START TRIAGE - S-T-A-R-T TRIAGE Disaster Preparation and...

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S-T-A-R-T TRIAGE Disaster Preparation and Response Training Network South Carolina Area Health Education Consortium
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Mass Casualty Incidents 2
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What is Triage? “Triage” means “to sort” Looks at medical needs and urgency of each individual patient Sorting based on limited data acquisition Also must consider resource availability
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Ethical Justification One of the few instances where a "utilitarian rule " is applied to medicine. - Do the most good for the most people. 4
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Triage, Treatment & Transport 5
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Purpose of Triage Triage determines priority for treatment and removal using a rapid / basic assessment. The goal is to optimize care for the maximum number of salvageable patients. 6
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MCI Triage: Key Points Resources and patient numbers and acuity are limiting factors. Must be dynamic, responsive to changes in both resources and patient needs. There is currently no civilian MCI triage system that has been validated by outcome data.
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Daily Emergencies Do the best for each individual Disaster Settings Do the greatest good for the greatest number Maximize survival
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Primary Disaster Triage Goal: to sort patients based on probable needs for immediate care. Also to recognize futility. Assumptions: Medical needs will outstrip immediately available resources Additional resources will become available with time 9
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Primary Disaster Triage Triage based on physiology How well the patient is able to utilize their own resources to deal with their injuries Which conditions will benefit the most from the expenditure of limited resources
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Primary Disaster Triage The most commonly used adult tool in the US and Canada is the START tool. The only recognized pediatric MCI primary triage tool used in the US and Canada is the JumpSTART tool. Other tools exist but are less oriented to mass casualties than triaging smaller numbers of (adult) trauma patients.
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The S. T. A. R. T. System The S. T. A. R. T. Triage System Stands For: S imple T riage A nd R apid T reatment 12
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S. T. A. R. T. System The S. T. A. R. T. system examines victims objectively, efficiently, and rapidly. It can be used by personnel with limited medical training. S. T. A. R. T. takes about 30 seconds per victim.
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START TRIAGE - S-T-A-R-T TRIAGE Disaster Preparation and...

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