LEARNING OBJECTIVES • Describe the key elements of Triage • Understand the basic principles of the START method of triage
Working Multiple- or Mass-Casualty Incidents • Report to the incident commander before going to work • Do a proper size up • Clearly and accurately report the situation
Working Multiple- or Mass-Casualty Incidents Note the following: • Approximate number of patients • Numbers that you've triaged into the four levels • Additional assistance required • Other important information
TRIAGE • French word for SORT • Concept of triage: • Method of quickly identifying victims: • who have immediately life-threatening injuries • who have the best chance of surviving
Delayed care / can delay up to three hours Urgent care / can delay up to one hour Immediate care / life-threatening Triage Tags
Simple Triage And Rapid Treatment (START) • Developed by Hoag Hospital & the Newport Fire Department (Newport Beach, CA) • Helps prepare to quickly organize resources to handle multi-casualty emergencies
SimpleTriage And Rapid Treatment (START) • system to triage multiple victims in 30 seconds or less • based on three primary observations (RPM): • Respiration • Perfusion • Mental Status
First Step in START • Tell all the people who can get up and walk to move to a specific area • If they can get up and walk, they are probably not at risk of immediate death • Tag them -
Second Step in START • Begin by moving from where you stand • Move in an orderly and systematic manner through the remaining victims • Stopping at each person for a quick assessment and tagging • The stop at each patient should never take more than one minute
START • REMEMBER: • Your job is to find and tag the • patients -- those who require immediate attention • Examine, correct life-threatening airway, breathing problems, tag and MOVE ON!
Triage in Hazardous Materials Incidents • Responders must protect themselves from injury and contamination • IF THERE IS ANY SUSPICION OF A HAZARDOUS MATERIALS SPILL - STAY AWAY! • REMEMBER: Contaminated patients will contaminate unprotected rescuers!
SUMMARY • Understand the principles and operations behind the casualty sorting system • STARTsystem is an excellent and easily understood triage or casualty sorting method • Participate in periodic community disaster drills so that skills and capabilities can be tested and improved
SUMMARY You Should Know: • Your role at multiple- or mass-casualty incidents • How to use the START system • How to recognize a hazardous materials placard
SUMMARY You Should Practice: • Using the START system during a simulated multiple- or mass-casualty incident
REMEMBER • Triage is: • Method of quickly identifying • Victims who have immediately life-threatening injuries • And who have the best chance of surviving • Key elements of the START triage system: • Respiration • Perfusion • Mental Status
PowerPoint Source http://www.citizencorps.gov/cert/training_downloads.shtm