Medical Triage: Code Tags and Triage are grouped into four categories,

Terminology depending on the urgency of their need for

evacuation. If necessary, START can be
Medical Author: Melissa Conrad Stoppler,
implemented by persons without a high
MD
level of training. The categories in START
Medical Editor: William C. Shiel, Jr., MD,
are:
FACP, FACR
 the deceased, who are beyond help
Triage refers to the evaluation and
categorization of the sick or wounded when  the injured who could be helped by
there are insufficient resources for medical immediate transportation
care of everyone at once. Historically,
 the injured with less severe injuries
triage is believed to have arisen from
whose transport can be delayed
systems developed for categorization and
transport of wounded soldiers on the
 those with minor injuries not requiring
battlefield. Triage is used in a number of
urgent care.
situations in modern medicine, including:
Another system that has been used in
 In mass casualty situations, triage is
mass casualty situations is an example of
used to decide who is most urgently
advanced triage implemented by nurses or
in need of transportation to a hospital
other skilled personnel. This advanced
for care (generally, those who have a
triage system involves a color-coding
chance of survival but who would die
scheme using red, yellow, green, white,
without immediate treatment) and
and black tags:
whose injuries are less severe and
must wait for medical care.  Red tags - (immediate) are used to
label those who cannot survive
In a disaster or mass casualty situation,
without immediate treatment but who
different systems for triage have been
have a chance of survival.
developed. One system is known as
START (Simple Triage  Yellow tags - (observation) for those

and Rapid Treatment). In START, victims who require observation (and

 Some Examples:
possible later re-triage). Their
Red Tag:
condition is stable for the moment
Loss of consciousness
and, they are not in immediate
danger of death. These victims will Severe hemorrhage (or in shock)

still need hospital care and would be Severe respiratory distress

treated immediately under normal Burns affecting face and/or respiratory system

circumstances. Complicated fractures

Pregnancy (with obvious injury/illness)

 Green tags - (wait) are reserved for
Open (penetrating wounds) from throat to crotch
the "walking wounded" who will need
Yellow Tag:
medical care at some point, after
Moderate blood loss (non-life-threatening)
more critical injuries have been
treated. Burns not affecting respiratory system

Head or spinal injury (conscious with no dyspnea)

 White tags - (dismiss) are given to
Green Tag:
those with minor injuries for whom a
Walking wounded (need BLS care only)
doctor's care is not required.
Black Tag:

 Black tags - (expectant) are used for Dead or resources are not available

the deceased and for those whose

injuries are so extensive that they will ---MCI Triage Song Lyrics---
not be able to survive given the care
that is available.
We need to start triage before people die

We have to have the upper hand

It is important to create a command

REFERENCE:
https://www.medicinenet.com/medic
al_triage_code_tags_and_triage_term We need a leader to provide direction

inology/views.htm And an officer to set up transport

A treatment officer treats minor trauma

And most importantly, the triage crew

That's what we'll do Has good mental status and alert replies

He wants to get up, but too weak when tries

And when that is set Extra help is on the way I advise

Start triage time Yellow prize

You have just thirty, seconds, you're behind

Oh

Walking wounded go to green

Hopefully, they only, have minor woes Direct Pressure

But 'til next triage who really knows Re-positioning the Airway

The nearest patient looks in a doze We may raise the Extremities

They are not alert and it truly shows And all of this is our expertise

So red I chose

Oh

Let's move on

Here we have one who is not breathing

So let us manually open their airway

If they start breathing it will make my day

Red and away

But if they didn't

Start breathing, they earn black

There's nothing to do

If a pulse they lack

Breathing under thirty

Good skin signs, cap refill, under two seconds

FLOWCHART --
Simplified Flowchart
The START flowchart is a quick way to learn the
system. As you move through the patient
assessment, sequentially evaluate the current status
for RESPIRATIONS, PERFUSION, and MENTAL
STATUS (RPM). You either assign the victim a START Triage
classification or you move to the next level of the Assess, Treat, (use bystanders)
flowchart.
When you have a color
There are two flowcharts presented. The first shows STOP - TAG - MOVE ON
the details of going through the START assessment.
The second is a simplified flowchart. Use -- Move Walking Wounded
whichever one makes the most sense to you.
-- No RESPIRATIONS after head tilt

-- Breathing but UNCONSCIOUS

 Detailed  Simplified
flowchart flowchart
-- Respirations - over 30

M D -- Perfusion Capillary refill > 2

I or NO RADIAL PULSE
Detailed Flowchart I E
M
N C Control bleeding
M
O E
E
R A -- Mental Status Unable to follow simple
D
S commands
I
E
A
D D -- Otherwise
T
E E
L REMEMBER:
A
Y Respirations - 30
E Perfusion - 2
D Mental Status - Can Do

REFERENCE http://citmt.org/Start/flowchart.htm

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