Disaster and Multi-Casualty Triage

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Disaster and Multi-Casualty Triage
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LEARNING OBJECTIVES

• Describe the key elements of Triage
• Understand the basic principles of the START
  method of triage

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Working Multiple- or Mass-Casualty Incidents

• Report to the incident commander before going to
  work
• Do a proper size up
• Clearly and accurately report the situation

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Working Multiple- or Mass-Casualty Incidents

• Note the following
• Approximate number of patients
• Numbers that you've triaged into the four levels
• Additional assistance required
• Other important information

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TRIAGE

• French word for SORT
• Concept of triage
• Method of quickly identifying victims
• who have immediately life-threatening injuries
• who have the best chance of surviving

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Triage Tags

• Delayed care / can delay up to three hours
• Urgent care / can delay up to one hour
• Immediate care / life-threatening

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Simple Triage And Rapid Treatment (START)

• Developed by Hoag Hospital the Newport Fire
  Department (Newport Beach, CA)
• Helps prepare to quickly organize resources to
  handle multi-casualty emergencies

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Simple Triage And Rapid Treatment ( START)

• system to triage multiple victims in 30 seconds
  or less
• based on three primary observations (RPM)
• Respiration
• Perfusion
• Mental Status

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First Step in START

• Tell all the people who can get up and walk to
  move to a specific area
• If they can get up and walk, they are probably
  not at risk of immediate death
• Tag them -

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Second Step in START

• Begin by moving from where you stand
• Move in an orderly and systematic manner through
  the remaining victims
• Stopping at each person for a quick assessment
  and tagging
• The stop at each patient should never take more
  than one minute

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START

• REMEMBER
• Your job is to find and tag the 
• patients --
  those who
• require immediate attention
• Examine, correct life-threatening airway,
  breathing problems, tag and
• MOVE ON!
  

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Triage in Hazardous Materials Incidents

• Responders must protect themselves from injury
  and contamination
• IF THERE IS ANY SUSPICION OF A HAZARDOUS
  MATERIALS SPILL - STAY AWAY!
• REMEMBER Contaminated patients will contaminate
  unprotected rescuers!

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VIDEO CLIP
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SUMMARY

• Understand the principles and operations behind
  the casualty sorting system
• START system is an excellent and easily
  understood triage or casualty sorting method
• Participate in periodic community disaster drills
  so that skills and capabilities can be tested and
  improved

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SUMMARY

• You Should Know
• Your role at multiple- or mass-casualty incidents
  
• How to use the START system
• How to recognize a hazardous materials placard

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SUMMARY

• You Should Practice
• Using the START system during a simulated
  multiple- or mass-casualty incident

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REMEMBER

• Triage is
• Method of quickly identifying
• Victims who have immediately life-threatening
  injuries
• And who have the best chance of surviving
• Key elements of the START triage system
• Respiration
• Perfusion
• Mental Status

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PowerPoint Source

• http//www.citizencorps.gov/cert/training_download
  s.shtm