Triage Review

Triage is an effective strategy in situations where: There are many more victims than rescuers There are limited resources Time is critical

During triage: Victims are evaluated Sorted by the urgency of the treatment needed Placed into immediate and delayed

treatment areas

Doing the Greatest Good, For the Greatest Number

KEY PRINCIPLE

SCENE SAFETY: Size UpSize up the scene, Make sure the scene is safe

for you to enter

CREATE ORDER:Next, ask those who are not injured or who have

minor injuries to identify themselves

Walking Wounded…

When entering room or area, shout out,“if you can hear me, come to the soundof my voice.”

Self rescue is best rescue

Tag GREEN for minor, Send to a safe area

Ask about other victims in area

Triage Color Codes

GREEN – minor

BLACK – deceased

RED – immediate

YELLOW – delayed

With START one patient is assessedevery 30 seconds

First responder quickly assesses tocategorize a patient’s condition

Airway and respiration Pulse and / or capillary refill Level of consciousness

The only treatment rendered by the triageteam is to: Open a patient’s airway (head tilt / neck lift) Apply direct pressure to stop an obvious bleed Elevating the extremities

Triage Rule – 30, 2, How are you?

• 30 respirations/minutes• 2 second capillary refill rate [or strong pulse]• Able to obey simple commands

How would you tag each of the victims describedbelow?

G = GREEN, Minor Y = YELLOWYELLOW, DelayR = RED, Immediate B = BLACK, Dead

No bleeding. Dazed and confused. Doesn't squeeze hand

when asked. R <30, P 2 seconds RED, Immediate

Non-Ambulatory. Responds to voice triage. Minor bleeding. R <30, P Normal blanch 2 seconds, M RespondsYELLOWYELLOW, Delay

SELF TEST

How would you tag each of the victims describedbelow?

G = Green, Minor Y = Yellow, DelayR = Red, Immediate B = Black, Dead

Very bloody thigh. Unconscious. After two attempts to open airway, still

not breathing. Black, Dead

No signs of bleeding. Unconscious. R <30. Capillary refill > 5 seconds Red, Immediate

Minor bleeding. R <30. Capillary refill < 2 seconds. Conscious - slightly disoriented, but obeys commands Yellow, Delay

SELF TEST

Ready to Try?