disaster and multi-casualty triage learning objectives describe the key elements of triage...
TRANSCRIPT
LEARNING OBJECTIVES
Describe the key elements of Triage Understand the basic principles of the
START method of triage
Working Multiple- or Mass-Casualty Incidents
Report to the incident commander before going to work
Do a proper size up Clearly and accurately report the situation
Working Multiple- or Mass-Casualty Incidents
Note the following: Approximate number of patients Numbers that you've triaged into the four
levels Additional assistance required Other important information
TRIAGE
French word for SORT Concept of triage:
Method of quickly identifying victims: who have immediately life-threatening injuries who have the best chance of surviving
Triage Tags
Delayed care / can delay up to three hours
Urgent care / can delay up to one hour
Immediate care / life-threatening
Simple Triage And Rapid Treatment (START) Developed by Hoag Hospital & the Newport Fire
Department (Newport Beach, CA) Helps prepare to quickly organize resources to
handle multi-casualty emergencies
Simple Triage And Rapid Treatment ( START) system to triage multiple victims in 30
seconds or less based on three primary observations
(RPM): Respiration Perfusion Mental Status
First Step in START
Tell all the people who can get up and walk to move to a specific area
If they can get up and walk, they are probably not at risk of immediate death
Tag them -
Second Step in START
Begin by moving from where you stand Move in an orderly and systematic manner
through the remaining victims Stopping at each person for a quick
assessment and tagging The stop at each patient should never take
more than one minute
START
REMEMBER: Your job is to find and tag the patients -- those who require immediate attention Examine, correct life-threatening airway,
breathing problems, tag and MOVE ON!
Triage in Hazardous Materials Incidents Responders must protect themselves from
injury and contamination IF THERE IS ANY SUSPICION OF A
HAZARDOUS MATERIALS SPILL - STAY AWAY!
REMEMBER: Contaminated patients will contaminate unprotected rescuers!
SUMMARY
Understand the principles and operations behind the casualty sorting system
START system is an excellent and easily understood triage or casualty sorting method
Participate in periodic community disaster drills so that skills and capabilities can be tested and improved
SUMMARY
You Should Know: Your role at multiple- or mass-casualty
incidents How to use the START system How to recognize a hazardous materials
placard
SUMMARY
You Should Practice: Using the START system during a simulated
multiple- or mass-casualty incident
REMEMBER
Triage is: 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: Respiration Perfusion Mental Status