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Field Triage in MCI
ETD HKL 2020
There are 2 type of triage:
- Hospital triage: The one we use in our daily
work in hospital.
- Field triage: Triage method used during
MCI, in which aiming at to save more
numbers.
This method used by first responders to
quickly classify victims during a mass
casualty incident (MCI) based on the
severity of their injury.
START evaluate victims and assign
them to one of the following four
categories:
• Deceased/expectant (Msia use
white, other countries-> black)
• Immediate (red)
• Delayed (yellow)
• Walking wounded/minor (green)
‘START’
Simple triage and rapid treatment
1.Establish and maintain scene safety.
Consider potential ingress and egress.
Identify hot, warm, and cold zones.
Don appropriate PPE.
Determine triage methodology.
a.Simple triage and rapid treatment (START)
b.SALT
c.other
2. Non-ambulatory patients are then assessed. The only medical
intervention used prior to declaring a patient deceased is an attempt to
open the airway, securing cathatrohic bleeding, antidote administration
and needle tension pneumothorax release.
3. Any patient who is not breathing after this attempt is classified as
deceased and given a white tag. No further interventions or therapies are
attempted on deceased patients until all other patients have been treated.
4. Patients who are breathing will be assess using RPM
• R: Respiratory rate greater than 30 per minute (adult)
• P: Radial pulse is absent, or CRT >2s
• M: Unable to follow simple commands
How to do?
Field triage in Mass Casualty Incidence

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Field triage in Mass Casualty Incidence

  • 1. Field Triage in MCI ETD HKL 2020
  • 2. There are 2 type of triage: - Hospital triage: The one we use in our daily work in hospital. - Field triage: Triage method used during MCI, in which aiming at to save more numbers. This method used by first responders to quickly classify victims during a mass casualty incident (MCI) based on the severity of their injury.
  • 3. START evaluate victims and assign them to one of the following four categories: • Deceased/expectant (Msia use white, other countries-> black) • Immediate (red) • Delayed (yellow) • Walking wounded/minor (green) ‘START’ Simple triage and rapid treatment
  • 4. 1.Establish and maintain scene safety. Consider potential ingress and egress. Identify hot, warm, and cold zones. Don appropriate PPE. Determine triage methodology. a.Simple triage and rapid treatment (START) b.SALT c.other 2. Non-ambulatory patients are then assessed. The only medical intervention used prior to declaring a patient deceased is an attempt to open the airway, securing cathatrohic bleeding, antidote administration and needle tension pneumothorax release. 3. Any patient who is not breathing after this attempt is classified as deceased and given a white tag. No further interventions or therapies are attempted on deceased patients until all other patients have been treated. 4. Patients who are breathing will be assess using RPM • R: Respiratory rate greater than 30 per minute (adult) • P: Radial pulse is absent, or CRT >2s • M: Unable to follow simple commands How to do?