Patient Triage
* Amputated fingers
* Alert & oriented X3
* Ambulatory
* Respirations 24
Green
Who is responsible for initially setting up a command post?
Highest trained EMS personnel on the first arriving unit
What are the tree treatments provided during START triage?
1) Open airway
2) Apply pressure to bleeding
3) Elevating Extremities
MCI plans should be flexible enough to work for both large scale and small scale incidents.
True
Scenario: Building collapses, 6 patients confirmed inside.
The first patient you come to is in Cardiac Arrest or Code-99 what do you do?
Attempt to open airway
No improvement
Black Tag
* Open head Wound
* Bleeding controlled
* Respirations are 12
* Pulse is 58 (Radial)
* Unconscious
Red
What are the EMS branch functions at an MCI?
Triage, Treatment, Transport
How long should START triage take per patient?
30 seconds
START triage is only used to get a head count of patients at an MCI.
False
Who is responsible to make sure you stay safe during an MCI? Why?
You are responsible for yourself. Remember if you are injured, you cannot help those around you.
Right upper extremity injury
obvious right lower extremity fxBP 180/90
HR 126
25 yo
Yellow
Who is in charge of advising the incident command and transport officer of the total number of patients for each triage criteria?
Triage officer
What things are assessed when using START triage?
Ability to walk
Respiratory effort
Pulse/ Perfusion
Mental status
There is a set number of patients that will automatically initiate MCI protocol.
False
Patient:
66 yo WD/WN/HM involved in an MVC, hr 160, BP 60/40, patient not A&O, 2 feet intrusion noted her side of vehicle.
SAMPLE HX from husband stated patient takes blood thinners. What are you assuming could be wrong with this patient?
The patient has internal bleeding.
* Patient gurgles and can’t maintain open airway
* Not breathing
* Weak Carotid Pulse
* Unresponsive
Black
Who communicates with receiving hospitals to determine the number of patients, critical and non-critical, they will be able to receive?
Transport officer
What does START stand for?
Simple Triage And Rapid Treatment
MCI protocol should be initiated when an incident will place great demand on equipment and responders.
True
26 yo fall from tree cutting branches C/O back pain.
What are some things you need to ask/access?
How high was he in the tree?
What did he land on?
How did he land?
LOC?
Numbness or Tingling?
* Multiple penetrating injuries
* blood in ears
* Responds only to pain
* Airway clear
* Respirations 20
Strong Radial pulse
Red
Who is in charge of coordinating treatment of patients within the treatment area?
What triage level is a patient that's not breathing, even after attempting to open the airway?
Black
You are only allowed to use equipment and vehicles owned by the company you work for to treat and transport patients.
False! Use any and all resources made available to you.
Sometimes scenes can be very stressful. What is important to do after a stressful scene and why?
CISD- Talk about what happened.