START Triage (Adult)
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23 Terms
What is the purpose of the START triage system?
Rapidly categorize adult pts in mass casualty incidents based on severity and survivability
What is the first step in START triage?
Assess ambulation (ability to walk)
What category is a patient placed in if they can walk during START triage?
MINOR (Green)
Where should walking patients be directed during START triage?
Secondary triage area
What is the next step after determining a patient cannot walk?
Assess breathing
What should you do if a patient is not breathing in START triage?
Open the airway
What category is assigned if a patient is still not breathing after airway repositioning?
DECEASED (Black)
What category is assigned if a patient begins breathing after airway repositioning?
IMMEDIATE (Red)
What should you assess if a patient is breathing in START triage?
Respiratory rate
What respiratory rate in adults indicates IMMEDIATE priority in START triage?
Greater than 30 breaths per minute
What should you do if a patient’s respiratory rate is ≤30/min?
Assess perfusion
What are the two ways to assess perfusion in START triage?
Capillary refill and radial pulse
What capillary refill finding indicates IMMEDIATE priority in START triage?
Greater than 2 seconds
What pulse finding indicates IMMEDIATE priority in START triage?
Absent radial pulse
What should you assess if perfusion is adequate in START triage?
Mental status
What mental status finding indicates IMMEDIATE priority in START triage?
Inability to obey commands
What category is assigned if a patient obeys commands in START triage?
DELAYED (Yellow)
What does RPM stand for in START triage?
Respirations, Perfusion, Mental status
What triage category is assigned to patients with life-threatening but treatable conditions?
IMMEDIATE (Red)
What triage category is assigned to patients with serious but not immediately life-threatening conditions?
DELAYED (Yellow)
What triage category is assigned to patients with minor injuries?
MINOR (Green)
What triage category is assigned to patients who are not breathing after airway repositioning?
DECEASED (Black)
What findings automatically categorize a patient as IMMEDIATE in START triage?
RR >30, cap refill >2 sec or no radial pulse, or inability to obey commands