2. HISTORY OF TRIAGE
• Triage originates from the French word "trier," which is used to describe the
processes of sorting and organization. Triage is utilized in the healthcare
community to categorize patients based on the severity of their injuries and, by
extension, the order in which multiple patients require care and monitoring. The
history of the emergency triage originated in the military for field doctors
3. SIMPLE TRIAGE AND RAPID TREATMENT (START)
• Simple triage and rapid treatment (START) is a triage method used by first
responders to quickly classify victims during a mass casualty incident (MCI) based
on the severity of their injury.
• START relies on making a rapid assessment of every patients respiration , pulse,
and mental status
• The colors correspond to triage tags which are used by some agencies to
indicate each victim's status, although physical tags are not necessary if patients
can be physically sorted into different areas.
4. START TRIAGE CATEGORIES
Black –Deceased or expectant
They are patients with either absent vital signs , or suffer from such severe injuries
that their death is eminent even with resuscitation effort
Eg. Someone with severe head injury with matter visible
5. RED –IMMEDIATE
These patients are at risk for imminent death usually due to shock or a severe head injury
They are the number one priority , and should be stabilized and transport as soon as possible
Usual presentations
• Major trauma
• Traumatic shock
• Seizure
• Altered mental state
• Congestive heart failure
• Severe respiratory distress
6. YELLOW – DELAYED
• Patient that are still injured and these injuries may
be serious .
• Respiration : 30/ min
• Capillary refill was under 2 seconds and they could
follow simple commands but they could
deteriorate to red category.
7. USUAL PRESENTATION
• Active chest pain
• Signs of stroke
• Distress
• Immunocompromised with fever
• Suicidal
• Homicidal
• Amputations
8. • GREEN -MINOR
• Patient with minor injuries are still patient in need of medical attention .
• Some of them may be frightened and in pain . Reassure them as much as you can
that they will get help and transport as soon as the more severely injures patient
have been transported
9. THE TRIAGE TAG
• The triage designation is based on a colour system
• Triage tags on each victim and tear off the colour
until the colour at the bottom matches the victims
classification
• The person doing the initial START triage does not fill
out the tag, Rather he/she only tears off the colour –
strip and attaches the tag to the patient.
16. PAEDIATRIC TRIAGE
• WHEN SHOULD TRIAGE TAKE PLACE?
• As soon as the sick child arrives at hospital before any administrative procedure
such as registration.
• WHERE SHOULD TRIAGING BE DONE?
• Triage can be carried out anywhere (at emergency room, at ICU or at ward).
• WHO SHOULD TRIAGE?
• All the staff working in a healthcare facility should be trained to carry out rapid
assessment of sick child and triage.
17. IMPORTANCE OF TRIAGE :
Patient
Identification
Treatment area
allocation
Decrease
congestion
Ongoing
assessment
Departmental
acuity
18. To get the Right Patient
To the Right Place
At the Right Time
With the Right Care Provider
