Developed in California in the early 1980s by Hoag Hospital and Newport Beach Fire and Marine (California)
Rapid approach to triaging large numbers of causalities
Easy to remember
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
M ental Status
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
None - Open the Airway
Still None? - DECEASED
Above 30 - IMMEDIATE
Below 30 - CHECK PERFUSION
Radial Pulse Absent
Capillary Refill > 2 secs
Radial Pulse Present
Capillary Refill < 2 secs
CHECK MENTAL STATUS
Can Not Follow Simple Commands
(Unconscious or Altered LOC)
Can Follow Simple Commands
If patient is immediate Code Red
upon initial assessment, attempt only to correct airway blockage or uncontrolled bleeding before moving on to next patient.
When things get hectic with multiple patients rev up your RPMs.
R - Respiration
P - Perfusion - 2
M - Mental status - CAN do
30 2 CAN DO
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 was Developed by the
Newport Beach (CA.)
Fire & Marine Department
PowerPoint Program Modified by Lt. S. Albright SC-EMS.com