TRIAGE How To Handle Multiple Injured People

2 Triage  The process of sorting patients based on the seriousness of their injuries  Use triage if there are numerous patients involved  Determine who may need help and who needs to be transported in what order

3 S.T.A.R.T.  SIMPLE  TRIAGE  AND  RAPID  TRANSPORT  The process is based on the process of rapidly assessing ABCD

4 Colours

5 Scene survey  Note the time  Are there any further dangers to myself, the patients or any others?  What is the mechanism of injury (what happened)?  Is there more that one person injured? YES  Do I require assistance with handling the scene? YES call for help

6 Voice triage  Begin sorting patients by calling out, "Canadian Ski Patrol, if you can walk, come to the sound of my voice."  If there are injured or non-injured people who can walk, they are "Green"

7 Follow a systematic route  Start where you stand  Start with the closest patients  Work outward in a systematic fashion

8 Triage Colours  Assess each patient for ABCDs  Check if they are breathing. If not, reposition their airway and check again  Any unconscious, breathing person should be put in the recovery position so they can keep breathing  Major bleeding should be controlled  Assign each patient a tag/colour

9 Document  After you triage patients in an area  Record the number of patients by triage colour and their locations  This documentation will help responders and back up when they arrive

10 Triage Pitfalls  No team plan, organization, or goal  Indecisive leadership about where to start and what to do  Too much focus on one injury or person  Treatment rather than triage

Triage and Gloves  Change protective gloves every time you handle a new patient.  Gloves must be changed to avoid any possible cross-contamination 11