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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. The method was developed in 1983 by the staff members of Hoag Hospital and Newport Beach Fire Department located in California , and is currently widely ...
[3] [2] According to the Fast Facts for the Triage Nurse handbook, the ESI algorithm is primarily used in the United States. [2] As of 2019, 94% of United States EDs use the ESI algorithm in triage. [1] The concept of a "resource" in ESI means types of interventions or diagnostic tools, above and beyond physical examination.
RPM-30-2-Can Do is a mnemonic device for the criteria used in the START triage system, which is used to sort patients into categories at a mass casualty incident. [ 1 ] [ 2 ] [ 3 ] The mnemonic is pronounced "R, P, M, thirty, two, can do."
Triage systems vary dramatically based on a variety of factors, and can follow specific, measurable metrics, like trauma scoring systems, or can be based on the medical opinion of the provider. [6] Triage is an imperfect practice, and can be largely subjective, especially when based on general opinion rather than a score.
Typical triage tag used for emergency mass casualty decontamination.. A triage tag is a tool first responders and medical personnel use during a mass casualty incident.With the aid of the triage tags, the first-arriving personnel are able to effectively and efficiently distribute the limited resources and provide the necessary immediate care for the victims until more help arrives.
In North America, the START system (simple triage and rapid treatment) is the most common and is considered the easiest to use. Using START, the medical responder assigns each patient to one of four color-coded triage levels, based on their breathing, circulation, and mental status. The triage levels are:
Hospital emergency codes are coded messages often announced over a public address system of a hospital to alert staff to various classes of on-site emergencies. The use of codes is intended to convey essential information quickly and with minimal misunderstanding to staff while preventing stress and panic among visitors to the hospital.
The JumpSTART pediatric triage MCI triage tool (usually shortened to JumpSTART) is a variation of the simple triage and rapid treatment (START) triage system. Both systems are used to sort patients into categories at mass casualty incidents (MCIs). However, JumpSTART was designed specifically for triaging children in disaster settings. Though ...