START Triage - Liberty Ambulance
START Triage - Liberty Ambulance
START Triage - Liberty Ambulance
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
<strong>Triage</strong>1
MCI Alert vs. ActivationAlert-when information is received whichindicates potential for large number ofcasualtiesActivation-when a confirmed single sitedisaster with casualties overwhelms an initialresponse unit capabilities.
Airliner crashApartment fire
Who may activate an MCI?Any fire, law enforcement officer, paramedicEMT or dispatcher
Provide the followinginformation at time of activation:Type of incidentLocation of incidentBest access routeNumber of injured (approximate)Type of injuries (burns, respiratory, trauma)Additional resources (special rescue equipment,additional fire/police, communication equipment, hazmat response, lights, coroner, helicopters)
<strong>Triage</strong>Goals• Efficient use of personnel, equipmentand facilities• Not to relocate the disaster to thehospital
<strong>Triage</strong>Philosophy• Greatest good to greatest number• Organized care within chaos• Preplanning/training are essential• Establishing ICS as soon as possible
New<strong>Triage</strong>Tags
<strong>Triage</strong>California Fire Chiefs AssociationMedical <strong>Triage</strong> Tag• Green• Yellow• Red• Blackwalking woundeddelayed transportimmediate transportdead or nonsalvagableminorseriouscriticalno CPR
<strong>START</strong> <strong>Triage</strong> System<strong>START</strong>Simple<strong>Triage</strong>AndRapidTreatment
<strong>START</strong>• Utilized as initial triagesystem• Not intended to replacethorough patient assessment
<strong>START</strong>1. Start where you stand2. Identify walking wounded (minor)3. Begin assessing the remainingvictims
<strong>START</strong>1. RespirationsIf absent - reposition airwayabsent -present -tag blacktag red>30 tag red
<strong>START</strong>2. Perfusion-Capillary refill>2 secondstag red
<strong>START</strong>3. Mental statusUnable to obey commandstag redAble to obey commandstag yellow7
The first perforated tag on to provides apersonal property receipt for valuablesbelonging to the victim that may becontaminated.
Patient TrackingThe second perforated tag provides for patienttracking. This part of the tag shall be removed atthe ambulance loading area to record patentdestination. Patient’s name is recorded on backof tag. With the bar code capability informationcan be recorded electronically as well as by hand.
The triage tag is constructed of synthetic paper,100% resistant to all commonly useddecontamination solutions.• SLUDGEM-alerts first respondersto the possibility ofnuclear, biological orchemical agents usingthis mnemonic.
•The tag provides spaceto record the use of autoinjectors•perforated coloredcontaminated stripprevents the tag frombeing used until patientcontamination is ruledout. If decon is donebarcode is bagged withvictims clothing.
Decon: The tag provides an area to recordpatent decon information, gross decon,secondary decon as well as the solutionsused. This information should be recordedprior to the victim leaving the decon area.Also the type of agent can be recorded atthis time whether radiological, biological orchemical.
On the back of the card is the mnemonicRPM used to initiate <strong>START</strong> triage.
Split immediate, delayed orminor tear off tags. These go tothe <strong>Triage</strong> Unit Leader and areused by the MedicalCommunications Coordinatorand IC to obtain an accuratecount of the injured.
Change language