Mass Casualty Incident Triage

 

Background

  • Used by first responders to quickly classify victims during a mass casualty incident (MCI) based on the severity of their injury

 

Classification

  • Immediate
  • Delayed
  • Walking wounded/minor
  • Deceased/expectant

 

Simple Triage and Rapid Treatment (START)

 

  • Able to walk relocate to a certain area
    • (green)
      • Non-ambulatory patients are then assessed

 

  • Respirations ?
    • No
      • position airway
        • No respirations ?
          • (black)
        • Respirations ?
          • (immediate)

 

  • Respirations?
    • Yes
      • >30/min (immediate)
        • <30 --> check perfusion

 

  • Radial pulse absent OR CRT >2 seconds
    • Control bleeding
      • (immediate)

 

  • Radial pulse present OR CRT <2 seconds
    •  check mental status

 

  • Can't follow simple commands
    • (immediate)

 

  • Can follow simple commands
    • (delayed)

(RED)

(Yellow)

(Green)

(Black)