Emergency preparedness

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Emergency Preparedness 

First, review the pdf file StartTriage & the StartTriage Algorithm to learn how first responders complete a rapid triage assessment in a mass-casualty event.

NOTE; the two document startTriage and startTriage algorithm is uploaded down below. Then you answer these 4 questions

Complete the following on a separate word document. 

1. Identify each level of triaged patient in a mass casualty event (4) and then give an example of each. You may use the StartTriage resources to create your patient scenarios. KEEP IT SIMPLE!

2. Identify the 3 most likely disaster events that could impact your household

3. Create an evacuation plan for the members of your household for these disasters. When would you evacuate? When would you shelter in place? Where would you go? How would you get there? What if not all members of the household were at home when the time came to evacuate? What would be the communication protocol in this situation?

4. Make a list of the items that you would place in a 3-day disaster kit for your household. Use the CDC or Red Cross website to find recommendations for items to include. Are there any special items not suggested by the CDC or Red Cross that you would include for yourself or another family member? Why?

START Triage

Simple
Triage
And
Rapid
Treatment

START Triage

• Developed in California in the early 1980’s by
Hoag Hospital and Newport Beach Fire and
Marine (California)

• Rapid approach to triaging large numbers of
causalities

• Easy to remember

START Triage

• Initial patient assessment and treatment should take
less than 30 seconds for each patient

• Patients are triaged based upon 4 factors
– Ability to walk away from the scene
– Respiration > or < 30 respirations per minute
– Pulse – Radial pulse ? or capillary refill < or > 2 seconds
– Mental Status – able/unable to follow simple commands

R espirations P ulse M ental Status

START Triage

• First – clear the walking wounded using verbal
instructions.
– Direct them to the treatment areas for detailed

assessment and treatment
– These Patients are triaged MINOR

• Now check your RPMs

START Triage RPM
• Respiration’s

– None – Open the Airway
• Still None? – DECEASEDDECEASED
• Restored?- IMMEDIATE

– Present?
• Above 30 – IMMEDIATE
• Below 30 – CHECK PERFUSION

START Triage RPM
• Perfusion

– Radial Pulse Absent
or

Capillary Refill > 2 secs
IMMEDIATE

– Radial Pulse Present
or

Capillary Refill < 2 secs
CHECK MENTAL STATUS

START Triage RPM

• Mental Status
– Can Not Follow Simple Commands

(Unconscious or Altered LOC)
IMMEDIATE

– Can Follow Simple Commands
DELAYED

START Triage

If patient is immediate – Code Red upon initial
assessment, attempt only to correct airway
blockage or uncontrolled bleeding before
moving on to next patient.

START Triage
• When things get hectic with multiple patients

rev up your RPM’s.
–R – Respiration – 30
–P – Perfusion – 2
–M – Mental status – CAN do

mnemonic: 30 – 2 – CAN DO

START Triage

IMMEDIATE

Over 30/min

IMMEDIATE

Control
Bleeding

Radial Pulse
Absent

Over 2
seconds

Under 2
seconds

Capillary
Refill

IMMEDIATE

Can’t Follow
Simple Commands

DELAYED

Can Follow
Simple Commands

MENTAL STATUS

Radial Pulse
Present

PERFUSION

Under 30/min

Yes

IMMEDIATE

Yes

DECEASED

No

Position Airway

No

RESPIRATIONS

All Walking
Wounded

MINOR

Respiration’s 30

Perfusion 2

Mental Status CAN DO

START Triage

The START process permits a limited number
of rescuers to rapidly triage a large number of
patients without specialized training.

Patients are systematically moved to treatment
areas where more detailed assessment and
treatment are conducted.

START Triage

START Triage was Developed by the
Newport Beach (CA.)

Fire & Marine Department

PowerPoint Program Modified by Lt. S. Albright – SC-EMS.com

Emergency Preparedness

First, review the pdf file StartTriage & the StartTriage Algorithm to learn how first responders complete a rapid triage assessment in a mass-casualty event.

Next, follow the link TurbulentSky and complete the activity.

Complete the following on a separate word document.

· Identify each level of triaged patient in a mass casualty event (4) and then give an example of each. You may use the StartTriage resources to create your patient scenarios. KEEP IT SIMPLE!

· Identify the 3 most likely disaster events that could impact your household

· Create an evacuation plan for the members of your household for these disasters. When would you evacuate? When would you shelter in place? Where would you go? How would you get there? What if not all members of the household were at home when the time came to evacuate? What would be the communication protocol in this situation?

· Make a list of the items that you would place in a 3-day disaster kit for your household. Use the CDC or Red Cross website to find recommendations for items to include. Are there any special items not suggested by the CDC or Red Cross that you would include for yourself or another family member? Why?

Upload to the drop box by the due date.

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