1. Triage
© BASICS Education March 2019

2. Triage - objectives Understand the nature of triage
Describe where triage is carried out

3. Triage
Why
Where
When
Who

4. C.S.C.A.T.T.T. Triage Treatment Transport Triage, from the French
to sieve or to sort

5. Triage - aims
Right patient
Right place
Right time
Right transport

6. Triage - dynamic system
First look – on scene
Casualty Collection Point – identified locations around the ship
Evacuation
Medical centre
Evacuation from ship

7. Triage - priorities P T Description Colour 1 Immediate Red 2 Urgent
Yellow 3
Delayed
Green
1 hold
Dead 4
Expectant
Blue
White/Black

8. Triage - Priority 1 (Immediate)
Casualties who require immediate life-saving interventions T1

9. Triage - Priority 2 (Urgent)
Casualties who
require surgical or
other interventions
within hours T2

10. Triage - Priority 3 (Delayed)
Casualties whose
treatment may be
safely delayed for
>4 hours T3

11. Triage - Priority 4 (Expectant)
Casualties whose injuries are either so severe that they are unlikely to survive, or whose treatment would compromise the care of others
Highest level decision T4

12. Triage
Decisions need to be made
quickly
safely
reproducibly

13. Triage Sieve On-scene first look Can they walk?
No interventions EXCEPT :
opening the airway/recovery position
tourniquet
Can they walk?
“If you can walk go over there”

14. BREATHING? when airway opened
Triage sieve Y
PRIORITY 3 (Delayed)
WALKING? N N
BREATHING? when airway opened
DEAD Y Y
RESPIRATORY RATE
<10
>30
PRIORITY 1 (Immediate)
>120
PRIORITY 2 (Urgent)
PULSE RATE
<120

16. Paediatric Triage Tape
OPTIONAL SLIDE

17. Triage Sort Follows Triage Sieve Triage Revised Trauma Score (TRTS)
Reassesses clinical priorities
Allows a senior clinician to input as well
Triage Revised Trauma Score (TRTS)
GCS
Systolic BP
Respiratory rate

18. Triage labelling Indicates that triage has been done
Indicates the current triage priority
Forms part of the patient records

19. Triage Labelling
OPTIONAL SLIDE

20. Alternatives? Simple alternatives
coloured sticky tape
Coloured clothes pegs
big pen
The only absolute requirement is that everyone must understand the system

21. Identifying the T4 category
EXPECTANT T3
expectant T3

22. Triage
Questions?

23. Triage - summary Triage is the first step in medical support
Triage is dynamic
Triage sieve quickly assigns priorities
Triage sort refines the priorities
Triage labels indicate current priority

24. Carnival UK Immediate Care Course