Hello , Disaster management is a vast topic which cant be cover in one ppt so i have taken one particular topic which is on Triage in disaster Management . I am trying to elaborate the topics by putting few pictures , if anyone have any problem with understand the ppt ,I have mentioned the reference guide . They can check it . Thnks KIRTTI

1. TRIAGE
KIRTTI

2.  Derived from a French word ‘triar’ which means
‘to separate out’
 A method of quickly identifying victims who have
immediately life-threatening injuries and who
have the best chance of surviving
 Use when the quantity severity of injuries
overwhelm the operative capacity of health
facilities .

3.  The principal of “first come” “first treat” is not
followed in mass emergencies
 Processing of determining the priorities patients
treatment based on their severity
 It consist of rapidly classifying the patients as
per the severities as High priorities
Low priorities

4. French
army
triage
centre
WW-1

5. The goal of managing a mass
casualty incident
 Priorities for transportation to the hospital
 Priorities for care in the field

9. START SYSTEM
 Created in the 1980’s by Hoag Hospital and the
Newport Beach CA Fire Dept
 Allows rapid assessment of victims
 It should not take more than 15 sec/ Pt
Once victim is in treatment area more detailed
assessment should be made Clasificación is
based on three items
 Respiratory
 Perfusion
 Mental status evaluation

11. START First Step
Can the Patient Walk?
Green
(Minor)
Evaluate Ventilation
(Step-2)

12. Ventilation Present?
YESNO
> 30/Min < 30/min
Evaluate Circulation
(Step-3)
Open Airway
Ventilation Present?
NO YES
Black
Red/
Immediate
Red/ Immediate
START Step-2

13. Circulation
Absent Radial Pulse Present Radial Pulse
Evaluate Level of
Consciousness
Red/ Immediate
START Step-3

14. START Step-4
Level of Consciousness
Can Follow Simple
Commands
Yellow/ DelayedRed/
Immediate
Can’t Follow Simple
Commands

15.  Patients with exposure (potential or real) to
contaminants should be tagged as BLUE
 This category will continue to stay until
patient is adequately decontaminated then
follow START as usual
 Some recommend a “double tagging” with
blue and the standard START color
Contaminated Patients

16. START-Overview
 Remember RPM
 R- Respirations- 30
 P- Perfusion- Radial Pulse
 M- Mental- Follows Commands

18.  References :
 https://en.wikipedia.org/wiki/Triage#/media/File:Wounded_Triage
_France_WWI.jpg
 http://www.ifrc.org/PageFiles/95530/The-Sphere-Project-
Handbook-20111.pdf