View source for 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<ref name="lerner">Lerner EB, Schwartz RB, Coule PL, et al. "Mass Casualty Triage: An Evaluation of the Data and Development of a Proposed National Guideline." ''Disaster Medicine and Public Health Preparedness'' 2(Suppl. 1) 2008, pp S25-S34.</ref>==
*Immediate (red)
*Delayed (yellow)
*Walking wounded/minor (green)
*Deceased/expectant (black)

==Simple Triage and Rapid Treatment (START)==
[[File:Flowchart START.jpg|thumb|START triage algorythm]]
*Able to walk relocate to a certain area (green)
*Non-ambulatory patients are then assessed
**No respirations --> position airway
***No respirations (black)
***Respirations (immediate)
**Yes respirations
***>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)

==JumpSTART (Pediatric Patients)==
[[File:JumpSTART Triage 3.gif|thumb|JumpSTART triage algorythm]]
*Able to walk relocate to a certain area (green)
*Non-ambulatory patients are then assessed
**No respirations --> position airway
***Respirations (immediate)
***No respirations --> check pulse
****No pulse (expectant)
****Yes pulse ---> 5 rescue breaths
*****Still no respirations (expectant)
*****Respirations (immediate)
**Yes respirations
***<15 or >45/min (immediate)
***15-45/min --> check perfusion
****Pulse absent or CRT >2 seconds
*****Control bleeding (immediate)
****Pulse present or CRT <2 seconds ---> check mental status
*****Inappropriate (immediate)
*****Appropriate (delayed)

==Secondary Assessment of Victim Endpoint (SAVE)== 
*Applies after patients have been triaged with START/jumpStart
*Designed for appropriation of limited resources for most gain in immediate on-scene care situations
*Three categories:
**Those who will die regardless of care
**Those who will survive whether or not they receive care
**Those who will benefit from limited immediate field interventions
==See also==
*[[Disaster medicine]]

==Notes==
<references/>

[[Category:EMS]]