jumpSTART Triage (pedi)

What is the purpose of the JumpSTART triage system?

Rapidly categorize pediatric pts in mass casualty incidents with consideration for respiratory causes of arrest

What is the first step in JumpSTART triage?

Assess ambulation (ability to walk)

What category is a pediatric patient placed in if they can walk?

MINOR (Green)

What is the next step after determining a pediatric patient cannot walk?

Assess breathing

What should you do if a pediatric patient is not breathing?

Open the airway

What should you assess if a pediatric patient is still apneic after airway repositioning?

Check pulse

What should you do if a pediatric patient is apneic but has a pulse?

Give 5 rescue breaths

What category is assigned if breathing resumes after rescue breaths in a pediatric patient?

IMMEDIATE (Red)

What category is assigned if a pediatric patient remains apneic after rescue breaths?

DECEASED (Black)

What category is assigned if a pediatric patient is apneic and has no pulse?

DECEASED (Black)

What should you assess if a pediatric patient is breathing?

Respiratory rate

What respiratory rate in pediatric patients indicates IMMEDIATE priority?

Less than 15 or greater than 45 breaths per minute

What should you do if a pediatric patient’s respiratory rate is between 15–45/min?

Assess perfusion

What perfusion finding indicates IMMEDIATE priority in pediatric patients?

Absent palpable pulse

What should you assess if perfusion is adequate in a pediatric patient?

Mental status

What mental status finding indicates IMMEDIATE priority in pediatric patients?

Inappropriate response to pain or unresponsiveness

What mental status finding indicates DELAYED priority in pediatric patients?

Alert, responds to voice, or appropriate response to pain

What triage category is assigned to pediatric patients with abnormal respirations, poor perfusion, or inappropriate mental status?

IMMEDIATE (Red)

What triage category is assigned to stable pediatric patients who cannot walk?

DELAYED (Yellow)

What triage category is assigned to pediatric patients with minor injuries?

MINOR (Green)

What triage category is assigned to pediatric patients who are apneic after airway repositioning and rescue breaths or have no pulse?

DECEASED (Black)

What is the key respiratory intervention unique to JumpSTART compared to START?

Giving 5 rescue breaths for apneic patients with a pulse