Welcome

Background of START

START Flowchart

START Triage Tag

Managing the Scene

Exercise

START & ICS

Glossary

Acknowledgements

 

FLOWCHART --

The START flowchart is a quick way to learn the system. As you move through the patient assessment, sequentially evaluate the current status for RESPIRATIONS, PERFUSION, and MENTAL STATUS (RPM). You either assign the victim a classification or you move to the next level of the flowchart.

There are two flowcharts presented. The first shows the details of going through the START assessment. The second is a simplified flowchart. Use whichever one makes the most sense to you.

Detailed Flowchart


[click here for printable version]
NOTE: Must be printed using landscape orientation.

 

Simplified Flowchart


 

START Triage
Assess, Treat, (use bystanders)
When you have a color
 STOP - TAG - MOVE ON
M
I
N
O
R
-- Move Walking Wounded

D
E
C
E
A
S
E
D

 -- No RESPIRATIONS after head tilt

I
M
M
E
D
I
A
T
E

 -- Breathing but UNCONSCIOUS
 -- Respirations - over 30
 -- Perfusion Capillary refill > 2
or NO RADIAL PULSE
Control bleeding
 -- Mental Status Unable to follow simple commands

D
E
L
A
Y
E
D

 -- Otherwise

REMEMBER:

Respirations - 30
P
erfusion - 2
M
ental Status - Can Do

[Download a printable copy that can be printed on a business card]
Microsoft Word 97 Format
Microsoft Word 2000 Format

Microsoft Publisher 97 Format

You can print these files on a color printer to make reference cards of the START triage system. They are built to print on Avery 5371 business card forms. However, differences in printers may necessitate some re-formatting to make the cards print properly.

An alternative is to print the cards on normal, heavy stock paper, and then cut and laminate them.

 

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