S.T.A.R.T. Triage S.T.A.R.T. Logo and Algorithm reprinted with permission of Hoag Memorial Hospital Presbyterian and Newport Beach Fire Department.

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Presentation transcript:

S.T.A.R.T. Triage S.T.A.R.T. Logo and Algorithm reprinted with permission of Hoag Memorial Hospital Presbyterian and Newport Beach Fire Department.

Course Objectives Define MCI Describe Levels of On-scene Triage for MCI Describe the Use and Purpose of START Triage as an Initial Triage System Describe the Accepted Use of START Triage Tags

MCI Multi Casualty Incident An accident or emergency that overwhelms local response capability

ICS Creates and provides for compatibility and integration of all responding agencies

ICS Incident Command System Structural approach to emergency response –Personal Roles –Lines of Authority –Effective Communication

MCI? Multi Casualty Incident Mass Casualty Incident MVI Multi or Mass Victim Incident

Field Triage Accomplish the greatest medical good for the greatest number of people

Effective Field Triage Medically responsible Rapid Simple Smooth Transitions

Field Triage Consortium Medical Command TriageTreatmentTransport Primary Triage Tertiary Triage Secondary Triage

Speed Accuracy Organization

3 Assessments Ventilation Perfusion Cognition 2 Treatments Airway Maintenance Hemorrhage Control

RESPIRATION NONEYES REPOSITION AIRWAY ASSESS RESPIRATIONS/VENTILATION NONE DECEASED YES IMMEDIATE < 30/MINUTE ASSESS PERFUSION > 30/MINUTE IMMEDIATE PERFUSION < 2 SECONDS ASSESS MENTAL STATUS > 2 SECONDS CONTROL BLEEDING IMMEDIATEED MENTAL STATUS FOLLOWS SIMPLE COMMANDS DELAYED FAILS TO FOLLOW SIMPLE COMMANDS IMMEDIATE

RESPIRATIONS/VENTILATION NONEYES REPOSITION AIRWAY ASSESS RESPIRATIONS/VENTILIATION NONE DECEASED YES IMMEDIATE < 30/MINUTE ASSESS PERFUSION > 30/MINUTE IMMEDIATE

PERFUSION < 2 SECONDS ASSESS MENTAL STATUS > 2 SECINDS CONTROL BLEEDING IMMEDIATE

MENTAL STATUS FOLLOWS SIMPLE COMMANDS FAILS TO FOLLOW SIMPLE COMMANDS DELAYED IMMEDIATE

START WHERE YOU STAND

Walking Wounded

Primary Triage Rapid patient assessment and tagging Immediate live sustaining care, as necessary

Secondary Triage Document, reassess and sort patients by treatment needs Provide medical treatment as appropriate and available

Tertiary Triage Reassess condition of patients relevant to resources, transportation and medical facilities Determine priority for disposition of patients from incident site

Normal Pediatric Vital Signs

Exercise Objectives Rapid and accurate application of START Triage during an MCI