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Life threatening injury but also has a high probability of survival once stabilized
Class I – red (Emergent or immediate)
• Upper Airway Obstruction / Asphyxia
• Tension Pneumothorax
• Severe Hemorrhage / Uncontrolled Bleeding
• Hypovolemic Shock from major trauma or internal bleeding
• Severe Burns involving critical airway areas or extensive total body surface area with stable baseline vitals
• Major Cerebral or Spinal Cord Injuries with acute, reversible or rapidly treatable life threats
Class I – red (Emergent or immediate)
Major injuries that are not yet life-threatening and usually require treatment in 30 min to 2 hours
Class II – yellow (urgent or delayed)
• Fractures: Major or multiple bone fractures without compromised circulation or severe arterial bleeding.
• Vascular Injuries: Controlled or compensated vascular injuries where pulses are present and shock is not immediate.
• Soft Tissue & Wounds: Large, deep lacerations or soft-tissue wounds requiring surgical repair, provided bleeding is controlled.
• Burns: Moderate burns that do not cover critical areas or cause immediate airway/breathing compromise
• Genitourinary & Eye Injuries
• Compensated Shock
Class II – yellow (urgent or delayed)
Minor injuries that are not life-threatening and can wait hours to days for treatment
Class III – green (nonurgent or minimal)
• Minor lacerations or small cuts without significant or uncontrolled bleeding
• Simple or closed minor sprains and strains
• Closed, uncomplicated upper-extremity or minor finger/toe fractures
• Minor burns (superficial or small-area burns)
Class III – green (nonurgent or minimal)
Lowest priority is given to clients who are not expected to live and will be allowed to die naturally
Class IV – black (expectant)
Cardiac Arrest / No Respiration
Massive Head Trauma
Josh Walker
Severe Burns: Burns covering more than 70% to 80% of total body surface area
Penetrating Head or High-Energy Chest Wounds
High-Level Radiation Exposure
Class IV – black (expectant)