Mass Casualty Incident/Triage Latest Version Graded A+

Mass Casualty Incident/Triage Latest Version Graded A+ 1. Resuscitation the pt is dying 2. Emergent the pt should not wait 3. Urgent the pt is predicted to require 2 or more resources 4. Nonurgent the pt is predicted to require 1 resource 5. Minor the pt is predicted to require no resources Primary survey (primary triage) focuses on stabilizing life threatening conditions - follow the ABCD Primary survey includes -establish patent airway provide adequate ventilation, protection of cervical spine is mandatory when ventilating and resuscitation measures are needed -eval and restore CO by controlling hemorrhage, preventing and treating shock, maintaining or restoring effective circulation, including preventing hypothermia -determine neuro disability using GCS Secondary survey (triage) -health hx and head to toe assessment -dx and labs -monitoring devices -splinting of suspected fx -cleansing, closure and drsg wounds Immediate (Red tag) 1 needs immediate medical care and will not survive if not treated quickly. (for example, a major hemorrhagic wound/internal bleeding) Top priority for treatment. Delayed (Yellow tag) 2 needs medical care within 2-4 hours. Injuries may become life- threatening if ignored, but can wait until Red tags are treated. (for example, open fracture of femur without major hemorrhage) Minimal (Green tag) 3 Generally stable and ambulatory ("walking wounded") but may need some medical care. (for example, 2 broken fingers, sprained wrist) Expectant (Black tag) 4 either deceased or is not expected to live. (for example, open fracture of cranium with brain damage, multiple penetrating chest wounds) RPMs Respirations Perfusion Mental Status Respirations Is your patient breathing? If not, tilt the head back and jaw forward or, if you have a good medical pack, insert an oral airway In a MCI triage situation, the rule against moving the neck of an injured person (not breathing, remember) before ruling out cervical spine injury is, for the time being, suspended until help arrives. If you have an open airway and no breathing, that victim is tagged black. If the victim breathes once an airway is restored or is breathing more than 30 times a minute, tag red. If the victim is breathing normally, move