C'E'R'T' TRIAGE USING THE S'T'A'R'T' SYSTEM

1
C.E.R.T. TRIAGEUSING THE S.T.A.R.T. SYSTEM
2
SIMPLE TRIAGE AND RAPID TREATMENT

• TRIAGE To Sort
• RAPID WAY TO QUICKLY ASSESS MULTIPLE PATIENTS
• DOESNT REQUIRE FIRST AID TRAINING
• FAST WAY TO ASSESS AND TREAT THE KILLERS
  AIRWAY OBSTRUCTION, BLEEDING, SHOCK.

3
STEP ONE STOP,LOOK,LISTEN AND THINK

• DONT GO RUNNING INTO SITUATION.
• LOOK AT THE ENTIRE SCENE.
• LOOK FOR HAZARDS
• WIRES,FIRE,CHEMICALS,BUILDING STABILITY
• LISTEN FOR VOICES
• GIVES A QUICK GLIMPSE INTO OF PTS.
• THINK ABOUT WHETHER YOU HAVE ENOUGH RESOURCES.

4
STEP TWO CONDUCT VOICE TRIAGE

• CALL OUT CERT TEAM ANYONE THAT CAN.
• GETS WALKING WOUNDED OUT OF THE SCENE
• CAN USE THEM LATER TO ASSIST YOU
• ASK THEM FOR INFO ABOUT LOCATIONS OF VICTIMS
  AND HAZARDS
• EVALUATE AND TAG AS APPROPRIATE

5
STEP THREE START WHERE YOU STAND

• START WITH CLOSEST VICTIMS AND MOVE IN AN
  ORGANIZED WAY.
• LEFT WALL, RIGHT WALL
• MOVE QUICKLY BUT DONT MISS AREAS
• IF MULTIPLE TEAMS, MAKE SURE TO COMMUNICATE WITH
  EACH OTHER
• HAZARDS,MULTIPLE VICTIMS
• TAG EACH VICTIM ON LEFT UPPER ARM
• KEEP SECTION OF TAPE FOR VICTIM TALLY

6
STEP FOUR EVALUATE EACH VICTIM AND TAG THEM
APPROPRIATELY

• EVALUATE EACH VICTIM FOR THE KILLERS
• AIRWAY OBSTRUCTION,BLEEDING, SHOCK
• EVALUATE USING R.P.M.
• R RESPIRATION /- 30 B.P.M.
• P PULSE RADIAL YES/NO
• M MENTAL STATUS FOLLOWS SIMPLE COMMANDS

7
Not Breathing
Over 30
Respiration
Open Airway
or
No Radial Pulse
Start Breathing
Pulse
or
Not Breathing
Cannot Follow Commands
Mental
Yellow
otherwise
8
STEP FIVE TREAT THE KILLERS IMMEDIATELY

• AIRWAY OPEN OR REPOSITION AIRWAY
• OPENS/BREATHING RED
• NO CHANGE BLACK
• NO CPR
• LEAVE UNCONSCIOUS VICTIM IN RECOVERY
  POSITION

9

• BLEEDING
• CONTROL OBVIOUS SEVERE BLEEDING
• QUICK PLACEMENT OF DRESSING
• SEVERE BLEEDING RED

10

• SHOCK
• TREAT ALL VICTIMS FOR SHOCK
• PLACE BLANKET ON/UNDER VICTIM
• ELEVATE LEGS

11
STEP SIX DOCUMENT RESULTS

• MAKE A MAP OF SEARCH AREA AND DOCUMENT LOCATION
  OF VICTIMS WITH ASSIGNED TRIAGE COLOR.
• CLEAR, CONCISE REPORT TO TRIAGE TEAM LEADER

12
TRIAGE PITFALLS

• NO PLAN OF ACTION
• NO ONE IN CHARGE OR NO CLEAR LEADER
• MULTIPLE PEOPLE/RESOURCES FOCUSING ON ONE VICTIM
• LENGTHY TREATMENT OF VICTIMS
• NO COMMUNICATION BETWEEN TRIAGE TEAMS
• NO/INCORRECT INFO GETTING BACK TO TEAM LEADER

13
TRIAGE PEARLS

• ALWAYS ASSESS YOU AND YOUR TEAMS SAFETY FIRST.
• ALWAYS REASSESS VICTIMS
• DONT USE ALL YOUR SUPPLIES ON ONE VICTIM
• YOU WONT HAVE ENOUGH SUPPLIES
• LOOK AROUND WHAT CAN YOU USE?
• PRACTICE,PRACTICE,PRACTICE!!!