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S.T.A.R.T. Triage S.T.A.R.T. Logo and Algorithm reprinted with permission of Hoag Memorial Hospital Presbyterian and Newport Beach Fire Department.
Course Objectives Define MCI Describe Levels of On-scene Triage for MCI Describe the Use and Purpose of START Triage as an Initial Triage System Describe the Accepted Use of START Triage Tags
MCI Multi Casualty Incident An accident or emergency that overwhelms local response capability
ICS Creates and provides for compatibility and integration of all responding agencies
ICS Incident Command System Structural approach to emergency response –Personal Roles –Lines of Authority –Effective Communication
MCI? Multi Casualty Incident Mass Casualty Incident MVI Multi or Mass Victim Incident
Field Triage Accomplish the greatest medical good for the greatest number of people
Effective Field Triage Medically responsible Rapid Simple Smooth Transitions
Field Triage Consortium Medical Command TriageTreatmentTransport Primary Triage Tertiary Triage Secondary Triage
Speed Accuracy Organization
3 Assessments Ventilation Perfusion Cognition 2 Treatments Airway Maintenance Hemorrhage Control
RESPIRATION NONEYES REPOSITION AIRWAY ASSESS RESPIRATIONS/VENTILATION NONE DECEASED YES IMMEDIATE < 30/MINUTE ASSESS PERFUSION > 30/MINUTE IMMEDIATE PERFUSION < 2 SECONDS ASSESS MENTAL STATUS > 2 SECONDS CONTROL BLEEDING IMMEDIATEED MENTAL STATUS FOLLOWS SIMPLE COMMANDS DELAYED FAILS TO FOLLOW SIMPLE COMMANDS IMMEDIATE
RESPIRATIONS/VENTILATION NONEYES REPOSITION AIRWAY ASSESS RESPIRATIONS/VENTILIATION NONE DECEASED YES IMMEDIATE < 30/MINUTE ASSESS PERFUSION > 30/MINUTE IMMEDIATE
PERFUSION < 2 SECONDS ASSESS MENTAL STATUS > 2 SECINDS CONTROL BLEEDING IMMEDIATE
MENTAL STATUS FOLLOWS SIMPLE COMMANDS FAILS TO FOLLOW SIMPLE COMMANDS DELAYED IMMEDIATE
START WHERE YOU STAND
Primary Triage Rapid patient assessment and tagging Immediate live sustaining care, as necessary
Secondary Triage Document, reassess and sort patients by treatment needs Provide medical treatment as appropriate and available
Tertiary Triage Reassess condition of patients relevant to resources, transportation and medical facilities Determine priority for disposition of patients from incident site
Normal Pediatric Vital Signs
Exercise Objectives Rapid and accurate application of START Triage during an MCI
MCI/ Multi patient Emergencies & Triage. Class Objectives Describe an MCIDescribe an MCI Develop and implement an initial action plan for the MCI sceneDevelop.
Class # Triage © Copyright 2006 JSL Communications LLC Triage.
MASS CASUALTY INCIDENT(MCI) and INCIDENT COMMAND SYSTEM (ICS)
Disaster and Multi-Casualty Triage LEARNING OBJECTIVES Describe the key elements of Triage Understand the basic principles of the START method of triage.
A/V 6-1 UNIT 6: THE COMMAND TOOLBOX. A/V 6-2 KNOWLEDGE OBJECTIVES The students will be able to: Describe the basic design elements of tactical worksheets.
START S imple T riage A nd R apid T reatment Prepared By Ken Young ; Office of Education and Certification - MIEMSS
Class Overview Review START triage Discuss Web Exercise Scenarios Feedback START Triage Distance Learning Program.
Virginia MASS Casualty Incident Management Lieutenant Jeff Lawson Roanoke County Fire & Rescue Department.
Disaster and Multi-Casualty Triage Amado Alejandro Báez MD MSc Matthew Sztajnkrycer MD PhD.
MULTI- CASUALTY INCIDENTS GLENDALE FIRE DEPARTMENT ANNUAL TRAINING MARIANNE NEWBY.
Welcome to Triage BECAUSE IT HAPPENS!. What Would You Do?
Triage. Triage? Triage is the sorting of patients by the severity of injury or illness so that resources can be more efficiently utilized to do the most.
Martha Feenaghty, D.O.. Overview A simple approach Where to START One patient at a time START Triage Algorithm Patient scenarios.
Incident Command at a Mass Casualty Incident
1 Triage Pakistan ICITAP. Learning Objectives Define triage Know the principles of triage Know the categories of triage Know what is mass casualties (MASCAL)
Disaster Medical Operations Part II Unit 4 C ERT.
LESSON 26 INCIDENT MANAGEMENT.
Chapter 28 Triage. Chapter 28: Triage 2 Explain the purpose, use, and benefits of the triage process. Describe the four-colored categories used in primary.
26 Introduction to Multiple-Casualty Incidents, the Incident Command System, and Triage.
Contra Costa County CERT Program Unit 3 – Emergency Medical Operations Part 1 Released: 10 January 2016.
2013 OEC Refresher Station 2 – Self Guided Review.
Disaster Medical Operations — Part 1 CERT Basic Training Unit 3.
Disaster Triage On the Young
August 2005 EMS & Trauma Systems Section Office of Public Health Preparedness MASS CASUALTY INCIDENTS.
Emergency Medical Response Incident Command and Multiple-Casualty Incidents.
START Triage During a Mass Casualty Gina Smith RN Director of Emergency Management.
JumpSTART A Tool for Rapid Pediatric Multicasualty Field Triage
EMT/ Paramedic 8.1 Research Paramedic as a career.
Marin County Emergency Medical Services Excellent Care – Every Patient, Every Time Marin County Multiple Patient Management Plan Training Module June 2013.
Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 35 Special Operations.
Bledsoe et al., Paramedic Care Principles & Practice Volume 5: Special Considerations © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Medical.
Emergency Medical Response You Are the Emergency Medical Responder A school bus carrying 30 students is involved in a collision and is severely damaged.
Mass Casualty Incident Triage Course. This course is provided to you by: Alabama Fire College Workplace Safety Training Program
START & JumpSTART Triage
United States Fire Administration Chief Officer Training Curriculum Operations Module 4: ICS for EMS.
This exercise program was developed and made available by the Missouri Hospital Association through funds from the ASPR Hospital Preparedness Program CFDA.
EMERGENCY MEDICAL SERVICES (EMS). Emergency Medical Services (EMS) Responsibilities Include Providing emergency medical aid, triage, and decontamination.
Triage Review. Triage is an effective strategy in situations where: There are many more victims than rescuers There are limited resources Time is.
1 ZONE 4 MASS CASUALTY TRAINING 1. To assure all crews within Central Zone understand the roles and responsibilities of operating in the framework of.
National Ski Patrol, Outdoor Emergency Care, 5 th Ed. ©2012 by Pearson Education, Inc., Upper Saddle River, NJ BRADY Incident Command and Triage Chapter.
DR Mohd Zin Bidin CMO Malaysian GP.
Maryland Triage System Tag, START, and JumpSTART
Step 1 - Sort: Global Sorting Walk (Assess 3 rd ) Wave/Purposeful Movement (Assess 2 nd ) Still/Obvious Life Threat (Assess 1 st ) Step 2 – Assess: Individual.
Unit Four Hospital Incident Management System (HIMS) for Mass Casualty Incidents (MCI)
Bledsoe et al., Essentials of Paramedic Care : Division V © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Division 5 Special Considerations &
Bledsoe et al., Paramedic Care Principles & Practice Volume 5: Special Considerations © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Chapter.
Triage for Patients with Combat Injuries.
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