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Published byHunter Sanchez
Modified over 6 years ago
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
26 Introduction to Multiple-Casualty Incidents, the Incident Command System, and Triage.
Marin County Emergency Medical Services Excellent Care – Every Patient, Every Time Marin County Multiple Patient Management Plan Training Module June 2013.
Disaster Triage On the Young
DR Mohd Zin Bidin CMO Malaysian GP.
United States Fire Administration Chief Officer Training Curriculum Operations Module 4: ICS for EMS.
START Triage During a Mass Casualty Gina Smith RN Director of Emergency Management.
Disaster Medical Operations — Part 1 CERT Basic Training Unit 3.
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.
Disaster and Multi-Casualty Triage Amado Alejandro Báez MD MSc Matthew Sztajnkrycer MD PhD.
Bledsoe et al., Paramedic Care Principles & Practice Volume 5: Special Considerations © 2006 by Pearson Education, Inc. Upper Saddle River, NJ Medical.
Disaster and Multi-Casualty Triage LEARNING OBJECTIVES Describe the key elements of Triage Understand the basic principles of the START method of triage.
Incident Command at a Mass Casualty Incident
Mass Casualty Incident (MCI) Triage Author Jacob Kopp National Center for Disaster Preparedness Mailman School of Public Health Columbia University Date.
LESSON 26 INCIDENT MANAGEMENT.
Emergency Medical Response Incident Command and Multiple-Casualty Incidents.
EMERGENCY MEDICAL SERVICES (EMS). Emergency Medical Services (EMS) Responsibilities Include Providing emergency medical aid, triage, and decontamination.
START & JumpSTART Triage
MCI/ Multi patient Emergencies & Triage. Class Objectives Describe an MCIDescribe an MCI Develop and implement an initial action plan for the MCI sceneDevelop.
Limmer et al., Emergency Care Update, 10th Edition © 2007 by Pearson Education, Inc. Upper Saddle River, NJ CHAPTER 35 Special Operations.
Response Stages Recognition Stage Response Stage Intervention Stage Recovery Stage.
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