Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 60 views

    Disaster and Multi-Casualty Triage

    Uploaded by

    Mahesh Boopathy
    The document discusses disaster triage and the START triage system. It describes the key elements of triage as quickly identifying victims with life-threatening injuries who can survive. It outlines the START system which evaluates patients based on respiration, perfusion, and mental status to categorize them as red, yellow, green, or black. The START system allows rapid assessment of multiple victims within 15 seconds each.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    Disaster and Multi-Casualty Triage

    Uploaded by

    Mahesh Boopathy
    60 views20 pages
    The document discusses disaster triage and the START triage system. It describes the key elements of triage as quickly identifying victims with life-threatening injuries who can survive. It outlines the START system which evaluates patients based on respiration, perfusion, and mental status to categorize them as red, yellow, green, or black. The START system allows rapid assessment of multiple victims within 15 seconds each.

    Original Description:

    triage

    Original Title

    triage

    Copyright

    © © All Rights Reserved

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The document discusses disaster triage and the START triage system. It describes the key elements of triage as quickly identifying victims with life-threatening injuries who can survive. It outlines the START system which evaluates patients based on respiration, perfusion, and mental status to categorize them as red, yellow, green, or black. The START system allows rapid assessment of multiple victims within 15 seconds each.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    60 views20 pages

    Disaster and Multi-Casualty Triage

    Uploaded by

    Mahesh Boopathy
    The document discusses disaster triage and the START triage system. It describes the key elements of triage as quickly identifying victims with life-threatening injuries who can survive. It outlines the START system which evaluates patients based on respiration, perfusion, and mental status to categorize them as red, yellow, green, or black. The START system allows rapid assessment of multiple victims within 15 seconds each.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    You are on page 1of 20

    Disaster and

    Multi-Casualty Triage
    Learning Objectives

    • Describe the key elements of


    disaster triage
    • Understand the basic principles of
    Mass Casualty Triage (START)
    Performance Objectives

    • At the end of the course the student


    should be able to:
    • Apply the principles of disaster triage
    • Understand the concept of reverse
    triage
    Triage

    • [French, from trier, to sort, from Old


    French.]
    • A method of quickly identifying victims
    who have immediately life-threatening
    injuries AND who have the best chance
    of surviving.
    Tagging

    • Complements
    Triage
    • Rapid Identification
    of patient
    • Color Coded / Bar
    Coded system
    • Plastic “bands”
    can substitute tags
    Noji
    Nojiet
    etal,
    al,NEJM
    NEJM
    START SYSTEM

    • Created in the 1980’s by Hoag Hospital


    and the Newport Beach CA Fire Dept
    • Allows rapid assessment of victims
    • It should not take more than 15 sec/ Pt
    • Once victim is in treatment area more
    detailed assessment should be made
    START SYSTEM

    Clasification is based on three items

    • Respiratory
    • Perfusion
    • Mental status evaluation
    START First Step

    Can the Patient Walk?

    YES NO

    Evaluate
    Green Ventilation
    (Minor) (Step-2)
    START Step-2
    Ventilation Present?
    NO YES

    Open Airway

    Ventilation Present? > 30/Min < 30/min

    NO YES Red/ Immediate

    Black Red/ Immediate Evaluate Circulation


    (Step-3)
    START Step-3
    Circulation

    Absent Radial Pulse Present Radial Pulse

    Control Hemorrhage
    Evaluate Level of
    Consciousness
    Red/ Immediate
    START Step-4
    Level of Consciousness

    Can’t Follow Simple Can Follow Simple


    Commands Commands

    Red/ Immediate Yellow/ Delayed


    Contaminated Patients
    • Patients with exposure (potential or
    real) to contaminants should be tagged
    as BLUE
    • This category will continue to stay until
    patient is adequately decontaminated
    then follow START as usual
    • Some recommend a “double tagging”
    with blue and the standard START color
    START-Overview
    • Remember RPM
    • R- Respirations- 30
    • P- Perfusion- Radial Pulse
    • M- Mental- Follows Commands
    START System and the
    Evidence
    Reverse Triage

    • Used in mass-casualty lightning


    injuries
    • The dead are treated first
    • High potential for respiratory arrest
    • Potential for resuscitative success
    Conclusions
    • Triage is a method of quickly identifying
    victims who have immediately life-
    threatening injuries AND who have the best
    chance of surviving
    • Key elements of the START Triage System
    are: Respiration, Perfusion and Mentation
    • Reverse Triage is used for mass casualty
    lightning incidents.

    You might also like