The START triage system and community disaster response nursing roles, distinct from the single-patient focus of the Trauma Nursing and Triage deck.
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- What does the acronym START stand for in mass casualty triage?
- Simple Triage And Rapid Treatment
- What is the first step in the START triage algorithm?
- Assess whether the victim can walk
- Victims who can walk to a designated area during START triage are tagged what color?
- Green (minor)
- What does the R in the START RPM assessment stand for?
- Respirations
- What does the P in the START RPM assessment stand for?
- Perfusion
- What does the M in the START RPM assessment stand for?
- Mental status
- In START triage, a respiratory rate greater than 30 per minute results in what triage tag?
- Red (immediate)
- In START triage, what should the nurse do first if a victim is not breathing?
- Open the airway and reposition
- If a victim still is not breathing after the airway is repositioned, what triage tag is assigned?
- Black (deceased/expectant)
- In START triage, how is perfusion typically assessed?
- Capillary refill or presence of a radial pulse
- A capillary refill time greater than 2 seconds (or an absent radial pulse) in START triage indicates what tag?
- Red (immediate)
- In START triage, what mental status finding indicates an immediate (red) tag?
- Inability to follow simple commands
- In START triage, a victim who is breathing normally, has adequate perfusion, and can follow commands is tagged what color?
- Yellow (delayed)
- What does a red triage tag mean?
- Immediate, life-threatening injury requiring urgent care
- What does a yellow triage tag mean?
- Delayed, serious injury but can wait briefly for treatment