START Triage Basics
Adult Patient Assessment
JUMPSTART Pediatric Triage
Vitals signs and perfusion
Tricky Triage Scenarios
100

What is the first instruction given to patients during Start Triage?

Answer:

What is " If you can walk, move to the designated area"

100

An adult patient obeys commands but cannot walk., Respirations are 24.  What tag is used for this patient?

Answer:

What is yellow 

(delayed)

100

Jumpstart is used for what age group?

Answer:

What are infants and children under 8 years old.

100

What does MCI stand for?

Answer:

What is Mass casualty incident


100

A walking patient with minor bleeding , respiratory rate of 20, and follows commands is tagged what color?

Answer:

What is green

200

In Start triage, what respiratory rate range qualifies as immediate ( red)?

 Answer:

What is > 30 breaths per minute 

200

What trige color is assigned to a non-breathing adult patient after airway positioning?

Answer:

What is black

200

What respiratory rate range is considered normal in Jumpstart?

Answer:

What is 15-45 breaths per minute

200

How often can triage categories change?

Answer:

What is continuous

200

An adult with a RR of 28, strong radial pulse, but confused mental status is tagged?

Answer:

what is Red

300

Which triage color indicates delayed treatment?

Answer:

What is yellow

300

What pulse is most often used to assess perfusion?

Answer: 

What is radial pulse

300

A non-breathing child with a pulse receives what intervention before being triaged?

Answer:

What is 5 rescue breaths

300

Skin that is cool, pale and clammy usually indicate what condition?

Answer:

What is poor perfusion or shock

300

Why might a pediatric patient be under-triaged if Jumpstart is not used?

Answer:

Children compensate longer and crash faster than adults.

400

What capillary refill time indicates poor perfusion in Start Triage?

Answer:

What is greater than 2 seconds

400

An adult has uncontrolled bleeding but is alert.  What color tag is used for this patient?

Answer:

What is red

(immediate)

400

After 5 rescue breaths, a child still does not breathe. What tag for this child?

Answer:

what is black

400

A patient with an absent radial pulse should be triaged as what color?

Answer:

What is red

400

What is the biggest mistake in MCIs?


Answer:

What is spending too much time with one patient.

500

Start Triage evaluates what 3 main criteria?

Answer: 

What is respirations, perfusion, and mental status.

(RPM)

500

An adult patient is lying supine, respiratory rate is 34, capillary refill is 1 second and the patient is alert and following commands. What is the correct tag?

Answer: 

 What is red

respiratory rate >30 .

500

How is mental status assessed in Jumpstart instead of "obeys commands"?

Answer:

What is using AVPU

(alert, responds to verbal, responds to pain, unresponsive)

500

What mental status findings indicates immediate  (red) triage?

Answer:

What is inability to follow simple commands.

500

A non ambulatory pediatric patient is breathing at 50 times per minute and withdraws from painful stuimuli.  What is the correct tag for this child?

Answer:

Red 

(Respiratory rate is outside the Jumpstart normal range >45)