Simple Triage And Rapid Treatment

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Simple Triage And Rapid Treatment
Presented by

• Mike Helbock, M.I.C.P., NREMT-P
• MSO King County Medic One
• Manager Training and Education
• Seattle/King County
• Division of Emergency Medical Services

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Equipment needed for START
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START is an effective tool used to sort the
priorities of treatment.
Definition

• Initial assessment of each patient is
  accomplished within 30 seconds.

• Initial treatment is limited to life-threatening
  conditions (i.e. opening an airway and
  controlling severe bleeding).

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Goal

• Do the greatest good for greatest number.

• To best match patients needs with available
  resources.

The first arriving emergency medical team can
initiate START.
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Triage Classification

• Walking wounded
• Use a whistle or horn
• Corral to specific location
• Enlist bystanders
• Flag Green

• Green

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Triage Classification
Injured but stable

• Green
• Yellow

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Triage Classification

• Immediate/unstable
• The ONLY care that you provide during START is
  for red patients. It includes
• Establish an airway
• Control major bleeding

• Green
• Yellow
• Red

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Triage Classification
DOA/mortal injury

• Green
• Yellow
• Red
• Black

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Triage Classification
HAZMAT Deconned patient

• Green
• Yellow
• Red
• Black
• White

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Flagging VictimsFlag em
Flag all patients. Tie ribbon high on the
arm. Double knot the ribbon. Leave enough tail to
attach the tag.
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Tag em
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Tagging Victims
Top part of tag stays with patient to the
hospital.
The bottom gets torn off and held at the
transport area.
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What does success look like?

• Proper integration into Incident Command System.

• Common language for interaction with outside
  agencies.

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First Due In
1. Size up the incident.
2. Call for more resources.
3. Give assignments for incoming companies.

• Initiate START.

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Lets put this all together

• How does this work?

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RPMRespirations
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RPMPulse
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RPMMental Status
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Summary

• START is an effective tool when patients
  outnumber providers.

• The ONLY treatment provided is establishing an
  airway and/or controlling major bleeding.

• RPM provides a quick way to sort patients based
  on levels of need.

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Mike HelbockSeattle/King County Division of
Emergency Medical Services

• Mike.helbock_at_metrokc.gov
• 206-423-4674