|
|
|
Simple |
|
Triage |
|
And |
|
Rapid |
|
Treatment |
|
|
|
|
Developed in California in the early 1980’s by
Hoag Hospital and Newport Beach Fire and Marine (California) |
|
Rapid approach to triaging large numbers of
causalities |
|
Easy to remember |
|
|
|
|
|
|
|
Initial patient assessment and treatment should
take less than 30 seconds for each patient |
|
Patients are triaged based upon 4 factors |
|
Ability to walk away from the scene |
|
Respiration > or < 30 respirations per
minute |
|
Pulse – Radial pulse ? or capillary refill <
or > 2 seconds |
|
Mental Status – able/unable to follow simple
commands |
|
R espirations P ulse M ental Status |
|
|
|
|
|
First - clear the walking wounded using verbal
instructions. |
|
Direct them to the treatment areas for detailed
assessment and treatment |
|
These Patients are triaged MINOR |
|
Now check your RPMs |
|
|
|
|
|
|
|
|
Respiration's |
|
|
|
None - Open the Airway |
|
Still None? - DECEASED |
|
Restored?- IMMEDIATE |
|
|
|
Present? |
|
Above 30 - IMMEDIATE |
|
Below 30 - CHECK PERFUSION |
|
|
|
|
|
Perfusion |
|
Radial Pulse Absent
or
Capillary Refill > 2
secs
IMMEDIATE |
|
Radial Pulse Present
or
Capillary Refill <
2 secs
CHECK MENTAL STATUS |
|
|
|
|
|
|
|
|
|
Mental Status |
|
Can Not Follow Simple Commands (Unconscious or Altered LOC)
IMMEDIATE |
|
Can Follow Simple Commands
DELAYED |
|
|
|
|
If patient is immediate – Code Red upon initial assessment, attempt only to
correct airway blockage or uncontrolled bleeding before moving on to next
patient. |
|
|
|
|
|
|
|
When things get hectic with multiple patients
rev up your RPM’s. |
|
R - Respiration
- 30 |
|
P - Perfusion - 2 |
|
M - Mental status - CAN do |
|
mnemonic: 30
– 2 – CAN DO |
|
|
|
|
|
|
The START process permits a limited number of
rescuers to rapidly triage a large number of patients without specialized
training. |
|
|
|
Patients are systematically moved to treatment areas where more detailed
assessment and treatment are conducted. |
|
|
|
|
START Triage was Developed by the
Newport Beach (CA.)
Fire & Marine Department
PowerPoint
Program Modified by Lt. S. Albright – SC-EMS.com |
|
Notes
