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?
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Simple Triage And Rapid Treatment- What is the first step in the START triage algorithm?
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Assess whether the victim can walk- Victims who can walk to a designated area during START triage are tagged what color?
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Green (minor)- What does the R in the START RPM assessment stand for?
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Respirations- What does the P in the START RPM assessment stand for?
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Perfusion- What does the M in the START RPM assessment stand for?
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Mental status- In START triage, a respiratory rate greater than 30 per minute results in what triage tag?
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Red (immediate)- In START triage, what should the nurse do first if a victim is not breathing?
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Open the airway and reposition- If a victim still is not breathing after the airway is repositioned, what triage tag is assigned?
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Black (deceased/expectant)- In START triage, how is perfusion typically assessed?
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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?
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Red (immediate)- In START triage, what mental status finding indicates an immediate (red) tag?
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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?
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Yellow (delayed)- What does a red triage tag mean?
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Immediate, life-threatening injury requiring urgent care- What does a yellow triage tag mean?
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Delayed, serious injury but can wait briefly for treatment
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