioritize efforts that will give us the biggest bang for the buck. I believe most of us in the software industry can readily agree to such assessment, except I am a bit puzzled with the declarations that these vital tasks actually are not urgent, because in software, these tasks are. […]
December 29th, 2006 at 9:16 am
[…] Here is a good article reviewing tips on making the most of your time by making wise decisions those thing to which you will give your most attention. The article sounds a lot like a portion of Covey’s 7 Habits. Good New Year’s Resolution reading. Triage […]
January 10th, 2007 at 3:51 am
[…] Ruben offers a 3-prong triage technique based off of Steve Pavlina’s ideas in order to make money blogging. Ruben doesn’t go into a lot of detail on how he’s going to accomplish the tasks to make money from blogging, but the technique itself is worth investigating and experimenting with. […]
January 15th, 2007 at 7:36 am
[…] The most obvious example is that you physically look after yourself. Take good care of your body. If you have a cold, or are exhausted from a tough week, invest the time in resting up instead of rushing out to fulfil some commitment. Steve Pavlina has a nice post on triage for life about what you commit your time to which fits very well into this. I know at the time it might seem like the most important thing in the world but if it leaves you worse off why are you commiting energy to it? […]
May 17th, 2007 at 7:48 pm
[…] Steve Pavlina has an interesting article about time management using the principle of triage, defined as: In battlefield medicine the principle of triage involves dividing patients into three groups: 1) those who will die anyway whether they receive medical attention or not, 2) those who will survive anyway whether they receive medical attention or not, and 3) those who will survive only if they receive timely medical attention. […]
January 20th, 2008 at 5:53 am
[…] What is education? There are many viewpoints. Let’s define education as the process of optimizing ourselves and others to maximize our ability to be productive in every endeavor we pursue. Productivity is not just something we do for a boss or company in exchange for money. It is also what we do for ourselves, our family and friends when we have projects to accomplish. We can achieve our goals quickly or slowly, and often the difference is simply knowing a better way or having a better tool. Sometimes it is a matter of knowing which goals have the most meaning and knowing which goals to triage. […]