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    Start Triage

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    wawa3385
    START triage is a rapid triage approach developed in California in the 1980s to categorize casualties into minor, immediate, delayed, and deceased categories based on respiration rate, pulse, and mental status (RPM) within 30 seconds per patient. Patients are assessed based on their ability to walk, respiration rate (above or below 30), pulse (present and capillary refill under 2 seconds or absent/over 2 seconds), and ability to follow commands. The START process allows a small number of first responders to quickly sort a large number of patients.

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    Start Triage

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    wawa3385
    281 views12 pages
    START triage is a rapid triage approach developed in California in the 1980s to categorize casualties into minor, immediate, delayed, and deceased categories based on respiration rate, pulse, and mental status (RPM) within 30 seconds per patient. Patients are assessed based on their ability to walk, respiration rate (above or below 30), pulse (present and capillary refill under 2 seconds or absent/over 2 seconds), and ability to follow commands. The START process allows a small number of first responders to quickly sort a large number of patients.

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    Start Triage

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    START triage is a rapid triage approach developed in California in the 1980s to categorize casualties into minor, immediate, delayed, and deceased categories based on respiration rate, pulse, and mental status (RPM) within 30 seconds per patient. Patients are assessed based on their ability to walk, respiration rate (above or below 30), pulse (present and capillary refill under 2 seconds or absent/over 2 seconds), and ability to follow commands. The START process allows a small number of first responders to quickly sort a large number of patients.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    281 views12 pages

    Start Triage

    Uploaded by

    wawa3385
    START triage is a rapid triage approach developed in California in the 1980s to categorize casualties into minor, immediate, delayed, and deceased categories based on respiration rate, pulse, and mental status (RPM) within 30 seconds per patient. Patients are assessed based on their ability to walk, respiration rate (above or below 30), pulse (present and capillary refill under 2 seconds or absent/over 2 seconds), and ability to follow commands. The START process allows a small number of first responders to quickly sort a large number of patients.

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    Simple

    Triage
    And
    Rapid
    Treatment

    START Triage

    START Triage
    Developed in California in the early 1980s by
    Hoag Hospital and Newport Beach Fire and
    Marine (California)
    Rapid approach to triaging large numbers of
    causalities
    Easy to remember

    START Triage
    Initial patient assessment and treatment should take
    less than 30 seconds for each patient
    Patients are triaged based upon 4 factors

    Ability to walk away from the scene


    Respiration > or < 30 respirations per minute
    Pulse Radial pulse ? or capillary refill < or > 2 seconds
    Mental Status able/unable to follow simple commands

    R espirations P ulse M ental Status

    START Triage
    First - clear the walking wounded using verbal
    instructions.
    Direct them to the treatment areas for detailed
    assessment and treatment
    These Patients are triaged MINOR

    Now check your RPMs

    START Triage
    Respiration's
    None - Open the Airway
    Still None? - DECEASED
    Restored?- IMMEDIATE

    Present?
    Above 30 - IMMEDIATE
    Below 30 - CHECK PERFUSION

    RPM

    START Triage
    Perfusion
    Radial Pulse Absent
    or
    Capillary Refill > 2 secs
    IMMEDIATE
    Radial Pulse Present
    or
    Capillary Refill < 2 secs
    CHECK MENTAL STATUS

    RPM

    START Triage
    Mental Status
    Can Not Follow Simple Commands
    (Unconscious or Altered LOC)
    IMMEDIATE
    Can Follow Simple Commands
    DELAYED

    RPM

    START Triage
    If patient is immediate Code Red upon initial
    assessment, attempt only to correct airway
    blockage or uncontrolled bleeding before
    moving on to next patient.

    START Triage
    When things get hectic with multiple patients
    rev up your RPMs.

    R - Respiration - 30
    P - Perfusion - 2
    M - Mental status - CAN do
    mnemonic:

    30 2 CAN DO

    START Triage
    All Walking
    Wounded
    MINOR

    RESPIRATIONS
    Yes

    No

    Over 30/min

    Under 30/min

    IMMEDIATE

    PERFUSION
    Radial Pulse
    Absent
    Control
    Bleeding
    IMMEDIATE

    Position Airway

    Capillary
    Refill
    Over 2
    seconds

    Radial Pulse
    Present
    Under 2
    seconds

    Yes

    No

    IMMEDIATE

    DECEASED

    MENTAL STATUS

    Can't Follow
    Simple Commands

    Can Follow
    Simple Commands

    IMMEDIATE

    DELAYED

    Respiration's

    30

    Perfusion

    Mental Status

    CAN DO

    START Triage
    The START process permits a limited number
    of rescuers to rapidly triage a large number of
    patients without specialized training.
    Patients are systematically moved to treatment
    areas where more detailed assessment and
    treatment are conducted.

    START Triage

    START Triage was Developed by the


    Newport Beach (CA.)
    Fire & Marine Department
    PowerPoint Program Modified by Lt. S. Albright SC-EMS.com

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