S.T.A.R.T. Triage S.T.A.R.T. Logo and Algorithm reprinted with permission of Hoag Memorial Hospital...
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Transcript of S.T.A.R.T. Triage S.T.A.R.T. Logo and Algorithm reprinted with permission of Hoag Memorial Hospital...
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 ConsortiumMedical Command
Triage Treatment Transport
Primary Triage
Tertiary Triage
Secondary Triage
Speed
Accuracy
Organization
3 Assessments
VentilationPerfusionCognition
2 TreatmentsAirway MaintenanceHemorrhage Control
RESPIRATION
NONE YES
REPOSITION AIRWAY
ASSESS RESPIRATIONS/VENTILATION
NONE
DECEASED
YES
IMMEDIATE
< 30/MINUTEASSESS
PERFUSION
> 30/MINUTE
IMMEDIATE
PERFUSION
< 2 SECONDSASSESS
MENTAL STATUS
> 2 SECONDSCONTROL BLEEDING
IMMEDIATEED
MENTAL STATUS
FOLLOWS SIMPLECOMMANDS
DELAYED
FAILS TO FOLLOWSIMPLE COMMANDS
IMMEDIATE
RESPIRATIONS/VENTILATION
NONE YES
REPOSITION AIRWAY
ASSESS RESPIRATIONS/VENTILIATION
NONE
DECEASED
YES
IMMEDIATE
< 30/MINUTEASSESS
PERFUSION
> 30/MINUTE
IMMEDIATE
PERFUSION
< 2 SECONDSASSESS
MENTAL STATUS
> 2 SECINDSCONTROLBLEEDING
IMMEDIATE
MENTAL STATUS
FOLLOWSSIMPLE
COMMANDS
FAILS TO FOLLOWSIMPLE
COMMANDS
DELAYED IMMEDIATE
START
WHERE YOU
STAND
Walking Wounded
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
Age Heart Rate Systolic BP RespirationNewborn 100-160 50-70 30-60
1-6 weeks 100-160 70-95 30-606 months 90-120 80-100 25-40
1 year 90-120 80-100 25-403 years 80-120 80-110 20-306 years 70-120 80-110 18-25
10 years 60-90 90-120 15-20
Exercise Objectives
• Rapid and accurate application of START Triage during an MCI