1	START Triage Simple Triage And Rapid Treatment
2	Goals 1. Establish standardized trauma triage criteria in Western North Carolina by all MATRAC affiliated EMS agencies and hospitals. 2. Increase familiarization and utilization of common triage tags among area healthcare providers. 3. Improve trauma patient tracking capabilities through the "trauma system". 4. Measure accurate assessment and triage (tagging) of multiple trauma patients.
3	Goals 5. Ensure that all relevant medical personnel are adequately trained in the use of the triage tags. 6. Ensure that triage tags are placed on all trauma patients during the “Triage Friday” pilot project. 7. Ensure that the triage system accurately distinguishes between minor and major trauma and results in the transport of patients to the most appropriate receiving facility.
4	Student Objectives Review the origins and development of START Triage Discuss the advantages of utilizing a single triage tagging system List the 4 factors of START Triage Discuss revving up your RPM’s in multiple patient situations Review pediatric triage and JUMPSTART
5	Student Objectives Identify Features of the All Risk Triage Tag Identify Risk Management Features of All Risk Triage Tag Describe functions of “CONTAMINATED” strip Identify and apply HazMat First Responder Considerations Discuss Personal Property Accountability
6	Student Objectives Discuss Evidence Collection/Identification Identify and apply principles of patient triage Identify distribution and application of Triage Tag tear-off components Discuss Patient documentation Discuss Patient transport and tracking components
7	START Triage Developed in California in the early 1980’s by Hoag Hospital and Newport Beach Fire and Marine Department Rapid approach to triaging large numbers of casualties Easy to remember
8	Agencies using START System Israel, Saudi Arabia Dept. of Homeland Security - FEMA Dept. of Defense – U.S. Military Wisconsin, Oregon, California, Arizona, New Jersey North Carolina SORT and SMAT Teams
9	START Triage Initial patient assessment and treatment should take less than 30 seconds for each patient Patients are triaged based upon 4 factors Ability to walk away from the scene Respiration: > or < 30 respirations per minute Pulse: Radial pulse present or capillary refill < or > 2 seconds Mental Status: able/unable to follow simple commands R espirations P ulse M ental Status
10	START Triage First clear the walking wounded using verbal instructions. Direct them to the treatment areas for detailed assessment & treatment These Patients are triaged MINOR Now check your RPM’s
11	START Triage RPM Respiration's None - Open the Airway Still None? – DECEASED Restored?- IMMEDIATE Present? Above 30 - IMMEDIATE Below 30 - CHECK PERFUSION
12	START Triage RPM Perfusion Radial Pulse Absent or Capillary Refill > 2 secs IMMEDIATE Radial Pulse Present or Capillary Refill < 2 secs CHECK MENTAL STATUS
13	START Triage RPM Mental Status Can Not Follow Simple Commands (Unconscious or Altered LOC) IMMEDIATE Can Follow Simple Commands DELAYED
14	START Triage If patient is tagged immediate upon initial assessment, only attempt to correct airway blockage or uncontrolled bleeding before moving on to next patient. NO MORE THAN 30 SECONDS PER PATIENT
15	START Triage When things get hectic with multiple patients rev up your RPM’s. R - Respiration - 30 P - Perfusion - 2 M - Mental status - CAN DO Mnemonic: 30 – 2 – CAN DO
16	START Triage
17	START Triage The START process permits a limited number of rescuers to rapidly triage a large number of patients without extensive training. Patients are systematically moved to treatment areas where a more detailed assessment, treatment, & transport are conducted.
18	Pediatric Triage System for triaging pediatric patients is called JUMPSTART Is used for age range 1 to 8 years Has similar algorithm to START system
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20	The New Generation of All Risk
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22	Features of the All Risk Tag Adopted By MMRS & CalChiefs/Standardization All Risk- Contaminated/Non-Contaminated Tracking Capabilities Waterproof Synthetic Paper Evidence Identification Personal Property Accountability Primary/Secondary Decon
23	Risk Management Features Reliability Tag Construction Increased shelf life/Mold and Mildew proof Impervious to fluid application Dependability Produced by Field Personnel for Field Personnel Field Tested Accountability Improved patient tracking Evidence tagging Personal property identification/tracking
24	The Contaminated strip has three main functions First to prevent the tag from being used until patient contamination has been considered Second, to identify victims who have been exposed to a hazardous material Third to aid rescuers with identifying clothing (evidence) belonging to victims
25	HazMat First Responder Operational Considerations
26	HazMat First Responder Operational Considerations
27	HazMat First Responder Operational Considerations
28	Personal Property Accountability
29	Evidence Collection/Identification
30	Patient Triage
31	Patient Triage
32	Patient Accountability
33	Patient Treatment
34	Patient Documentation
35	Transport & Tracking
36	Hospital Identification & Tracking
37	The New Generation of All Risk
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39	Conclusion Learning to effectively triage large numbers of injured patients can save precious time, reduce confusion, and improve patient outcomes. By utilizing a single triage tagging system, we will reach these goals in addition to improving interoperability among participating agencies. Take the Test Here