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    START Emergency Triage

    Uploaded by

    Mark Philipp Aban
    This document describes the Simple Triage And Rapid Treatment (START) triage process. It was developed in California in the 1980s to allow rapid triage of large numbers of casualties. The START process uses Respirations, Perfusion, and Mental Status (RPM) to categorize patients into immediate, delayed, minor, or deceased in just 30 seconds per patient.

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    START Emergency Triage

    Uploaded by

    Mark Philipp Aban
    26 views12 pages
    This document describes the Simple Triage And Rapid Treatment (START) triage process. It was developed in California in the 1980s to allow rapid triage of large numbers of casualties. The START process uses Respirations, Perfusion, and Mental Status (RPM) to categorize patients into immediate, delayed, minor, or deceased in just 30 seconds per patient.

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    This document describes the Simple Triage And Rapid Treatment (START) triage process. It was developed in California in the 1980s to allow rapid triage of large numbers of casualties. The START process uses Respirations, Perfusion, and Mental Status (RPM) to categorize patients into immediate, delayed, minor, or deceased in just 30 seconds per patient.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    26 views12 pages

    START Emergency Triage

    Uploaded by

    Mark Philipp Aban
    This document describes the Simple Triage And Rapid Treatment (START) triage process. It was developed in California in the 1980s to allow rapid triage of large numbers of casualties. The START process uses Respirations, Perfusion, and Mental Status (RPM) to categorize patients into immediate, delayed, minor, or deceased in just 30 seconds per patient.

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    © All Rights Reserved
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    Simple

    Triage
    And
    Rapid
    Treatment

    START
    Prepared By Ken Young ; Office of Education and Certification - MIEMSS - 1999
    START

    ¥ Developed in California in the early


    1980Õs by Hoag Hospital and Newport
    Beach Fire and Marine (California)
    ¥ Rapid approach to triaging large
    numbers of causalities
    ¥ Easy to remember
    START

    ¥ Initial patient assessment and


    treatment should take less than 30
    seconds for each patient
    START

    ¥ First - clear the walking wounded using


    verbal instructions.
    Ð Direct them to the treatment areas for
    detailed assessment and treatment
    Ð Tag These as MINOR

    ¥ Now check your RPMs


    START
    RPM
    ¥ Respiration's

    Ð None - Open the Airway


    ¥ Still None? - DECEASED
    ¥ Restored?- IMMEDIATE

    Ð Present?
    ¥ Above 30 - IMMEDIATE
    ¥ Below 30 - CHECK
    PERFUSION
    START
    RPM
    ¥ Perfusion
    Ð Radial Pulse Absent
    or
    Capillary Refill > 2 secs
    IMMEDIATE

    Ð Radial Pulse Present


    or
    Capillary Refill < 2 secs
    CHECK MENTAL STATUS
    START
    RPM

    ¥ Mental Status
    Ð Can Not Follow Simple
    Commands (Unconscious or
    Altered LOC)
    IMMEDIATE

    Ð Can Follow Simple Commands


    DELAYED
    START

    If patient is immediate - priority 1 upon


    initial assessment, attempt to correct
    airway blockage or uncontrolled
    bleeding only before moving on to next
    patient.
    START

    ¥ When things get hectic with multiple


    patients rev up your RPMÕs.
    ÐR - Respiration - 30
    ÐP - Perfusion - 2
    ÐM - Mental status - CAN do
    START Triage
    All Walking
    Wounded
    MINOR

    RESPIRATIONS

    Yes No

    Over 30/min Under 30/min


    Position Airway

    IMMEDIATE PERFUSION Yes No

    Radial Pulse Capillary Radial Pulse


    Absent Refill Present IMMEDIATE DECEASED

    Control Over 2 Under 2 MENTAL STATUS


    Bleeding seconds seconds

    IMMEDIATE Can't Follow Can Follow


    Simple Commands Simple Commands
    Respiration's 30
    IMMEDIATE DELAYED

    Perfusion 2

    Mental Status CAN DO


    START
    The START process permits a very few
    rescuers to rapidly triage a large
    number of patients without specialized
    training.

    After patients are moved to treatment


    areas where more detailed
    assessment and treatment are
    conducted.
    START
    Concept and Flow Chart

    Property of
    Newport Beach Fire and Marine
    from their

    START Simple Triage & Rapid Treatment -


    A Race With Time
    Copyright 1983, 1984 Hoag Hospital; Copyright 1994 Newport Beach Fire & Marine

    Used with permission


    by
    The Maryland Institute for Emergency Medical Services Systems

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