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Emergency Medicine · EMT-B

EMT: Mass Casualty Incidents and Triage

The START triage system and mass casualty incident response roles tested on the EMT-B exam.

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What does the START triage acronym stand for?
Simple Triage And Rapid Treatment
What is the guiding principle of triage during a mass casualty incident?
Doing the greatest good for the greatest number of patients
In START triage, what is the first instruction given to all patients at the scene?
Anyone who can walk, walk to a designated safe area
In START triage, patients who are able to walk on their own are tagged what color?
Green
In START triage, the acronym RPM stands for ____.
Respirations, Perfusion, Mental status
In START triage, a respiratory rate greater than 30 breaths per minute results in what tag color?
Red (immediate)
In START triage, if a patient is still not breathing after you reposition the airway, how are they tagged?
Black (deceased/expectant)
In START triage, if a patient's respiratory rate is under 30 per minute, what is assessed next?
Perfusion (radial pulse or capillary refill)
In START triage, perfusion is checked using which two methods?
Radial pulse and capillary refill
In START triage, an absent radial pulse or a capillary refill greater than 2 seconds results in what tag?
Red (immediate)
In START triage, once perfusion is found adequate, what is assessed next?
Mental status
In START triage, mental status is checked by asking the patient to do what?
Follow a simple command
In START triage, a patient with adequate perfusion who cannot follow simple commands is tagged what color?
Red (immediate)
In START triage, a patient with adequate perfusion who can follow simple commands is tagged what color?
Yellow (delayed)
What does a red triage tag indicate?
Immediate, life-threatening injuries needing care first

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