Mass casualty incident triage
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Background
- Used by first responders to quickly classify victims during a mass casualty incident (MCI) based on the severity of their injury
Classification[1]
- four categories:
- Immediate (red)
- Delayed (yellow)
- Walking wounded/minor (green)
- Deceased/expectant (black)
Simple Triage and Rapid Treatment (START)=
- Able to walk relocate to a certain area (green)
- Non-ambulatory patients are then assessed
- No respirations --> position airway
- No respirations (black)
- Respirations (immediate)
- Yes respirations
- >30/min (immediate)
- <30 --> check perfusion
- Radial pulse absent OR CRT >2 seconds
- Control bleeding (immediate)
- Radial pulse present OR CRT <2 seconds ---> check mental status
- Can't follow simple commands (immediate)
- Can follow simple commands (delayed)
- Radial pulse absent OR CRT >2 seconds
- No respirations --> position airway
JumpSTART (Pediatric patients)
See also
Notes
- ↑ Lerner EB, Schwartz RB, Coule PL, et al. "Mass Casualty Triage: An Evaluation of the Data and Development of a Proposed National Guideline." Disaster Medicine and Public Health Preparedness 2(Suppl. 1) 2008, pp S25-S34.