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Background of START

START Flowchart

START Triage Tag

Managing the Scene

Exercise

START & ICS

Glossary

Acknowledgements

 

Triage Assessment Answers --

Assume that all walking wounded have moved away from the area 
and that the findings are AFTER you have repositioned 
the airway of any non-breathing patients

Victim Type of Injury Pertinent Information Category Rapid Treatment Needed and Reason
#1 Compound fracture, left femur Respirations over 30/minute

Radial pulse absent


Awake

Immediate Respirations > 30/min.
#2 Sudden onset of chest pain with shortness of breath Respirations under 30/minute

Capillary Refill under 2 seconds

Awake

Delayed No abnormalities according to criteria
#3 90% Second Degree Burns Respirations None on arrival, spontaneous after repositioning

Radial Pulse Present

Unconscious

Immediate No spontaneous respirations upon arrival
#4 Facial Injury Respirations over 30/minute

Capillary refill under 2 seconds

Awake

Immediate Respirations > 30/min.
#5 Unable to move legs Respirations < 30/min.

Radial pulse present

Awake

Delayed No abnormalities according to criteria
#6 No apparent injuries Respirations normal

Capillary refill < 2 seconds

Awake

Delayed No abnormalities according to criteria
#7 Sucking chest wound Respirations > 30/min.

Radial pulse present

Unconscious

Immediate Respirations > 30/min.
#8 Dislocated right shoulder Respirations < 30/min.

Radial pulse present

Awake

Delayed No abnormalities according to criteria
#9 No visible wounds Respirations none

Radial pulse absent

Unconscious

Deceased No respirations
#10 Scalp wound, estimated blood loss 500 cc Respirations > 30/min.

Capillary refill < 2 seconds

Awake

Immediate Control bleeding (use bystander)

Respirations > 30/min.

#11 Massive head injury Respirations < 30/min.

Radial pulse absent

Unconscious

Immediate Radial pulse absent
#12 Bruising over abdomen, complaining of abdominal pain Respirations > 30/min.

Capillary refill < 2 seconds

Awake

Immediate Respirations > 30/min.
#13 Impaled, 1 foot piece of shrapnel in right eye Respirations < 30/min.

Radial pulse present

Awake

Delayed No abnormalities according to criteria
#14 Female six months pregnant; broken left, lower leg Respirations < 30/min.

Capillary refill < 2 seconds

Awake

Delayed No abnormalities according to criteria
#15 Severe difficulty breathing, chest sinks in on inspiration Respirations > 30/min.

Radial pulse present

Awake

Immediate Respirations > 30/min.
#16 Unable to move, no verbal response Respirations < 30/min.

Radial pulse present

Awake and staring

Immediate Impaired mental status
#17 Amputated left arm, bleeding controlled Respirations < 30/min.

Capillary refill < 2 seconds

Awake

Delayed No abnormalities according to criteria
#18 Large head wound, brain matter showing Respirations absent

Radial absent

Unconscious

Deceased No respirations or pulse
#19 Minor abrasions Respirations < 30/min.

Capillary refill < 2 seconds

Awake

Delayed No abnormalities according to criteria
#20 Bruise on forehead, blood in ears and nose Respirations < 30/min.

Radial pulse present

Unconscious

Immediate Impaired mental status
#21 Third degree burns over front of both legs Respirations < 30/min.

Capillary refill < 2 seconds

Awake

Delayed No abnormalities according to criteria
#22 Compound fracture, left arm Respirations < 30/min.

Radial pulse present

Awake

Delayed No abnormalities according to criteria
#23 Impaled stick in right chest Respirations < 30/min.

Capillary refill < 2 seconds

Awake

Delayed No abnormalities according to criteria
#24 Second degree burns, legs Respirations > 30/min.

Radial pulse present

Awake

Immediate Respirations > 30/min.
#25 Blood in right eye Respirations < 30/min.

Capillary refill < 2 seconds

Awake

Delayed No abnormalities according to criteria
#26 Three-month old infant, no visible injury Respirations absent

Radial pulse absent

Unconscious

Deceased No respirations, no pulse
#27 Impaled object, RUQ abdomen; difficulty breathing Respirations > 30/min.

Radial pulse present

Awake

Immediate Respirations > 30 /min.
#28 Patient saying same words over and over, "what happened? Respirations < 30/min.

Capillary refill < 2 seconds

Awake

Immediate Impaired mental status
#29 Spurting blood from neck injury Respirations > 30/min.

Radial pulse present

Awake

Immediate Control bleeding (use bystander)

Respirations > 30/min.

#30 Patient states she is a diabetic; skin,, moist and clammy; feels shaky Respirations < 30/min.

Capillary refill > 2 seconds

Awake

Immediate  

Radial pulse present, but capillary refill > 2 Seconds

Diabetes - medical criteria for Immediate

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