0

    START Triage

    SimpleTriageAndRapidTreatment

    START Triage

    • 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

    START Triage

    • 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

    START Triage

    • 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

    START Triage RPM • Respiration's

    – None – Open the Airway• Still None? – DECEASEDDECEASED• Restored?- IMMEDIATE

    – Present?• Above 30 – IMMEDIATE• Below 30 – CHECK PERFUSION

    START Triage RPM• Perfusion

    – Radial Pulse Absent or

    Capillary Refill > 2 secs IMMEDIATE

    – Radial Pulse Presentor

    Capillary Refill < 2 secsCHECK MENTAL STATUS

    START Triage RPM

    • Mental Status– Can Not Follow Simple Commands

    (Unconscious or Altered LOC)IMMEDIATE

    – Can Follow Simple CommandsDELAYED

    START Triage

    If patient is immediate – Code Red upon initial assessment, attempt only to correct airway blockage or uncontrolled bleeding before moving on to next patient.

    START Triage• 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

    START Triage

    IMMEDIATE

    Over 30/min

    IMMEDIATE

    ControlBleeding

    Radial PulseAbsent

    Over 2seconds

    Under 2seconds

    CapillaryRefill

    IMMEDIATE

    Can't FollowSimple Commands

    DELAYED

    Can FollowSimple Commands

    MENTAL STATUS

    Radial PulsePresent

    PERFUSION

    Under 30/min

    Yes

    IMMEDIATE

    Yes

    DECEASED

    No

    Position Airway

    No

    RESPIRATIONS

    All WalkingWounded

    MINOR

    Respiration's 30

    Perfusion 2

    Mental Status CAN DO

    START Triage

    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

    START Triage was Developed by theNewport Beach (CA.)

    Fire & Marine Department

    PowerPoint Program Modified by Lt. S. Albright – SC-EMS.com

                                                                                                                                      Order Now